Abstract:ENS is as successful as the OTS in management difficult septal deviation cases. In patients with severe septal deformities type of the surgical technique should be selected according to the surgeon's experience and the patient's preference.
“…The correction of C-or S-shaped deviated cartilage is difficult, especially in cases with a high deviation. 6) Moreover, if a deviation near the keystone area is removed excessively, the surgeon faces issues due to lack of stability of structures supporting the septum. Therefore, the complete correction of cartilage with high deviation is sometimes difficult.…”
When performing septoplasty in patients with a high deviation of the nasal septum, effective correction is difficult and postoperative complications such as a saddle nose may result if the bone or cartilage is removed inordinately. Although several surgical techniques have been introduced, some are difficult to apply easily. Furthermore, the deviation may persist despite the application of surgical techniques due to the rebound memory of the remaining cartilage. This study aimed to describe a simple and safe surgical technique for crooked nasal septa with a high deviation. This method using horizontal dorsal septal incision allows easy separation of the highly deviated portion from the upper lateral cartilage. Furthermore, it is less traumatic than other methods, and predictably preserves the keystone area.
“…The correction of C-or S-shaped deviated cartilage is difficult, especially in cases with a high deviation. 6) Moreover, if a deviation near the keystone area is removed excessively, the surgeon faces issues due to lack of stability of structures supporting the septum. Therefore, the complete correction of cartilage with high deviation is sometimes difficult.…”
When performing septoplasty in patients with a high deviation of the nasal septum, effective correction is difficult and postoperative complications such as a saddle nose may result if the bone or cartilage is removed inordinately. Although several surgical techniques have been introduced, some are difficult to apply easily. Furthermore, the deviation may persist despite the application of surgical techniques due to the rebound memory of the remaining cartilage. This study aimed to describe a simple and safe surgical technique for crooked nasal septa with a high deviation. This method using horizontal dorsal septal incision allows easy separation of the highly deviated portion from the upper lateral cartilage. Furthermore, it is less traumatic than other methods, and predictably preserves the keystone area.
“…Nonetheless, these techniques need an open approach which takes more time and adds the burden of a columellar incision scar, making it difficult to apply unless accompanied by a deviated nose 11 . In a study comparing results of open and closed septoplasty, NOSE scale scores showed better improvement in open septoplasty but without statistical significance 12 …”
Section: Discussionmentioning
confidence: 99%
“… 11 In a study comparing results of open and closed septoplasty, NOSE scale scores showed better improvement in open septoplasty but without statistical significance. 12 …”
Section: Discussionmentioning
confidence: 99%
“…In general, deviation of the L‐strut of the nasal septum is more challenging to correct than the middle and has less favorable results 2 . There are various techniques to correct the L‐strut, but there is no clear choice 3‐15 …”
Section: Introductionmentioning
confidence: 99%
“… 2 There are various techniques to correct the L‐strut, but there is no clear choice. 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 …”
Objectives
In general, deviation of the L‐strut of the nasal septum is more challenging to correct than the middle and has less favorable results. This study aimed to develop a technique to correct the L‐strut while preserving nasal support effectively and introduce the L‐septoplasty technique and its effects.
Methods
Patients with caudal and high dorsal septal deviations who underwent the L‐septoplasty technique were retrospectively analyzed. Preoperative and three‐month postoperative comparative assessments included the Nasal Obstruction Symptom Evaluation (NOSE) scale and minimal cross‐sectional area (MCA).
Results
Thirty patients seen at a tertiary care center were included. NOSE scale scores improved from 47.2 to 13.6, which was statistically significant (P < .001). MCA increased from 0.43 cm2 to 0.74 cm2 (P < .001). During the 3‐month follow‐up period, deviation correction was well maintained in all patients, and no surgical complications, such as saddle nose deformity, occurred.
Conclusion
The L‐septoplasty technique is effective in simultaneously correcting caudal and high dorsal septal deviations without any complications.
Level of evidence
4.
Based on the results obtained from our work, we can declare that open access is a functionally valid procedure. At 6 months after surgery, the 2 accesses have a comparable functional efficacy.
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