Overcorrected Septums as a Complication of Septoplasty.
- Author:
Min Cheol SEO
1
;
Seong Cheol HEO
;
Yoo Sam CHUNG
;
Bong Jae LEE
Author Information
1. Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. bjlee@www.amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Nasal septal deviation;
Septoplasty;
Septal cartilage;
Overcorrection
- MeSH:
Adolescent;
Cartilage;
Humans;
Incidence;
Medical Records;
Nasal Obstruction;
Retrospective Studies
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2001;44(6):628-632
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Overcorrection is defined as obvious deviation of the septum to the opposite direction after septoplasty and it is not infrequently developed in young patients. We investigated the rate of its incidence, especially in relation to age. MATERIALS AND METHODS: We retrospectively studied 1,124 patients undergoing septoplasty operation for septal deviation between 1994 and 1999. The operations and postoperative observation were performed by a single surgeon. We reviewed the medical records for age, sex, symptoms, combined operations, direction of deviation before and after septoplasty. RESULTS: Out of 1,124 patients, 22 (2.0%) had their septum overcorrected after septoplasty and 21 (95%) complained of nasal obstruction of the newly deviated side. The incidence of overcorrection was 7.3% (16/218) in teens, 1.7% (5/294) in twenties, 0.4% (1/250) in thirties, and 0% in older ages. The incidence in teens and early twenties was 5%. Patients of teenagers revealed significantly higher incidence as compared to other age groups (p<0.05). CONCLUSION: Overcorrected septum as a complication of septoplasty develops at the incidence rate of 5% in patients of teens and early twenties. Authors suggest that the depth of cross-hatching incision on the cartilage should be superficial or half-thickness to avoid overcorrection in young patients. And the possibility of overcorrection or revision septoplasty should be informed preoperatively.
