ORIGINAL ARTICLE   

Otorhinolaryngology 2021 December;71(4):260-6

DOI: 10.23736/S2724-6302.20.02293-6

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Efficacy of cartilaginous septal batten graft for septal stabilization in patients with unilateral secondary cleft nasal deformity: a pilot study

Sneha PENDEM ✉, Lavanya M, Muthu K. B, Krishna K. VB

Department of Oral and Maxillofacial Surgery, SRM Dental College, SRM Specialty Hospitals, Ramapuram, India

BACKGROUND: Septal deviation in patients with unilateral cleft lip and palate is complex, with three-dimensional distortion of the septal cartilage that has high propensity for relapse after correction. The aim of this study was to compare the efficacy of septal batten grafts with conventional septal scoring and suture stabilization for septal correction in cleft rhinoplasty.
METHODS: All the adult patients who reported to us for the correction of cleft nasal deformity were enrolled and assessed for their inclusion in the study. The patients were then assigned to two different groups who underwent septorhinoplasty using two different techniques of septorhinoplasty. Photogrammetry was performed to assess the position of the dorsal and caudal septum at pre-operative (T0) immediate postoperative (T1) and late postoperative periods(T2). Visual Analog Scale (VAS) score and naso-endoscopy were used to assess the patient’s airway status and Rhinoplasty esthetic outcome scale was used to assess the patient’s satisfaction.
RESULTS: Twenty-seven patients were enrolled in the study; 7 patients were excluded. 10 patients were assigned to group A (study group) and 10 to group B (control group). Four out of 10 patients of group B presented with variable degree of relapse of septal deviation in the late postoperative period that was evident on photogrammetric evaluation. However, no significant difference was seen in the VAS score or the rhinoplasty esthetic outcome score in both the groups.
CONCLUSIONS: Addition of cartilaginous batten appears to be a viable option in correction of 3 dimensionally distorted cartilaginous septum in patients with unilateral cleft lip and palate.

KEY WORDS: Rhinometry, acoustic; Rhinoplasty; Photogrammetry