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Use of a crossing suture to correct caudal septal deviations
Author(s) -
Joo YeonHee,
Cho HyunJin,
Jeon Yung Jin,
Kim SangWook
Publication year - 2019
Publication title -
international forum of allergy and rhinology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.503
H-Index - 46
eISSN - 2042-6984
pISSN - 2042-6976
DOI - 10.1002/alr.22347
Subject(s) - medicine , septoplasty , surgery , fibrous joint , nasal septum , nose , rhinoplasty
Background Septoplasty usefully treats patients with nasal obstructions caused by septal deviations. However, correction of a caudal septal deviation remains surgically challenging; no standard procedure is available, although various procedures have been introduced. In this work we propose a simple, safe, and time‐saving technique for patients with caudal septal deviations. Methods The medical records of 50 patients with caudal septal deviations who underwent septoplasty using a crossing‐suture technique from October 2016 to October 2018 were retrospectively reviewed. Postoperative nasal obstruction status and patient satisfaction with their surgical outcomes were subjectively evaluated using the Nasal Obstruction Symptom Evaluation (NOSE) score and telephone interview, respectively. Pre‐ and postoperative endoscopic findings were evaluated and postoperative complications developing during follow‐up were recorded. Results The NOSE scores of all patients improved after septoplasty. The mean score fell from 13.46 to 3.97, and this change was significant ( p < 0.0001). No complication related to use of the crossing suture was encountered. Conclusion The crossing‐suture technique is a simple, safe, and useful surgical option for correction of caudal septal deviations.