Batten graft septoplasty: Evaluation of a preferred technique

Abstract

Importance and objectiveSeptoplasty techniques continue to update over time to achieve the best results. The study idea is to use a single large batten graft to treat caudal and dorsal deviations in one step to avoid possible weakness the might occur from the use of multiple grafts. MethodsPatients were divided into 2 groups; the first group had septoplasty to correct obstruction, and patients in group 2 had concomitant esthetic deformities. Preoperative and post operative analyses of NOSE scale scores and Visual Analogue Scale scores were performed using statistical analysis to assess changes of the quality of life. An additional measurement of the angles of deviation of the nasal axis was applied to the patients of the second group to assess the improvement of the crooked nose deformity present in this group. ResultsSurvey responses were received from 35 patients. The Mean age of the study group was 25.31years. Group 1 patients had preoperative NOSE scale Mean of 78.33 and postoperative NOSE scale Mean of 17.50. Group 2 patients had preoperative NOSE scale Mean of 71.95 and postoperative NOSE scale Mean of 14.56. Group 2 patients had an additional Visual Analogue Scale acquired to assess patient satisfaction with the shape of their noses before and after surgery. In 16 patients of the second group patients, measurement of the angles of deviation of the nasal axis before and after surgery was applied to assess the changes after surgery. ConclusionsPatients in this study who had batten graft septoplasty with or without rhinoplasty reported improvements in their disease-specific quality of life and a significant improvement of the nasal axis deviation.