2. INTRODUCTION
• 3500 bc : Egyptian EBER’s papyrus , mostly reconstructive – Rhinectomy as punishment
• 18th century: digital pressure, closed reduction with splinting (adam and Quelmaltz)
• 19th century: excise obstructing parts of the septum. (whistling,crusting,turbulent flow,saddle nose)
• 20th century: smr, maintaining dorsal/caudal L strut (killian and freer)
• 1929 : swing door (metzenbaum)
• 1952: extracorporeal (king and Ashley)
• 1994: endoscopic (Giles and collegues)
Plasty:- Reshape and mould
3. SEPTOPLASTY TECHNIQUES
Reconstruction rather than excision
• Cutting techniques
• Grafting techniques
• Suturing techniques
• Relocating techniques
These techniques can be used alone or in combination.
4. Often deviation of the dorsal L-strut is because of deviation of the bony attachment to the perpendicular plate of ethmoid.
In these cases the osseocartilaginous junction needs to disarticulated all the way through.