Objective evaluation of caudal deviation of the nasal septum and selection of the appropriate septoplasty technique

Kimura, Shogo; Suzuki, Masanobu; Honma, Aya; Nakazono, Akira; Osawa, Masayuki; Nakamaru, Yuji; Homma, Akihiro

Objective evaluation of caudal deviation of the nasal septum and selection of the appropriate septoplasty technique

Kimura, Shogo; Suzuki, Masanobu; Honma, Aya et al.

Auris nasus larynx, 2022, 49(1), 67-76

Permalink : https://hdl.handle.net/2115/88154

このアイテムのアクセス数:374件（2026-01-17 01:41 集計）

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アクセス権	open access
URI	https://hdl.handle.net/2115/88154
タイトル	Objective evaluation of caudal deviation of the nasal septum and selection of the appropriate septoplasty technique
著者	Kimura, Shogo ; Suzuki, Masanobu ; Honma, Aya ; Nakazono, Akira ; Osawa, Masayuki ; Nakamaru, Yuji ; Homma, Akihiro
著者名 Kimura, Shogo
e-Rad_Researcher 70455658 著者名 Suzuki, Masanobu
著者名 Honma, Aya
e-Rad_Researcher 90581041 著者名 Nakazono, Akira
e-Rad_Researcher 70625029 著者名 Osawa, Masayuki
e-Rad_Researcher 20344509 著者名 Nakamaru, Yuji
e-Rad_Researcher 30312359 著者名 Homma, Akihiro
言語	英語
キーワード	Open septorhinoplasty
	Caudal deviation of the nasal septum deformation rate
	Killian incision
	Nasal obstruction
発行日	2022-02
出版者	Elsevier
収録物名	Auris nasus larynx
巻(号)	49(1)
ページ	67-76
抄録	Objective: Several methods have been reported to correct caudal deviation of the nasal septum, including open septorhinoplasty (OSR) and septoplasty with Killian incision (KI). In general, OSR is applied instead of KI for caudal deviation. However, there is little objective evidence own on the effects of OSR and KI for caudal deviation. In this study, we compared surgical outcomes between OSR and KI by quantifying nasal septum deviation using two simple and objective parameters on routine paranasal sinus CT scans. Methods: We retrospectively analyzed 18 patients who underwent OSR and 11 patients who underwent septoplasty with KI between April 2006 and October 2019. Caudal deviation was defined on the basis of the "Anterior-posterior Position of the most deviated point of the nasal septum (AP)," which was measured on computerized tomography. The deformation rate (DR) of the nasal septum was also calculated. Nasal airway resistance and visual analogue scale (VAS) score for nasal obstruction were examined. Results: The AP was significantly correlated with the VAS score (r =-0.58, p = 0.017). The DR in patients with caudal septal deviation was significantly decreased by OSR (0.14 +/- 0.06 to 0.03 +/- 0.03, p = 0.004), but not by KI (0.09 +/- 0.08 to 0.04 +/- 0.03, p = 0.25). OSR also improved nasal airway resistance (1.10 +/- 0.44 to 0.42 +/- 0.15, p = 0.02), and the VAS score (79.11 +/- 14.74 to 5.78 +/- 7.89, p = 0.004). Conclusion: Nasal obstruction is more severe in patients with the caudal deviation. OSR corrects caudal deviation of the nasal septum more effectively than does KI. The AP could be useful for the evaluation of the deviation of the nasal septum and help in selecting the appropriate septoplastic technique . (C) 2021 Japanese Society of Otorhinolaryngology-Head and Neck Surgery, Inc. Published by Elsevier B.V. All rights reserved.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
権利情報	© 2021. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
PISSN	0385-8146
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1016/j.anl.2021.04.012