Septorhinoplasty

Policy
NHS NWL CCGs will not fund Septorhinoplasty procedures for cosmetic reasons
Septorhinoplasty procedures will be funded for functional reasons where:
1. Patient has a deviated septum causing significant and persistent nasal blockage
2. A septoplasty alone will not improve functional impairment
3. Septorhinoplasty is not being performed for cosmetic reasons .
For all other indications please apply via the IFR route etc .

These polices have been approved by the eight Clinical Commissioning Groups in North West London (Brent
CCG, Central London CCG, Ealing CCG, Hammersmith and Fulham CCG, Harrow CCG, Hillingdon CCG,
Hounslow CCG and West London CCG). Production of the policies and management of appeals is co-ordinated
on behalf of the CCGs by North West London Commissioning Support Unit.

Background
Septorhinoplasty is a surgical procedure to correct a deformity of the nasal septum as well as the bony deformity of the pyramid
of the nose.

References
1.
2.
3.

Aetna. Clinical Policy Bulletin: Septorhinoplasty and Rhinoplasty (2011)

http://www.aetna.com/cpb/medical/data/1_99/0005.html
Nease CJ, Deal RC. Septoplasty in conjunction with cosmetic rhinoplasty. Oral and Maxillofacial surgery
clinics of North America, 2012; 24 (1), 49-58,
Phillips PS, Stow N, Timperley DG, Sacks R, Srubiski A, Harvey RJ, Marcells GN. Functional and
cosmetic outcomes of external approach septoplasty. Americal Journal of Rhinology and Allergy. 2011;
25(5) 351-357

NHS NWL CCGs Planned Procedures with a Threshold Policy. Version 3(April 2013)
Is this the latest version? Check here: http://www.northwestlondon.nhs.uk