Anchoring Suture and Batten Graft for Correction of Anterior Nasal Septal Deviation

Scientific Posters

Nitrate Cautery. Regional, ethical approval was obtained prior to study. Methods: All General Practice referrals for anterior epistaxis were included except those with bleeding disorders and tumors. Once the referral was received, patients were sent a daily diary to keep an account of the number of nose bleeds prior to being seen at the outpatient clinic in two months. They were randomised to one of the following groups : 1. Vaseline only - twice daily for two weeks, 2. Naseptin only twice daily for two weeks, 3. Silver Nitrate Cautery only, 4. Silver Nitrate Cautery followed by Naseptin - twice daily for two weeks. Nose bleeds were once again recorded and all patients reviewed at two and six months. Results: In total 205 children and 215 adults were involved.The improvement in prevention of furthur nose bleeds were as follows : 1. Vaseline only, 33%(15/45) children, 35%(16/44). 2. Naseptin only, 60%(33/55) children, 66%(38/ 58) adults. 3. Silver Nitrate only 63%(36/57) children, 70%(42/65) adults. 4. Silver Nitrate and Naseptin 69%(33/48) children, 74% (39/53). Conclusion: Naseptin and Silver Nitrate both give significantly good results in controlling anterior epistaxis. Naseptin can be tried in both children and adults as first line treatment as this is less painful and self administered. P167 Radiofrequency Turbinate Surgery for Nocturnal Nasal Congestion Daisuke Oyake, MD (presenter); Kentaro Ochi, MD; Mitsuharu Takatsu, MD; Toshiharu Shintani, MD; Takashi Otsuka, MD; Izumi Koizuka, MD Kawasaki Japan; Kawasaki Japan; Kawasaki Japan; Kawasaki Japan; Kawasaki Japan; Pittsburgh PA

Objectives: The objectives of this study were to determine the clinical effects of bipolar radiofrequency inferior turbinate surgery (BRFITS) on nocturnal nasal congestion (NNC), and to examine the changes in nasal resistance under different conditions before and after BRFITS. Methods: Forty-two patients were investigated. Indications of BRFITS including NNC, allergic rhinitis, and hypertrophic rhinitis. Patients completed a questionnaire about NNC, overall nasal condition, and their satisfaction for BRFITS and its side effects. Anterior rhinomanometry was performed with each patient upright, immediately after reclining supine, and after nasal decongestion. Results: Improvement in NNC symptoms was reported by all nine patients with severe NNC and by 18 of the 28 patients with moderate or mild NNC. No patients reported that their NNC symptom had deteriorated. Thirteen, 27, 2, and 0 patients reported that their overall nasal symptoms had improved considerably, improved, improved a little, and either not changed or deteriorated, respectively. The satisfaction with the outcome was rated as very satisfied, satisfied, pass-

able, and dissatisfied by 26, 14, 2, and 0 patients, respectively. Positional changes did not induce significant nasal resistance changes both before and after BRFITS. Nasal decongestion induced a significant improvement in nasal resistance before BRFITS but not after BRFITS. Conclusion: These results suggest that BRFITS is effective in patients with severe NNC. The results of rhinomanometry suggest that the inferior turbinate was no longer congested regardless of the initial underlying condition after BRFITS, indicating the effectiveness of this procedure against NNC. P168 Anchoring Suture and Batten Graft for Correction of Anterior Nasal Septal Deviation Sung Won Kim, MD (presenter); Jin Hee Cho, MD; Seung Kyun Lee, MD, PhD; Soo Whan Kim, MD; Byung-Guk Kim, MD; DaeGun Jung, MD PhD; Yong-Jin Park, MD; He Ro Yoon, MD Seoul South Korea; Seoul South Korea; Incheon South Korea; Seoul South Korea; Seoul South Korea; Seoul South Korea; Suwon South Korea; Seoul South Korea

Objectives: Anterior nasal septal deviation is difficult to correct using the classical septoplasty technique such as cross-hatch incision or wedge resection. The purpose of this study is to investigate the efficiency of anchoring suture and batten graft for correction of anterior nasal septal deviation during septoplasty. Methods: Thirty eight patients with anterior nasal septal deviation to one side were operated on using a maxillapremaxilla approach. Thirty patients underwent anchoring suture during septoplasty with turbinate reductive surgery and twelve patients underwent batten graft using a perpendicular plate of ethmoid bone. Three patients were operated on using both of them. Measurement of minimal cross sectional area (MCA) and nasal volume were made pre-operatively, and repeated at eight or 12 weeks post-operatively using acoustic rhinometry. Results: There was significant improvement of MCA and nasal volume in patients who had undergone anchoring suture (p⬍0.05, paired t test). Nasal volume of the patients who had undergone batten graft using a perpendicular plate of ethmoid bone increased significantly (p⬍0.05, paired t test). Conclusion: During septoplasty, anchoring suture and batten graft are effective operative techniques for correction of the anterior nasal septal deviation. The operation may be technically demanding and different techniques are necessary if the functional and aesthetic outcomes are to be favorable. P169 Airway Remodeling of the Nasal Mucosa in experimentally induced Allergic Rhinitis Model Chae-Seo Rhee, MD, PhD (presenter); Yune Sung Lim, MD Seoul South Korea; Seoul South Korea

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P252

Otolaryngology– Head and Neck Surgery August 2005