Disarticulation Septoplasty Versus Classical Way

Disarticulation Septoplasty Versus Classical Septoplasty: Retrospective Study

The objective of this study is to determine which of the two techniques (disarticulation septoplasty versus open surgery) offers the best functional results for correcting symptomatic deviations of the nasal septum.

More specifically it's about:

• Compare the improvement in respiratory symptoms between the two techniques
• Analyze and compare complication rates between the two techniques
• Evaluate patient satisfaction with aesthetic results (including columella deviation)

Nowadays, disarticulation septoplasty is recognized as an effective technique for correcting complex septal deviations. It allows better exposure of the nasal septum, which facilitates the correction of severe deformities and reduces post-operative complications. This method is often compared to open surgery, which remains a classic approach but perhaps less suited to cases of severe or complex deviations. This technique makes it possible to correct aesthetic deviations while improving the functional aspect avoiding an open path.

There are several questionnaires, particularly in the field of rhinology, to evaluate the results of this technique on nasal obstruction in an objective and subjective manner, therefore its impact on quality of life as well as its effectiveness on chronic nasal dysfunction caused by deviation of the nasal septum. In this study, in addition to nasal symptoms before and after surgery and postoperative complications, we chose to work with two scores; NOSE score as a valid, reliable and responsive self-report instrument to quantify subjective dysfunction related to nasal obstruction. The other score is NAFEQ score which makes it possible to evaluate the aesthetic and functional outcome after nasal reconstruction.

Inclusion Criteria:

• Patient aged 18 and over
• Patient undergoing a new disarticulation septoplasty, or an open approach for nasal obstruction due to a deviated nasal septum, confirmed by endoscopy
• Patient operated between 01/01/2023 and 31/12/2025

Exclusion Criteria:

Patient undergoing surgery but with the following medical history (on the day of surgery):

• Patient with septal perforations
• Patient with previous nasal septum surgery or cosmetic rhinoplasty
• Patient with allergic rhinitis
• Patient with chronic sinusitis
• Patient with concha bullosa
• Refusal to participate