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Common Sites, Etiology, and Solutions of Persistent Septal Deviation in Revision Septoplasty

OBJECTIVES: To investigate the common causes of persistent septal deviation in revision septoplasty and to report the surgical techniques and results to correct them. METHODS: A total of 100 consecutive patients (86 males) who had revision septoplasty due to persistent septal deviation from 2008 and...

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Autores principales: Jin, Hong Ryul, Kim, Dae Woo, Jung, Hahn Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Otorhinolaryngology-Head and Neck Surgery 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6222185/
https://www.ncbi.nlm.nih.gov/pubmed/30021415
http://dx.doi.org/10.21053/ceo.2017.01788
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author Jin, Hong Ryul
Kim, Dae Woo
Jung, Hahn Jin
author_facet Jin, Hong Ryul
Kim, Dae Woo
Jung, Hahn Jin
author_sort Jin, Hong Ryul
collection PubMed
description OBJECTIVES: To investigate the common causes of persistent septal deviation in revision septoplasty and to report the surgical techniques and results to correct them. METHODS: A total of 100 consecutive patients (86 males) who had revision septoplasty due to persistent septal deviation from 2008 and 2014 were included in the study. Their mean age was 35.6 years and the mean follow-up duration was 9.1 months. Presenting symptoms, sites of persistent septal deviation, techniques used to correct the deviation, and surgical results were reviewed. RESULTS: The mean interval between primary and revision surgery was 6.2 years. Forty-eight patients received revision septoplasty and 52 received revision septoplasty combined with rhinoplasty. Nasal obstruction was the most presenting symptom in almost all patients. The most common site of persistent septal deviation was middle septum (58%) followed by caudal septum (31%). Correcting techniques included further chondrotomy and excision of deviated portion in 76% and caudal batten graft in 39%. Rhinoscopic and endoscopic exams showed straight septum in 97% and 92 patients had subjective symptom improvement postoperatively. CONCLUSION: Middle septum and caudal septum were common sites of persistent deviation. Proper chondrotomy with excision of deviated middle septum and correction of the caudal deviation with batten graft are key maneuvers to treat persistent deviation.
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spelling pubmed-62221852018-12-01 Common Sites, Etiology, and Solutions of Persistent Septal Deviation in Revision Septoplasty Jin, Hong Ryul Kim, Dae Woo Jung, Hahn Jin Clin Exp Otorhinolaryngol Original Article OBJECTIVES: To investigate the common causes of persistent septal deviation in revision septoplasty and to report the surgical techniques and results to correct them. METHODS: A total of 100 consecutive patients (86 males) who had revision septoplasty due to persistent septal deviation from 2008 and 2014 were included in the study. Their mean age was 35.6 years and the mean follow-up duration was 9.1 months. Presenting symptoms, sites of persistent septal deviation, techniques used to correct the deviation, and surgical results were reviewed. RESULTS: The mean interval between primary and revision surgery was 6.2 years. Forty-eight patients received revision septoplasty and 52 received revision septoplasty combined with rhinoplasty. Nasal obstruction was the most presenting symptom in almost all patients. The most common site of persistent septal deviation was middle septum (58%) followed by caudal septum (31%). Correcting techniques included further chondrotomy and excision of deviated portion in 76% and caudal batten graft in 39%. Rhinoscopic and endoscopic exams showed straight septum in 97% and 92 patients had subjective symptom improvement postoperatively. CONCLUSION: Middle septum and caudal septum were common sites of persistent deviation. Proper chondrotomy with excision of deviated middle septum and correction of the caudal deviation with batten graft are key maneuvers to treat persistent deviation. Korean Society of Otorhinolaryngology-Head and Neck Surgery 2018-12 2018-07-20 /pmc/articles/PMC6222185/ /pubmed/30021415 http://dx.doi.org/10.21053/ceo.2017.01788 Text en Copyright © 2018 by Korean Society of Otorhinolaryngology-Head and Neck Surgery This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Jin, Hong Ryul
Kim, Dae Woo
Jung, Hahn Jin
Common Sites, Etiology, and Solutions of Persistent Septal Deviation in Revision Septoplasty
title Common Sites, Etiology, and Solutions of Persistent Septal Deviation in Revision Septoplasty
title_full Common Sites, Etiology, and Solutions of Persistent Septal Deviation in Revision Septoplasty
title_fullStr Common Sites, Etiology, and Solutions of Persistent Septal Deviation in Revision Septoplasty
title_full_unstemmed Common Sites, Etiology, and Solutions of Persistent Septal Deviation in Revision Septoplasty
title_short Common Sites, Etiology, and Solutions of Persistent Septal Deviation in Revision Septoplasty
title_sort common sites, etiology, and solutions of persistent septal deviation in revision septoplasty
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6222185/
https://www.ncbi.nlm.nih.gov/pubmed/30021415
http://dx.doi.org/10.21053/ceo.2017.01788
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