SMR Surgery

Septoplasty

Radical Surgery.

Conservative Surgery.

Killian’s incision taken 5 mm from caudal border of septal cartilage.

Freer’s hemitransfixation incision taken at caudal border of septum.

Not done below 17 years of age.

Can be done at any age.

Mucosal flaps elevated on both sides.

Mucosal flaps elevated only on concave side of cartilage.

Entire cartilage except 2-3 mm strip at caudal end is removed.

Only deviated part of cartilage removed.

Caudal dislocation cannot be corrected.

Caudal dislocation can be corrected.

Complications:
– Septal perforation.
– Septal haematoma.
– Supratip deformity.
– Saddle nose deformity.
– CSF rhinorrhea.

All complications are rare.

Revision surgery very difficult.

Revision surgery can be done.

Cannot be combined with rhinoplasty.

Can be combined with rhinoplasty.