Septal batten graft to correct cartilaginous deformities in endonasal septoplasty

Jee Hye Wee, Ji-Eun Lee, Sung-Woo Cho, Hong Ryul Jin
Archives of Otolaryngology—Head & Neck Surgery 2012, 138 (5): 457-61

OBJECTIVE: To evaluate the usefulness of septal batten grafts to correct cartilaginous septal deformities in endonasal septoplasty.

DESIGN: Retrospective study.

SETTING: University medical center.

PATIENTS: Of 430 patients who underwent endonasal septoplasties from January 2006 to January 2011, 30 received septal batten grafts and were enrolled in the study. Twenty-eight patients were male and 2 were female.

MAIN OUTCOME MEASURES: Thirty consecutive patients received septal batten grafts and were followed up for more than 6 months. Patterns of septal deformity, materials used for batten graft, surgical results, symptom improvement, findings of acoustic rhinometry, and surgical complications were investigated.

RESULTS: Among the 30 patients, 5 were revision cases. Most of the deformities were characterized as moderate to severe degrees of curved or angulated deviations of the cartilaginous septum. The batten graft was performed with either septal cartilage (n = 21) or bony septum (n = 9). A straight septum was achieved in 90% of all procedures. Subjective symptoms of nasal obstruction were improved in all patients, as evaluated by the Nasal Obstruction Symptom Evaluation scale. Acoustic rhinometry revealed that after surgery the mean minimal cross-sectional area changed from 0.33 cm² to 0.42 cm² (P = .02) and the nasal volume from 4.71 mL to 6.28 mL (P = .02). There were no major complications, eg, septal perforation or saddle nose, and no revision surgery was needed.

CONCLUSION: Endonasal septal batten graft is a safe, useful, and effective technique to straighten moderate to severe septal cartilage deformities that are otherwise not correctable via conventional septoplasty techniques.

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