Effectiveness of caudal septal extension graft application in endonasal septoplasty

Introduction: Septal deviation is a common disease seen in daily otorhinolaryngology practice and septoplasty is a commonly performed surgical procedure. Caudal septum deviation is also a challenging pathology for ear, nose, and throat specialists. Many techniques are defined for caudal septal deviation. Objective: To evaluate the effectiveness of caudal septal extension graft (CSEG) application in patients who underwent endonasal septoplasty for a short and deviated nasal septum. Methods: Forty patients with nasal septal deviation, short nasal septum, and weak nasal tip support who underwent endonasal septoplasty with or without CSEG placement between August 2012 and June 2013 were enrolled in this study. Twenty patients underwent endonasal septoplasty with CSEG placement. The rest of the group, who rejected auricular or costal cartilage harvest for CSEG placement, underwent only endonasal septoplasty without any additional intervention. Using the Nasal Obstruction Symptom Evaluation (NOSE) and Rhinoplasty Outcome Evaluation (ROE) questionnaires, pre- and post-operative acoustic rhinometer measurements were evaluated to assess the effect of CESG placement on nasal obstruction. Results: In the control group, preoperative and postoperative minimal cross-sectional areas (MCA1) were 0.44 +/- 0.10 cm(2) and 0.60 +/- 0.11 cm(2), respectively (p < 0.001). In the study group, pre- and postoperative MCA1 values were 0.45 +/- 0.16 cm(2) and 0.67 +/- 0.16 cm(2), respectively (p < 0.01). In the control group, the nasal cavity volume (VOL1) value was 1.71 +/- 0.21 mL preoperatively and 1.94 +/- 0.17 mL postoperatively (p < 0.001). In the study group, pre- and postoperative VOL1s were 1.72 +/- 0.15 mL and 1.97 +/- 0.12 mL, respectively (p < 0.001). Statistical analysis of postoperative MCA1 and VOL1 values in the study and the control groups could not detect any significant intergroup difference (p = 0.093 and 0.432, respectively). In the study group, mean nasolabial angles were 78.15 +/- 4.26 and 90.70 +/- 2.38, respectively (p < 0.001). Conclusion: Endonasal septoplasty with CESG placement is an effective surgical procedure with minimal complication rate for subjects who have a deviated, short nasal septum and weak nasal tip support. (C) 2016 Associacdo Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. Published by Elsevier Editora Ltda

Yazar Karadavut, Yunus
Akyildiz, Ilker
Karadas, Hatice
Dinc, Aykut Erdem
Tulaci, Gokce
Tastan, Eren
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2477
Tek Biçim Adres 10.1016/j.bjorl.2016.01.014
Konu Başlıkları Nasal septum
Nasal cartilage
Nasal obstruction
Intranasal surgery
Grafting
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı BRAZILIAN JOURNAL OF OTORHINOLARYNGOLOGY
Dergi Cilt Bilgisi 83
Dergi Sayısı 1
Sayfalar 59 - 65
Yayın Yılı 2017
Eser Adı
[dc.title]
Effectiveness of caudal septal extension graft application in endonasal septoplasty
Yazar
[dc.contributor.author]
Karadavut, Yunus
Yazar
[dc.contributor.author]
Akyildiz, Ilker
Yazar
[dc.contributor.author]
Karadas, Hatice
Yazar
[dc.contributor.author]
Dinc, Aykut Erdem
Yazar
[dc.contributor.author]
Tulaci, Gokce
Yazar
[dc.contributor.author]
Tastan, Eren
Yayın Yılı
[dc.date.issued]
2017
Yayıncı
[dc.publisher]
ASSOC BRASILEIRA OTORRINOLARINGOLOGIA & CIRURGIA CERVICOFACIAL
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Introduction: Septal deviation is a common disease seen in daily otorhinolaryngology practice and septoplasty is a commonly performed surgical procedure. Caudal septum deviation is also a challenging pathology for ear, nose, and throat specialists. Many techniques are defined for caudal septal deviation. Objective: To evaluate the effectiveness of caudal septal extension graft (CSEG) application in patients who underwent endonasal septoplasty for a short and deviated nasal septum. Methods: Forty patients with nasal septal deviation, short nasal septum, and weak nasal tip support who underwent endonasal septoplasty with or without CSEG placement between August 2012 and June 2013 were enrolled in this study. Twenty patients underwent endonasal septoplasty with CSEG placement. The rest of the group, who rejected auricular or costal cartilage harvest for CSEG placement, underwent only endonasal septoplasty without any additional intervention. Using the Nasal Obstruction Symptom Evaluation (NOSE) and Rhinoplasty Outcome Evaluation (ROE) questionnaires, pre- and post-operative acoustic rhinometer measurements were evaluated to assess the effect of CESG placement on nasal obstruction. Results: In the control group, preoperative and postoperative minimal cross-sectional areas (MCA1) were 0.44 +/- 0.10 cm(2) and 0.60 +/- 0.11 cm(2), respectively (p < 0.001). In the study group, pre- and postoperative MCA1 values were 0.45 +/- 0.16 cm(2) and 0.67 +/- 0.16 cm(2), respectively (p < 0.01). In the control group, the nasal cavity volume (VOL1) value was 1.71 +/- 0.21 mL preoperatively and 1.94 +/- 0.17 mL postoperatively (p < 0.001). In the study group, pre- and postoperative VOL1s were 1.72 +/- 0.15 mL and 1.97 +/- 0.12 mL, respectively (p < 0.001). Statistical analysis of postoperative MCA1 and VOL1 values in the study and the control groups could not detect any significant intergroup difference (p = 0.093 and 0.432, respectively). In the study group, mean nasolabial angles were 78.15 +/- 4.26 and 90.70 +/- 2.38, respectively (p < 0.001). Conclusion: Endonasal septoplasty with CESG placement is an effective surgical procedure with minimal complication rate for subjects who have a deviated, short nasal septum and weak nasal tip support. (C) 2016 Associacdo Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. Published by Elsevier Editora Ltda
Açıklama
[dc.description]
WOS: 000394831300010
Açıklama
[dc.description]
PubMed: 27184923
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Nasal septum
Konu Başlıkları
[dc.subject]
Nasal cartilage
Konu Başlıkları
[dc.subject]
Nasal obstruction
Konu Başlıkları
[dc.subject]
Intranasal surgery
Konu Başlıkları
[dc.subject]
Grafting
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
1808-8694
ISSN
[dc.identifier.issn]
1808-8686
İlk Sayfa Sayısı
[dc.identifier.startpage]
59
Son Sayfa Sayısı
[dc.identifier.endpage]
65
Dergi Adı
[dc.relation.journal]
BRAZILIAN JOURNAL OF OTORHINOLARYNGOLOGY
Dergi Sayısı
[dc.identifier.issue]
1
Dergi Cilt Bilgisi
[dc.identifier.volume]
83
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1016/j.bjorl.2016.01.014
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2477
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
15
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
09 Şubat 2024 08:41
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Tıklayınız
septoplasty placement deviation underwent endonasal postoperative respectively septum patients septal control without Evaluation minimal surgical procedure support values deviated caudal analysis Statistical (VOL1) postoperatively volume preoperatively cavity Introduction groups Brasileira effective complication subjects Associacdo Endonasal
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