Chronological events in the surgery of the septum


  • Manish Munjal Department of ENT, Dayanand Medical College, Ludhiana, Punjab
  • Pankaj Arora Department of ENT, Dayanand Medical College, Ludhiana, Punjab
  • Shubham Munjal Department of Anatomy, Dayanand Medical College, Ludhiana, Punjab
  • Tulika Saggar Department of ENT, Dayanand Medical College, Ludhiana, Punjab



Septal deviation, Septoplasty, Submucosal resection


Nasal obstruction unilateral or bilateral, secondary to congenital birth passage or adult, nasal trauma requires surgical intervention of the deviated septum. Intervention ranges from a minimal septal repositioning to submucosal resection, simple septoplasty or the extensive extracorporeal septoplasty. The development of septal surgery with the developments in the field of rhinology has been reviewed.


Author Biography

Manish Munjal, Department of ENT, Dayanand Medical College, Ludhiana, Punjab

Professor and Head, Deptt of ENTHNS


Ahn JC, Lee WH, We J, Rhee CS, Lee CH, Kim JW, et al. Nasal septal deviation with obstructive symptoms: association found with asthma but not withother general health problems. Am J Rhinol Allergy. 2016;30(2):17-20.

Stammberger II, Wolf G. Headaches and sinus disease:the endoscopic approach. Ann Otol Rhinol Laryngol Suppl. 1988;134:3-23.

Quelmatz E. Hallers disputant and nosbarum. Paris. 1957.

Adams W. The treatment of the broken nose by forcible straightening and mechanical apparatus. Br Med J. 1875;2:421.

Ingals EF. Deflection of nasal septum. Tr Am Laryng. 1882;4:61-9.

Kreig R. Resection der cartaligo quadrangularis septi narium zus heilung der scoliosis septi. Med Cor-BI, Nurttems, artzl; ver, Stuttg. 1889;56:206-9.

Asch M. The treatment of nasal stenosis due to deflective septum with and without thickening of the convex side. Laryngoscope. 1899;6:340.

Boeninghaus G. Bemerbanger Zum Dufstaz Lowens Zur Chirugie die Nasencheidenaud Monatsschrf. Ohern. 1900;34:287.

Freer OT. The correction of deflections of nasal septum with minimum of traumatization. J.Am Med Assoc. 1902;38:636-42.

Killian G. Die mucosa fensterresktion der Nasencheidenaud. Arch Lryng: U Rhin. 1904;16:362-87.

Ballenger WL. A New technique for the submucous resection of the cartilaginous septum. The swivel septum knife. The Laryngoscope, 1905.

Yankauer S. Septoplasty Rational surgery of the nasal septum. The J Laryngol Otol. 1975.

Thompson SC. Ocular Symptoms Produced by Nasal Disease1 HHB Cunningham. J Laryngol Otol. 1911

Metzenbaum M. Replacement of the lower end of the dislocated septal cartilage versus submucous resetion of the dislocated end of septal cartilage. Arch Otolaryngol. 1929;9:282.

Peer L. An operation to repair lateral displacement of the lower border of the septal cartilage. Arch Otolaryngol. 1937;25:475.

Salinger S. and Cohen D.M. Surgery of difficult septum. Arch Otolaryngol. 1992;177:528-30.

Fomon S, Gilbert JG, Silver AG, Syracuse VR. Plastic repair of obstructing nasal septum. Arch Otolaryngol. 1948;47:7.

Becker H. Paraffinoma as a complication of nsal packing. Plast Reconstr Surg. 1983;72:735-6.

Cottle, Loring R. Correcting surgery of the external nasal pyramif and the nasal septum for restoration of Normal Physiol. ENT Monthly. 1947;26:147.

Lierle DM, Huffman WC. A review of septal surgery. Southern Med J. 1950.

Galloway P, Hinderer F, Subramaniam V, Basheer M. Evolution of correction of the deviated nasal septum–A historical overview. Archives of Medicine; 2018.

Goldman RB. New techniques in surgery of DNS. Arch Otolaryngol. 1956;64:183-9.

Smith M. Abusive rhinology. Br J Clin Pract 1975;13:458.

Cottle M. Concepts of nasal physiology as related to corrective nasal surgery. Arch Otolaryngol. 1960;72:11-20

Borg R, Vand D, Seimens B. Submucous septal correction. Pract Otorhinolaryngol. 1957;19:316-20.

Stoksted P. Long term results following septum surgery. Rhinology. 1969;7:53-5.

Pearson B, Goodman W. SMR, septoplasty and surgical relief of nasal obstruction and the mechanics of breathing. Arch Otolaryngol. 1973;83:135-9.

Edward N. Septoplasty, rational surgery of nasal septum. J. Laryngol Otol. 1974:89:875-929.

Maran A. Septoplasty. JLO Laryngol Otol. 1974:88:393.

Verwoerd CDA, Urbans NAM, Nijdam DC. The effects of nasal surgery on the growth of the nose and maxilla. Rhinology. 1979;17:53-63.

Fjermedal O, Saunte C, Pedersen S. Septoplasty and/or submucous resection? 5 nasal septal operations. JLO. 1988;102:796-8.

Rubin FF. Controlled tip sculpting with the morselizer. Arch Otolaryngol. 1983;109:160-3.

Gubisch W. The extracorporeal septum plasty: a technique to correct difficult nasal deformities. Plastic Reconstruct Surg. 1995;95(4):672-82.

Tasca I, Compadretti GC, Losano T, Boccio C, Lijdens Y. Nasal Valve Stabilization in Extracorporeal Septoplasty. J Oto Rec Surg. 2016;2(1):112.

Lee SB, Jang YJ. Treatment Outcomes of Extracorporeal Septoplasty Compared With in Situ Septal Correction in Rhinoplasty. JAMA Facial Plast Surg. 2014;16(5):328-34.

Cingi C. Septoplasty in Children. Am J Rhinol Allergy. 2016;30:42-7.

AlReefi MA, Nguyen LHP, Mongeau LG, Haq BU, Boyanapalli S, Hafeez N, et al. Development and Validation of a Septoplasty Training Model Using 3-dimensional Printing Technology. Int Forum Allergy Rhinol. 2017;7(4):399-404.

Samad I, Stevens HE, Maloney A. The efficacy of septal surgery. Otolaryngol. 1992;21(2);88-91.






Review Articles