Outcomes after endonasal septoplasty using caudal septal batten grafting.

Am J Rhinol Allergy

Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Published: December 2011

AI Article Synopsis

  • This study looked at how well a specific nose surgery called endonasal septoplasty helped people who had problems with the middle part of their nose.
  • Out of 56 patients surveyed, many felt their nose blockage got a lot better, and all of their symptoms like snoring and trouble breathing improved after the surgery.
  • Although some minor complications happened, like losing sense of smell in a few cases, no one needed another surgery later on, which shows that the procedure was pretty safe and effective.

Article Abstract

Background: This study evaluated surgical outcomes after endonasal septoplasty using caudal septal batten grafting for caudal septal deviation.

Methods: Fifty-six patients completed questionnaires to assess nasal obstruction by telephone interviews 8-63 months postoperatively (12.2 months on the average). In addition, patients assessed the severity of nasal symptoms (i.e., mouth breathing, mouth dryness, hyposmia, rhinorrhea, epistaxis, trouble sleeping, snoring, and being concerned about nasal problems) preoperatively and postoperatively using a visual analog scale (VAS). These VAS scores were compared with those of patients who underwent endonasal septoplasty using the cutting and suture technique. Complications were analyzed.

Results: Thirty-four (60.7%) patients reported their nasal obstruction was much improved, 17 (30.3%) reported their condition was improved, and 5 (8.9%) reported no change postoperatively. Patients reported a decrease in severity of all nasal symptoms (p < 0.05 for each). Their nasal obstruction improvement was not significantly different from that of patients managed by the cutting and suture technique. Complications after surgery included hyposmia in two cases, small septal perforation in one case, chondritis in one case, and septal abscess in one case, and all were managed successfully. No patient required revision septoplasty due to recurrence during the follow-up period.

Conclusion: Endonasal septoplasty using caudal septal batten grafting for caudal septal deviation resulted in improvement in nasal obstruction and nasal symptoms and was associated with an acceptable complication rate.

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Source
http://dx.doi.org/10.2500/ajra.2011.25.3648DOI Listing

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