Abstract
Background
Caudal septum deviation (CSD) causes functional and aesthetical problems, and conventional septoplasty techniques have still been discussed for management of CSD. This study aimed to investigate the effect of caudal chondro-mucoperichondrial flap (CCMF) to correct CSD.
Methods
A retrospective study was designed. Patients with the diagnosis of CSD were included in the study consecutively. Preoperative and postoperative first sixth and 12th month Nasal Obstruction Symptom Evaluation (NOSE) and the Rhinoplasty Outcome Evaluation (ROE) questionnaire scores, revision rates within the first postoperative year, and complication rates were identified.
Results
The mean duration of the operation was 55.9 ± 16.0 min in 77 patients. The preoperative NOSE score was detected as 10.6 ± 4.3 in all patients and decreased to 1.6 ± 1.9 in the postoperative 12th month (p < 0.001 CI: 8.2–9.7). The preoperative ROE score was detected as 6.4 ± 3.1 in all patients and increased to 18.9 ± 3.4 in the postoperative 12th month (p < 0.001 CI: 11.7–13.3). Type of CSD was detected as a significant predictor for preoperative and postoperative NOSE and ROE scores according to linear regression analysis. Revision SRP was performed in only one (1.3%) patient during 12-month follow-up.
Conclusions
CCMF is a useful alternative to management of CSD. In addition, the CSD classification developed in this study can be a useful for future studies. However, the experience of the surgical method by different surgeons will yield more meaningful results.
Level of evidence: Level IV, Therapeutic.
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Data Availability
There is no open repository for the data of the study, but it can be shared if asked by the responsible author.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The institutional review board was approved by the ethical committee of the affiliated university for the study (515/18.11.2021).
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Akif İşlek declares that he has no conflict of interest.
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İşlek, A. Caudal chondro-mucoperichondrial flap for the correction of caudal septal deviation. Eur J Plast Surg 46, 961–968 (2023). https://doi.org/10.1007/s00238-023-02090-0
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DOI: https://doi.org/10.1007/s00238-023-02090-0