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The most common septoplasty complication is persistence in the subjective complaint of nasal obstruction.30,65 A septal hematoma may be seen when either a quilting stitch is not used or nasal packing is not placed. Septal perforations resulting from unrepaired contiguous septal mucoperichondrial fenestrations or failure to reskeletonize the mucoperichondrial envelope at the completion of the septal resection maneuver are possible. Nasal shape changes (e.g., tip ptosis, dorsal nasal saddling) may result from over-resection of the caudal septum or the loss of dorsal nasal support. Mild postoperative oozing is very common and not necessarily a complication during the early phase but rather something to be expected. Some patients may experience significant bleeding postoperatively, and this is usually seen in those who also underwent inferior turbinate resection.

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