The Novel Traction‑Suturing Technique In Correction Of Caudal End Deviation Of The Nasal Septum
09-10, 11:30–11:45 (Europe/Istanbul), Facial Plastic 4 (ICC - B3 Floor - 3B/22)

Background Caudal end correction is one of the main challenges during septoplasty that needs extra steps and skills. This

complex area affects the shape of the nose. Moreover, the caudal end represents the medial boundary of the internal nasal

valve. Thus, any deviation may disturb this critical area causing nasal obstruction. This study aimed to evaluate the novel

traction-suture technique to correct septal caudal end deviation and its postoperative impact.

Study design This prospective case-series study.

Settings It was held in a tertiary referral university institute between January 2019 to February 2022.

Methods We included 95 cases who suffered from nasal obstruction and a cosmetic problem because of mild or moderate

caudal end deviation. Under general anesthesia, the caudal end was corrected by the novel traction-suturing technique

(TST). To evaluate the surgical outcomes and patients' related quality of life, we used two validated questionnaires; the Nasal

Obstruction Symptom Evaluation and the Rhinoplasty Outcome Evaluation before the surgery and 1 year after the surgery.

Results NOSE and ROE questionnaires showed statistically significant improvements after the surgery (P value was < 0.001).

Complications occurred in seven patients (7.3%), all of which were minor complications.

Conclusions Traction-suturing technique (TST) improved nasal breathing and patients’ satisfaction with their nasal configuration.

Traction-suturing is a simple short maneuver that junior doctors can easily learn without distinct complications

or recurrence.

This study aimed to evaluate the novel

traction-suture technique to correct septal caudal end deviation and its postoperative impact.

Co-Chair Co-Chair
Erkan Soylu
Session Chair Session Chair
Rui Xavier
Erkan Soylu

I am Erkan Soylu, I was born in Elazığ/Türkiye in 1977. I am married and the father of three children. After completing my primary and secondary education in Elazığ, the city where I was born, I won Cerrahpaşa Faculty of Medicine. After completing my medical faculty education in Istanbul, I won Haseki Training and Research Hospital otolaryngology department and completed my specialization in Istanbul between 2002-2007 and became an otolaryngologist. I worked in Ağrı/Doğubeyazıt State Hospital between 2008-2010 as an otolaryngologist. Then I returned to Istanbul to continue my education. I started to work as an assistant professor at Medipol University Hospital, a private university.  After completing many national and international studies between 2012-2017,  I was appointed as an associate professor at the same university. After this stage, I focused only on nasal health and aesthetics. I have conducted many studies on rhinoplasty.  In 2022, I was appointed to the ENT department of Medipol University as a professor. I still continue my work here. I organize Rhinoplasty Fellowship programs in our university. To date, we have accepted and trained fellows from all over the world. And I organise “NoseCraft Live Surgery Course“ on rhinoplasty, every year.

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Rui Xavier

Prof. Dr. Rui Xavier graduated in Medicine from University of Porto in 1989. He concluded his training in Otolaryngology and Head and Neck Surgery and became Specialist in 1997. He has a PhD degree in Medical Sciences with a thesis addressing rhinoplasty outcomes.

Prof. Dr. Rui Xavier has a special interest in Facial Plastic Surgery and, particularly, in functional and aesthetic rhinoplasty. 

Prof. Dr. Rui Xavier is frequently invited to lecture in Congresses in Europe, Americaand Asia. He is author of several scientific papers published in medical journals and of several book chapters about rhinoplasty published in Europe and USA. He is also a reviewer for the Aesthetic Plastic Surgery Journal, for the Facial Plastic Surgery Journal and for the Laryngoscope Journal.

Prof. Dr. Rui Xavier is member of the European Academy of Facial Plastic Surgery and of the Asian Facial Plastic Surgery Society. He is President of the Facial Plastic Committee of the Portuguese Otolaryngology Society and National Delegate for Portugal of the European Academy of Facial Plastic Surgery.

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