{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T23:03:18Z","timestamp":1779750198803,"version":"3.53.1"},"reference-count":37,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Septal deformities are highly prevalent in the population and septoplasties are one of the most common procedures performed by otolaryngologists and facial plastic surgeons. Caudal septal deformities represent a challenging component when managing septal deviations given the caudal septum's critical role as a tip supporting mechanism. As a result, they are a frequent cause for revision procedures.<\/jats:p>\n                  <jats:p>Caudal septal deformities can range from mild to severe and require careful assessment and strategic operative planning. Depending on the deformity, a variety of techniques can be employed for correction. These range from conservative approaches such as reshaping maneuvers and suture techniques to complete excision and reconstruction with grafting. Rhinoplasty surgeons must be prepared with a wide repertoire of interventions to address the caudal septum depending on the deformity present.<\/jats:p>\n                  <jats:p>This article provides a comprehensive review of septal anatomy, patient evaluation, and an updated algorithm for management of caudal septal deformities.<\/jats:p>","DOI":"10.1055\/a-2764-3420","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:10:47Z","timestamp":1769645447000},"page":"295-303","source":"Crossref","is-referenced-by-count":1,"title":["Contemporary Management of Caudal Septal Deformities: An Algorithmic Approach"],"prefix":"10.1055","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7556-8520","authenticated-orcid":false,"given":"Caitlin Michelle","family":"Coviello","sequence":"additional","affiliation":[{"name":"Otolaryngology- Head and Neck Surgery, Houston Methodist Hospital, Houston, United States"},{"name":"Otolaryngology- Head and Neck Surgery, Weill Cornell Medical College, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justina","family":"Varghese","sequence":"additional","affiliation":[{"name":"Otolaryngology- Head and Neck Surgery, Houston Methodist Hospital, Houston, United States"},{"name":"Otolaryngology- Head and Neck Surgery, Weill Cornell Medical College, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arianna","family":"Ramirez","sequence":"additional","affiliation":[{"name":"Otolaryngology- Head and Neck Surgery, The University of Texas Medical Branch at Galveston, Galveston, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony E.","family":"Brissett","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology - Head and Neck Surgery, Houston Methodist Hospital, Houston, United States"},{"name":"Otolaryngology- Head and Neck Surgery, Weill Cornell Medical College, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1001\/jamaoto.2022.3041","article-title":"Septoplasty revision rates in pediatric vs adult populations","volume":"148","author":"J P Shah","year":"2022","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.otc.2009.03.005","article-title":"Caudal septal deviation","volume":"42","author":"J Haack","year":"2009","journal-title":"Otolaryngol Clin North Am"},{"issue":"03","key":"ref3","first-page":"306","article-title":"Caudal septoplasty, a literature review","volume":"63","author":"A Javed","year":"2025","journal-title":"Rhinology"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"288","DOI":"10.21053\/ceo.2017.01788","article-title":"Common sites, etiology, and solutions of persistent septal deviation in revision septoplasty","volume":"11","author":"H R Jin","year":"2018","journal-title":"Clin Exp Otorhinolaryngol"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1007\/s00405-016-4281-1","article-title":"The arterial supply of the nasal cavity","volume":"274","author":"F JD MacArthur","year":"2017","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1016\/j.otc.2018.05.007","article-title":"Techniques in septoplasty: traditional versus endoscopic approaches","volume":"51","author":"J Shah","year":"2018","journal-title":"Otolaryngol Clin North Am"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.fsc.2016.12.002","article-title":"Septoplasty: basic and advanced techniques","volume":"25","author":"S P Most","year":"2017","journal-title":"Facial Plast Surg Clin North Am"},{"issue":"06","key":"ref8","first-page":"1509","article-title":"The deviated nose: optimizing results using a simplified classification and algorithmic approach","volume":"110","author":"R J Rohrich","year":"2002","journal-title":"Plast Reconstr Surg"},{"issue":"07","key":"ref9","doi-asserted-by":"crossref","first-page":"2449","DOI":"10.1097\/01.PRS.0000060802.70218.FE","article-title":"Caudal nasal deviation","volume":"111","author":"B Guyuron","year":"2003","journal-title":"Plast Reconstr Surg"},{"issue":"04","key":"ref11","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1007\/s12070-020-01909-7","article-title":"Caudal septal deviation: new classification and management strategy","volume":"73","author":"B Baser","year":"2021","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"issue":"06","key":"ref12","doi-asserted-by":"crossref","first-page":"457","DOI":"10.2500\/105065897780914910","article-title":"Caudal and dorsal septal reconstruction: an algorithm for graft choices","volume":"11","author":"D A Sherris","year":"1997","journal-title":"Am J Rhinol"},{"issue":"06","key":"ref13","doi-asserted-by":"crossref","first-page":"1405","DOI":"10.1097\/01.PRS.0000138596.57393.05","article-title":"Nasal reconstruction\u2013beyond aesthetic subunits: a 15-year review of 1334 cases","volume":"114","author":"R J Rohrich","year":"2004","journal-title":"Plast Reconstr Surg"},{"issue":"09","key":"ref14","doi-asserted-by":"crossref","first-page":"1510","DOI":"10.1288\/00005537-198009000-00013","article-title":"Suture technique for caudal septal deviations","volume":"90","author":"M S Ellis","year":"1980","journal-title":"Laryngoscope"},{"issue":"06","key":"ref15","doi-asserted-by":"crossref","first-page":"2148","DOI":"10.1097\/00006534-199811000-00055","article-title":"Correction of the crooked nose","volume":"102","author":"H S Byrd","year":"1998","journal-title":"Plast Reconstr Surg"},{"issue":"12","key":"ref16","first-page":"E758","article-title":"Septal cartilage traction suture technique for correction of caudal septal deviation","volume":"130","author":"H S Seo","year":"2020","journal-title":"Laryngoscope"},{"issue":"08","key":"ref17","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1002\/alr.22347","article-title":"Use of a crossing suture to correct caudal septal deviations","volume":"9","author":"Y H Joo","year":"2019","journal-title":"Int Forum Allergy Rhinol"},{"issue":"02","key":"ref18","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1097\/01.PRS.0000150146.04465.81","article-title":"Changing the convexity and concavity of nasal cartilages and cartilage grafts with horizontal mattress sutures: part II. 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