# Effectiveness of bony batten grafting for correction of caudal septal deviations

## TL;DR

A study shows that using bone grafts during surgery can effectively correct nasal deviations and improve patient outcomes.

## Contribution

The study demonstrates the effectiveness of using septal bone grafts for correcting anterior septal deviations in rhinoseptoplasty.

## Key findings

- There was a significant reduction in the Nose Scale from 75.5% to 17.3% in patients who used the Bone Septal Batten.
- The septal bone graft is easy to obtain and has low resorption rates and no complications in its use.

## Abstract

•Use of septal bone graft intraoperatively to correct anterior septal deviations.•Reduction in the Nose Scale in patients who utilized Bone Septal Batten.•The septal bone graft usually discarded in surgery can be used in rhinoseptoplasty.•Bone grafting has low resorption rates and complications related to its use.

Use of septal bone graft intraoperatively to correct anterior septal deviations.

Reduction in the Nose Scale in patients who utilized Bone Septal Batten.

The septal bone graft usually discarded in surgery can be used in rhinoseptoplasty.

Bone grafting has low resorption rates and complications related to its use.

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.