Yvamoto Nátalie Emy, Corvo Marco Antonio Dos Anjos, Scalia Rodolfo Alexander, Dolci Eduardo Landini Lutaif
Santa Casa de Misericórdia de São Paulo Hospital, Departamento de Otorrinolaringologia, São Paulo, SP, Brazil.
Santa Casa de Misericórdia de São Paulo Hospital, Departamento de Otorrinolaringologia, São Paulo, SP, Brazil.
Braz J Otorhinolaryngol. 2025 May-Jun;91(3):101573. doi: 10.1016/j.bjorl.2025.101573. Epub 2025 Apr 3.
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.
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.
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).
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 2.
本研究的目的是回顾性评估术中使用巴顿鼻中隔骨移植来矫正如科特尔所提出的覆盖1区和2区的鼻中隔前部偏曲的疗效，采用鼻功能评估量表（NOSE量表）进行评估。
为此，在圣保罗一家三级医院的耳鼻喉科进行的一项临床研究中，收集了2019年2月至2023年5月期间接受功能性鼻中隔成形术并使用鼻中隔骨移植来矫正偏曲的30例鼻中隔前部偏曲患者。
使用这种移植进行鼻中隔偏曲矫正的患者，鼻功能评估量表评分从75.5%降至17.3%（p<0.001）。
经鼻内途径的鼻中隔骨条对于矫正那些单纯切除骨软骨结构不足以解决问题的患者的前部偏曲而言，是一种极佳的选择。这种移植易于获取，具有达到其目的的理想特性，并且在本研究中未出现与使用相关的并发症。
2级。
