Endonasal Tongue in Groove Septoplasty

Caudal or anterior nasal septum deviations, despite not being the most common type of septal deviation, cause much complaint as well as cosmetic deformity to the nasal tip. Deflections of the caudal end of the nasal septum are often not addressed at the time of septoplasty by simple submucosal resection of midportion of bony and /or cartilaginous septum for fear of disrupting the caudal strut making its ability to treat the functional and aesthetic complications of many septal deviations limited. No single method of correction has been shown to be effective in all cases. Most caudal septal reconstruction maneuvers are more easily accessible by way of an external approach. One of the most popular techniques is the “tongue-in-groove” which has been reported to improve projection and rotation.