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Related Experiment Video

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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
06:13

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Published on: June 20, 2018

Anterior septal deviation and contralateral alar collapse.

P Schalek1, A Hahn

  • 1ENT Clinic, 3rd Medical faculty of Charles University, Prague, Czech Republic. schalekp@hotmail.com

B-ENT
|October 27, 2011
PubMed
Summary

Septoplasty effectively treats anterior septal deviation with contralateral alar collapse. This surgical approach improved nasal breathing and nostril width in most patients, offering a recommended solution.

Area of Science:

  • Otolaryngology
  • Rhinology
  • Surgical Anatomy

Background:

  • Septal deviation frequently co-occurs with conditions impairing nasal patency.
  • Anterior septal deviation and contralateral alar collapse represent a rare functional impairment.
  • Septoplasty alone may resolve this condition without external valve surgery.

Purpose of the Study:

  • To prospectively evaluate the efficacy of septoplasty in treating anterior septal deviation with contralateral alar collapse.
  • To determine if septoplasty is a sufficient treatment without external valve surgery.

Main Methods:

  • Prospective study of 12 patients with anterior septal deviation and contralateral alar collapse.
  • Subjective assessment of nasal breathing pre- and post-operatively (1 day and 6 months).

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  • Objective measurement of alar-columellar distance on the collapsed side pre- and post-operatively.

    • Main Results:

    • All patients reported improved nasal breathing on the deviated side immediately after surgery.
    • Significant improvement in alar-columellar distance observed in most patients on the collapsed side.
    • Average improvement in alar-columellar distance was 4.54 mm at 6 months post-surgery.

    Conclusions:

    • Septoplasty is a suitable and recommended treatment for anterior septal deviation with simultaneous contralateral alar collapse.
    • The procedure effectively addresses nasal obstruction in these specific anatomical conditions.
    • No additional external valve surgery was necessary for the studied patient group.