**4. Conclusion**

Septoplasty is an individualized procedure, and preoperative evaluation of the deviated site is critical to achieve optimal outcome. Endoscope can provide better visualization of the deviated sites and prevention of mucosal tears, while the deviated caudal septum could be managed via hemitransfixion incision under headlight. Combining the use of headlight and endoscope can deal with most of the deviated sites of the nasal septum, and therefore, septoplasty could be performed endonasally in most of the cases. Open septoplasty may be indicated in cases with deviated or crooked nose, and septoplasty with rhinoplasty can be performed. The surgical intention is to make a straight septum with long-lasting effect.
