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. |