Incidence of re-deviated nasal septum after septoplasty in adolescent and adult patients
- Authors
- Lee, Eunsang; Lee, Seung Jae; Kim, Hyo Jun; Shin, Jae Min; Choi, Ji Ho; Lee, Jae Yong
- Issue Date
- 2018
- Publisher
- Taylor & Francis
- Keywords
- Adolescence; adult; nasal septum; deviation; septoplasty; re-deviation; complications
- Citation
- Acta Oto-Laryngologica, v.138, no.10, pp 909 - 912
- Pages
- 4
- Journal Title
- Acta Oto-Laryngologica
- Volume
- 138
- Number
- 10
- Start Page
- 909
- End Page
- 912
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/6813
- DOI
- 10.1080/00016489.2018.1484564
- ISSN
- 0001-6489
1651-2251
- Abstract
- Background: Re-deviation of the nasal septum may occur after septoplasty. Because the cartilaginous septum grows until the age of 16-17 years, septoplasty is usually recommended thereafter. However, severely deviated septum may necessitate septoplasty in younger adolescents. Objectives: To compare the incidence of re-deviated nasal septum in patients who underwent septoplasty at <= 18 versus >= 19 years of age. Materials and methods: The medical records and endoscopic photographs of patients who underwent septoplasty between 2005 and 2015 were retrospectively reviewed. Re-deviation of the nasal septum was defined as >50% narrowing of one side of the nasal cavity compared to immediately after septoplasty. Results: The inclusion criteria were met by 52 adolescent patients and 549 adult patients. Re-deviation of the septum occurred in 11 (212%) and 39 (7.1%) patients, respectively; the difference was significant. Most patients had caudal and upper cartilaginous deviations. Four adolescent and 14 adult patients underwent revisional septoplasty. Conclusions and significance: Adolescent patients who underwent septoplasty had a significantly higher incidence of re-deviation of the nasal septum than adult patients. Therefore, when septoplasty is deemed necessary in adolescent patients, they and their parents should be informed about the possibility of re-deviation and the need for revisional septoplasty.
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Collections - College of Medicine > Department of Otorhinolaryngology > 1. Journal Articles
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