An improved septoplasty: the microsurgical suture technique.

An improved septoplasty procedure has been performed on 204 patients, 49 in combination with rhinoplasty. There were 2 minor complications: 1 small perforation and 1 septal hematoma. The use of septal sutures avoids the necessity of postoperative intranasal packing or splints. Magnification, proper lighting, and improved instrumentation have simplified the technique, and a nontraumatic anatomical dissection can more easily be performed on the most complicated septal deformities. By dispensing with intranasal packing, a one-stage septorhinoplasty can be done without fear of producing a widened dorsum from outward pressure of the packs. The sutures also increase the stability of the septum by preventing displacement of the caudal portion during the healing process. Postoperative patient discomfort is minimized, as the airway is not blocked by packs; painful removal of the packs is also eliminated.