Dual-stage septum-to-nasal spine fixation suture for enhanced caudal septal stability

Eur Arch Otorhinolaryngol. 2026 Apr;283(4):2597-2600. doi: 10.1007/s00405-025-09986-6. Epub 2026 Jan 12.

Abstract

Background: For optimal outcomes in caudal septal deviation repair, it is crucial to establish a secure and stable fixation between the septal cartilage (SC) and the anterior nasal spine (ANS) of the maxilla.

Method: This technical note presents a dual-stage septum-to-nasal spine fixation suture technique developed to overcome the rotational and stability limitations that may occur when an F8 suture alone is applied in certain cases.

Conclusion: By achieving multidirectional stabilization without increasing procedural complexity, this technique offers a practical and improved method for SC-ANS fixation.

Keywords: Nasal septum; Septoplasty; Septorhinoplasty.

MeSH terms

  • Humans
  • Nasal Cartilages* / surgery
  • Nasal Septum* / surgery
  • Rhinoplasty* / methods
  • Suture Techniques*