CLINICAL EVALUATION OF THE HEMITRANSFIXION APPROACH IN PATIENTS WITH CAUDAL SEPTAL DEVIATION

• Published in: JIBI INKOKA TEMBO Vol. 63; no. 6; pp. 266 - 273
• Main Authors: Imai, Kanta, Nakajima, Itsuo, Takise, Yurie, Saito, Shota, Hirabayashi, Hideki, Kimura, Ryohei, Haruna, Shin-ichi, Akutsu, Makoto, Kanaya, Hiroaki
• Format: Journal Article
• Language: Japanese
• Published: Society of Oto-rhino-laryngology Tokyo 15.12.2020; 耳鼻咽喉科展望会
• Subjects: caudal septal deviation; hemitransfixion approach; rhinomanometry; septal batten graft; 自覚症状スコア; 鼻中隔弯曲症; 鼻中隔矯正術; 鼻腔通気度
• ISSN: 0386-9687; 1883-6429
• DOI: 10.11453/orltokyo.63.6_266

Septoplasty for nasal septal deviation provides relief from nasal obstruction, and this surgical procedure is usually performed only in the affected part of the septum so that the external configuration of the patient's nose can be preserved. In the case of caudal septal deviation, however, an innovative surgical technique is required, because it is essential to preserve the caudal part of the septum. Recently, we performed septoplasty using septal batten grafts, with exposure of the caudal end of the septum by the hemitransfixion approach in patients with marked caudal septal deviation. Twelve patients who underwent the aforementioned surgery were enrolled as the subjects of this retrospective study. Postoperative computed tomography revealed significant improvement of the cross-section of the right and left anterior nasal cavities. Marked amelioration of both the clinical symptom scores and the sleep quality index was observed after the surgery. We concluded that the hemitransfixion approach is beneficial for caudal septal deviation that cannot be adequately treated by conventional septoplasty.