Should the High Septal Deviation be Corrected to Improve Nasal Obstruction During Septal Surgery?

Han, Sung Jun; Oh, Hoon; Park, Yong Kyun; Min, Sang Gi; Shin, Ji Ho; Lee, Won Wook; Kim, Jinil; Kim, Hyun Jik

doi:2016.23.2.85

J Rhinol > Volume 23(2); 2016

Original Article

Journal of Rhinology 2016;23(2):85-90.
Published online November 30, 2016.
DOI: https://doi.org/10.18787/jr.2016.23.2.85

Should the High Septal Deviation be Corrected to Improve Nasal Obstruction During Septal Surgery?

Sung Jun Han, Hoon Oh, Yong Kyun Park, Sang Gi Min, Ji Ho Shin, Won Wook Lee, Jinil Kim, Hyun Jik Kim

¹Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul, Korea. hyunjerry@snu.ac.kr
²Department of Otorhinolaryngology & Head and Neck Surgery, College of Medicine, Chung-Ang University, Seoul, Korea.

비폐색 개선을 위한 비중격 수술 시 High Septal Deviation은 반드시 교정되어야 하는가?

한성준, 오훈, 박용균, 민상기, 신지호, 이원욱, 김진일, 김현직

서울대학교 의과대학 이비인후과학교실,¹ 중앙대학교 의과대학 이비인후과학교실²

Abstract

Background and Objectives
High dorsal deflection of the nasal septum around cartilage or the perpendicular plate is technically difficult to correct. The objective of this study was to assess whether correction of high septal deviation during septoplasty is necessary to improve nasal airflow. PATIENTS AND SURGICAL METHOD: Twenty-one patients with high septal deviation around the septal cartilage or the perpendicular plate were included in this study. In order to improve nasal obstruction, septoturbinoplasty was performed, but high septal deviation was not corrected. Subjective and objective improvements were evaluated using the visual analogue scale and acoustic rhinometry 1 month before and 3 months after surgery.
Results
After correction of nasal septum deviation except high septal deviation and reduction of turbinate mucosal volume, postoperative nasal volume and minimum cross-sectional area were significantly increased. Subjective symptom scales for nasal obstruction, rhinorrhea, sneezing, and posterior nasal drip were considerably improved after limited septoturbinoplasty in patients who still had high dorsal deflection of the nasal septum.
Conclusion
Our findings suggest that limited septoturbinoplasty without excessive resection of high dorsal deflection of the nasal septum can improve nasal airflow and reduce subjective symptoms, including nasal obstruction.

Key Words: Septoplasty;Septal deviation;Nasal airflow;Nasal obstruction;Turbinoplasty