Evaluation of Metzenbaum’s technique in correction of the caudal end of the nasal septum deviation

Introduction: Caudal septal deviation is a significant reason for nasal obstruction. The first line of management is medical support to the nasal mucosa, if it fails, surgical treatment for a caudal septal deviation with Metzenbaum’s “swinging door” method.Objective: To evaluate the results of Metzenbaum’s technique in correction of the Caudal end septal deviation on nasal airway obstruction and headache.Patients and methods: This observational study was done in the ENT department of Assiut University hospitals, included only patients with nasal airway obstruction due to caudal septum deviation, ages between 18 and 45y. Patients with other causes of airway obstruction e.g. nasal polyps hypertrophied inferior turbinates and Patients having other external nose deformities other than caudal septal deviation were excluded.Results: Pre-operative. out of 36 patients 18 had severe nose score between 60 and 90, and 18 had moderate nose score between 26 and 50 however Post –operative; all the patients with severe nose score became mild with nose score less than 25 while 8 of the patients with moderate nose score became mild and 10 of them had no problem anymore and After 2-month follow up the symptoms were relieved in all the patients with no caudal septal deviation.Conclusion: Caudal end deviation of the nasal septum can cause a serious breathing problem. Swinging door method is an effective surgical procedure for repairing caudal septum deviation.