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Int J Oral Maxillofac Surg. 2018 Feb;47(2):180-183. doi: 10.1016/j.ijom.2017.06.007. Epub 2017 Jun 30.

Traction suture modification to tongue-in-groove caudal septoplasty.

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Department of Otolaryngology - Head and Neck Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
Department of Otolaryngology - Head and Neck Surgery, The State University of New York Downstate, Brooklyn, New York, USA.
Department of Otolaryngology - Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas, USA. Electronic address:


Caudal septal deviation leads to unfavorable esthetic as well as functional effects on the nasal airway. A modification to the tongue-in-groove (TIG) technique to correct these caudal septal deformities is described. With placement of a temporary suspension suture to the caudal septum, manual traction is applied, assuring that the caudal septum remains in the midline position while it is being secured with multiple through-and-through, trans-columellar and trans-septal sutures. From 2003 to 2016, 148 patients underwent endonasal septoplasty using this modified technique, with excellent functional and cosmetic outcomes and a revision rate of 1.4%. This modified TIG technique replaces the periosteal suture that secures the caudal septum to the midline nasal crest in the original TIG technique. This simplifies the procedure and minimizes the risk of securing the caudal septum off-midline when used in endonasal septoplasty.


caudal septal deviation; endonasal septorhinoplasty; septoplasty; tongue-in-groove

[Indexed for MEDLINE]

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