Does Batten Grafting Improve Nasal Outcomes in Septoplasty and Turbinate Reduction?
Nasal Obstruction, Septal Defect, Allergic Rhinitis
About this trial
This is an interventional treatment trial for Nasal Obstruction
Eligibility Criteria
Inclusion Criteria:
Patients should satisfy all the following criteria to be considered eligible for randomization:
- Be age 18 or above
- Able to provide written informed consent
- Have an indication for batten graft, septoplasty and turbinate reduction according to prevailing surgical practices.
- Septal deviation must be present on direct or endoscopic examination
- Inferior turbinate hypertrophy must be present, direct examination or endoscopic examination
- Collapse of external nasal valve and/or lateral motion instability must be documented
- The ENV maye be assessed clinically by observing the alar collapse at baseline or with forced inspiration, Modified cottle may also be performed.
In all patients, endoscopic examination should document that the (a) septal deviation, (b) turbinate hypertrophy, and (c) external nasal valve collapse are the primary contributing factors of obstructed breathing.
Exclusion Criteria:
- Septal perforation
- History of previous functional rhinoplasty or sinus or septal surgery
- Patients who are selected for concurrent aesthetic/cosmetic rhinoplasty
- Untreated allergic rhinitis or allergic rhinitis unresponsive to medical management
- Patients who have concurrent sinus surgery or polyp removal or concha bullosa resection
Sites / Locations
- Poplar Bluff Regional Medical Center
- Lenox Hill Hospital/Staten Island University HospitalRecruiting
- Staten Island University HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Batten graft, plus septoplasty and inferior turbinate reduction
Septoplasty and inferior turbinate reduction alone
In the intervention arm, a portion of the quadrangular cartilage of the nasal septum is also removed, but will be refashioned and re-implanted into the patient as an autologous batten graft. This will be performed together with standard septoplasty and turbinate reduction.
In the control arm, a portion of the quadrangular cartilage of the nasal septum is removed. This will be performed as a standard septoplasty and turbinate reduction.