Background: Septoplasty is commonly undertaken to improve nasal airways or to correct cosmetic septal deviation. The most difficult areas to correct are the caudal and/or superior regions.
Methods: We describe our technique of partial extracorporeal septoplasty using polydioxanone plate to support the cartilage, allowing correction of very anterior and/or superior deviations without affecting the stability or shape of the nose.
Discussion: The senior author has been using this technique routinely since 2004 with excellent results and no increase in complication rates. PDS plate supports the repositioned cartilage and stimulates cartilage regeneration; we discuss the experimental evidence for its use.
Conclusion: Adequate correction of caudal deviations is difficult. This reliable technique allows complete correction of the deviation.