title: Endoscopic single-handed septoplasty with batten graft for caudal septum deviation.
abstract: OBJECTIVE
  Septoplasty is usually performed with a Killian incision in Japan. However, the major drawback of the Killian incision is the inability to correct deviations of the caudal part of the septum. For patients with mild deviation of the caudal part of the septum but with a straight caudal end, we performed a modified Killian incision and used a batten graft to correct the deviated cartilage under endoscopy. The aim of this study was to evaluate the usefulness of our surgical technique for these cases.
  
  
  METHODS
  We prospectively collected data of 17 patients who underwent endoscopic septoplasty with a batten graft. Objective assessment by computed tomography and subjective assessment by questionnaire were performed before and 3 months after the surgery.
  
  
  RESULTS
  On computed tomography, the ratio of the area of the convex side to that of the concave side in the anterior portion of the nasal cavity was significantly improved after surgery (p<0.001). Subjective assessment revealed a significant improvement in nasal obstruction (p=0.002). There were no complications in this study.
  
  
  CONCLUSIONS
  The herein-described septoplasty with a batten graft is technically easy and considered to be useful for deviation of the caudal part of the septum in selected cases.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Dokkyo Medical University, Tochigi, Japan; Department of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan. Electronic address: nakayama-t@jikei.ac.jp.
authors.forename: Tsuguhisa
authors.initials: T
authors.lastname: Nakayama
authors.affiliation: Department of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan.
authors.forename: Tetsuhi
authors.initials: T
authors.lastname: Okushi
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Dokkyo Medical University, Tochigi, Japan.
authors.forename: Shuchi
authors.initials: S
authors.lastname: Yamakawa
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Dokkyo Medical University, Tochigi, Japan; Department of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan.
authors.forename: Akihito
authors.initials: A
authors.lastname: Kuboki
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Dokkyo Medical University, Tochigi, Japan.
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Haruna
mesh_terms: D000328:Adult; D000368:Aged; D002356:Cartilage / Q000637:transplantation*; D015331:Cohort Studies; D004724:Endoscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D015508:Nasal Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*; D009300:Nasal Septum / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D011446:Prospective Studies; D012225:Rhinoplasty / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
keywords: Batten graft; Caudal septum deviation; Computed tomography; Endoscopic septoplasty; Nasal obstruction