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Updated: Jan 20, 2026
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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
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Questionable Effect of Crosshatching Incision in Septoplasty
1Department of Otorhinolaryngology-Head and Neck Surgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.
Clinical and Experimental Otorhinolaryngology
|August 20, 2019
Summary
Crosshatching incision in septoplasty did not improve surgical outcomes for nasal obstruction or deviation. This technique, however, significantly increased risks of saddle nose and overcorrection, warranting re-evaluation.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Rhinology
Background:
- Septal deviation correction is crucial for nasal obstruction.
- Crosshatching incision is a debated technique for improving septal cartilage flexibility.
- Understanding its efficacy and risks is essential for surgical decision-making.
Purpose of the Study:
- To evaluate the effectiveness and limitations of the crosshatching incision technique in septoplasty.
- To compare surgical outcomes and adverse effects between patients who underwent septoplasty with and without crosshatching incision.
Main Methods:
- Retrospective case-control study of 353 patients undergoing septoplasty.
- Comparison of outcomes between a group with crosshatching incision (n=151) and a control group (n=202).
- Assessment of nasal obstruction improvement, deviation correction, acoustic rhinometry, and adverse events.
Main Results:
- No significant differences in nasal obstruction improvement, deviation correction, or acoustic rhinometry between the groups.
- Higher incidence of saddle nose (P=0.033) and overcorrection (P=0.014) in the crosshatching incision group.
- Adverse effects were significantly more prevalent with the crosshatching technique.
Conclusions:
- Crosshatching incision during septoplasty does not enhance surgical success rates.
- The technique is associated with increased risks of saddle nose and overcorrection.
- Re-evaluation of the routine use of crosshatching incision in septoplasty is recommended.
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