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Updated: May 16, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Effectiveness of bony batten grafting for correction of caudal septal deviations
Nátalie Emy Yvamoto1, Marco Antonio Dos Anjos Corvo1, Rodolfo Alexander Scalia1
1Santa Casa de Misericórdia de São Paulo Hospital, Departamento de Otorrinolaringologia, São Paulo, SP, Brazil.
Objective:
The aim of this study was to retrospectively evaluate the efficacy of using the Batten septal bone graft intraoperatively to correct anterior septal deviations that covers Zone 1 and Zone 2 as proposed by Cottle using the NOSE scale.
Methods:
To this end, 30 patients with anterior septal deviations who underwent Functional Rhinoseptoplasty surgery from February 2019 to May 2023 and used septal bone grafting to correct the deviation were collected in a clinical study at the Otorhinolaryngology Department of a tertiary hospital in São Paulo.
Results:
There was a reduction in the Nose Scale from 75.5% to 17.3% in patients who underwent septal deviation correction using this graft (p < 0.001).
Conclusion:
The septal bone batten trought the endonasal approach proved to be an excellent alternative for correcting anterior deviations in patients where the simple removal of osteo-cartilaginous structures is not enough to resolve them. This graft is easy to obtain, has the ideal properties for its purpose and presented no complications related to its use in the study.
Level Of Evidence:
Level 2.

