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

DOI
  • Akutsu Makoto
    Department of Otorhinolaryngology-Head and Neck Surgery, Dokkyo Medical University
  • Kanaya Hiroaki
    Department of Otorhinolaryngology-Head and Neck Surgery, Dokkyo Medical University
  • Nakajima Itsuo
    Department of Otorhinolaryngology-Head and Neck Surgery, Dokkyo Medical University
  • Imai Kanta
    Department of Otorhinolaryngology-Head and Neck Surgery, Dokkyo Medical University
  • Takise Yurie
    Department of Otorhinolaryngology-Head and Neck Surgery, Dokkyo Medical University
  • Saito Shota
    Department of Otorhinolaryngology-Head and Neck Surgery, Dokkyo Medical University
  • Kimura Ryohei
    Department of Otorhinolaryngology-Head and Neck Surgery, Dokkyo Medical University
  • Hirabayashi Hideki
    Department of Otorhinolaryngology-Head and Neck Surgery, Dokkyo Medical University
  • Haruna Shin-ichi
    Department of Otorhinolaryngology-Head and Neck Surgery, Dokkyo Medical University

Bibliographic Information

Other Title
  • Hemitransfixion 法による矯正術を施行した鼻中隔前弯症例の検討
  • ―術前後における鼻腔形態・鼻腔通気度および自覚症状の改善について―

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Description

<p>　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.</p>

Journal

  • JIBI INKOKA TEMBO

    JIBI INKOKA TEMBO 63 (6), 266-273, 2020-12-15

    Society of Oto-rhino-laryngology Tokyo

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