Use of an autologous bony crossbar graft for the management of caudal septal deviation: Our experience in twenty‐two patients

Endonasal Septoplasty Using a Septal Cartilaginous Batten Graft for Managing Caudal Septal Deviation

“…Reviewing previous studies, seven articles published in English use NOSE scale statistics [ 8 , 9 , 17 , 18 , 19 , 20 , 21 ], showing a minimal postoperative NOSE improvement rate of 55.50% [ 17 ] and a maximum of 88.89% [ 9 ]. Among these studies, two articles reported improvements by more than 80% [ 9 , 19 ].…”

“…Reviewing previous studies, seven articles published in English use NOSE scale statistics [ 8 , 9 , 17 , 18 , 19 , 20 , 21 ], showing a minimal postoperative NOSE improvement rate of 55.50% [ 17 ] and a maximum of 88.89% [ 9 ]. Among these studies, two articles reported improvements by more than 80% [ 9 , 19 ]. In 2016, Yunus Karadavut et al [ 19 ] used caudal septal extension graft application in endonasal septoplasty and recorded a NOSE scale improvement from 80 to 15, with reduction rate of 81.25%.…”

“…The study used ear or costal cartilage as a septal extension graft for all patients ( n = 20). In 2018, Y-C Lee et al [ 9 ] used bone batten graft and recorded a NOSE scale reduction from 72 to 8 and the reduction rate was 88.89% ( n = 22). They harvested the hard bone of the nasal septum as the batten graft.…”

“…Compared with an endonasal approach, patients who received open rhinoplasty showed alar collapse (50%), over rotation of the tip (39%), a wide columella base (36%), collapsed cartilaginous dorsum (31%), visible columella scars (25%), and a columella transplant with discomfort (19%) [ 7 ]. Many studies have also described the use of bony batten grafts, harvested from the perpendicular plate of the ethmoid bone or the vomer bone, to correct the deviated caudal septum [ 8 , 9 , 10 , 11 , 12 ]. However, drilling bone grafts may lead to breakage [ 9 ].…”

“…Many studies have also described the use of bony batten grafts, harvested from the perpendicular plate of the ethmoid bone or the vomer bone, to correct the deviated caudal septum [ 8 , 9 , 10 , 11 , 12 ]. However, drilling bone grafts may lead to breakage [ 9 ]. Surgeons have frequently attempted to avoid under- or overcorrection of caudal cartilage deviation and alleviated nasal obstruction without subsequent nasal deformity [ 13 ].…”