Surgical Correction of Deviated Nasal Septum via Rhinoplasty and Cartilage Reduction: A Detailed Case Report

Abstract

Background: Deviated nasal septum (DNS) is a common structural abnormality causing nasal obstruction, snoring, headaches, and aesthetic deformity. Surgical intervention is indicated when conservative management fails. Case Presentation: A 24-year-old male presented with long-standing nasal obstruction, snoring, intermittent headaches, and visible nasal deviation following childhood trauma. Clinical examination and computed tomography revealed a severe C-shaped septal deviation with dorsal nasal asymmetry. The patient underwent open septorhinoplasty with septal cartilage reduction and reconstruction. Surgical Technique: An open septorhinoplasty approach was performed with elevation of mucoperichondrial flaps, correction of septal deviation while preserving the dorsal and caudal L-strut, cartilage reshaping and grafting, and osteotomies for nasal realignment. Outcome: Postoperative recovery was uneventful. At one-, three-, and six-month follow-up, the patient demonstrated significant improvement in nasal breathing, resolution of snoring, and satisfactory aesthetic outcome. Conclusion: Open septorhinoplasty with cartilage reduction is an effective and reliable technique for managing severe septal deviation with associated nasal deformity, providing both functional and aesthetic benefits.