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Objectives  In general, deviation of the L‐strut of the nasal septum is more challenging to correct than the middle and has less favorable results. This study aimed to develop a technique to correct the L‐strut while preserving nasal support effectively and introduce the L‐septoplasty technique and its effects.    Methods  Patients with caudal and high dorsal septal deviations who underwent the L‐septoplasty technique were retrospectively analyzed. Preoperative and three‐month postoperative comparative assessments included the Nasal Obstruction Symptom Evaluation (NOSE) scale and minimal cross‐sectional area (MCA).    Results  Thirty patients seen at a tertiary care center were included. NOSE scale scores improved from 47.2 to 13.6, which was statistically significant ( P  < .001). MCA increased from 0.43 cm 2  to 0.74 cm 2  ( P  < .001). During the 3‐month follow‐up period, deviation correction was well maintained in all patients, and no surgical complications, such as saddle nose deformity, occurred.    Conclusion  The L‐septoplasty technique is effective in simultaneously correcting caudal and high dorsal septal deviations without any complications.    Level of evidence  4.

A novel surgical technique to correct caudal and high dorsal septal deviations: L‐shape cutting and suturing on the septal L‐strut (L‐septoplasty)