Often there is a need to address the status of the nasal septum during
functional endonasal sinus surgery. The outcome of a sinus procedure
can be enhanced if the surgeon has better exposure of the operative ar
ea or if the patient receives a larger nasal airway, which provides la
minar air flow. We present a technique of managing septal deviations a
nd obstructions that adds little additional time to the sinus procedur
e and allows direct evaluation of the septum with the endoscopes. We d
escribe this relatively simple technique, indications for its use, and
results of the first 38 cases.