Methods: Submucosal resection of nasal septum was used in the past, but it was difficult to be effective for patients with complex malformation. Since the 1960s, most scholars have advocated nasal septum augmentation, that is, nasal septum correction and nasal contour correction, which can restore normal nasal breathing and conform to the basic principles of rhinoplasty. Because the operation only removes a small amount of cartilage and bones, it can also be used for children with severe nasal septum deviation.
Correction is the only treatment, but if there are nasal polyps or enlarged turbinates at the same time, nasal polyps and turbinate surgery should be done first. If nasal ventilation improves nasal symptoms, nasal septum deviation can be left untreated. In one of the following cases, surgery should be performed: ① patients with long-term persistent nasal congestion caused by nasal septum deviation; ② Patients with high deviation of nasal septum affecting sinus drainage; ③ Patients with recurrent epistaxis caused by deviated nasal septum; ④ Patients with reflex headache caused by deviated nasal septum; ⑤ Patients with vasomotor rhinitis (structural rhinitis) with obvious deviation of nasal septum.
The following conditions should be contraindicated or stopped: ① acute nasal infection; ② Untreated sinusitis; ③ Some systemic diseases and diabetes, tuberculosis, severe hypertension, cardiac insufficiency and hematological diseases; ④ menstrual period/kloc-female patients under 0/8 years old.