Incidence of re-deviated nasal septum after septoplasty in adolescent and adult patients

Acta Otolaryngol. 2018 Oct;138(10):909-912. doi: 10.1080/00016489.2018.1484564. Epub 2018 Jul 17.

Abstract

Background: Re-deviation of the nasal septum may occur after septoplasty. Because the cartilaginous septum grows until the age of 16-17 years, septoplasty is usually recommended thereafter. However, severely deviated septum may necessitate septoplasty in younger adolescents.

Objectives: To compare the incidence of re-deviated nasal septum in patients who underwent septoplasty at ≤18 versus ≥19 years of age.

Materials and methods: The medical records and endoscopic photographs of patients who underwent septoplasty between 2005 and 2015 were retrospectively reviewed. Re-deviation of the nasal septum was defined as >50% narrowing of one side of the nasal cavity compared to immediately after septoplasty.

Results: The inclusion criteria were met by 52 adolescent patients and 549 adult patients. Re-deviation of the septum occurred in 11 (21.2%) and 39 (7.1%) patients, respectively; the difference was significant. Most patients had caudal and upper cartilaginous deviations. Four adolescent and 14 adult patients underwent revisional septoplasty.

Conclusions and significance: Adolescent patients who underwent septoplasty had a significantly higher incidence of re-deviation of the nasal septum than adult patients. Therefore, when septoplasty is deemed necessary in adolescent patients, they and their parents should be informed about the possibility of re-deviation and the need for revisional septoplasty.

Keywords: Adolescence; adult; complications; deviation; nasal septum; re-deviation; septoplasty.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Female
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Nasal Septum / abnormalities*
  • Nasal Septum / surgery*
  • Recurrence
  • Reoperation
  • Retrospective Studies
  • Rhinoplasty*
  • Treatment Outcome
  • Young Adult