The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
The Causes of Persistent and Recurrent Nasal Obstruction After Primary Septoplasty
Abstract
Objectives Septoplasty is the most frequently performed surgical procedure in patients with nasal obstruction. However, nasal obstruction may persist or recur after septoplasty in some patients. In this study, the authors aimed to determine the causes of nasal obstruction after septoplasty. Methods Fifty consecutive patients who admitted to our clinic with the complaints of persistent or recurrent nasal obstruction after primary septoplasty and had revision surgery between 2011 and 2015 were included in this study. Demographic data and physical examination findings of the patients were recorded. Results There were 33 men (66%) and 17 women (34%) with a mean age of 37.3 ± 10.5 (range, 21-57) years. Deviation of perpendicular plate of ethmoid bone (44%), inferior turbinate hypertrophy (36%), concha bullosa (26%), caudal septal deviation-nostril asymmetry (20%), and alar collapse (6%) were the pathologies that were unaddressed during primary surgery. The iatrogenic causes of nasal obstruction after septoplasty were collumellar retraction-nasal tip ptosis (46%), nasal synechiae (20%), nasal septal perforation (10%), and saddle-nose/flat nose deformity (10%). Conclusions Iatrogenic deformities due to surgery and pathologies ignored during primary surgery may cause persistent/recurrent nasal obstruction after primary septoplasty. A detailed physical examination and objective tests showing the site of nasal obstruction, an extensive surgical plan that covers all diagnosed pathologie…
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“The enormous social and health care expenditure that it generates results from factors such as incorrect diagnoses and/or unsuitable treatment [6].”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [6]
Citations
Cites
Constantian, M. B., & Clardy, B. R. (1996) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-199607000-00007 · Cited by 283
Acoustic rhinometry in the evaluation of nasal obstruction
Roithmann, R., Cole, P. L., Chapnik, J. S., Shpirer, I., Hoffstein, V., & Zamel, N. (1995) · The Laryngoscope · doi:10.1288/00005537-199503000-00010 · Cited by 155
Complications and Management of Septoplasty
Ketcham, A. S., & Han, J. K. (2010) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2010.04.013 · Cited by 118
Revision Septoplasty: Review of Sources of Persistent Nasal Obstruction
Becker, S., Dobratz, E. J., Stowell, N., Barker, D. A., & Park, S. S. (2008) · American Journal of Rhinology · doi:10.2500/ajr.2008.22.3200 · Cited by 96
Numerical Study of the Aerodynamic Effects of Septoplasty and Partial Lateral Turbinectomy
Özlügedik, S., Nakiboğlu, G., Sert, C., Elhan, A., Tönük, E., Akyar, S., & Tekdemi̇r, İ. (2008) · The Laryngoscope · doi:10.1097/mlg.0b013e318159aa26 · Cited by 70
Caudal Septoplasty for Treatment of Septal Deviation
Sedwick, J. D., Bustillo, A., Gajewski, B. J., & Simons, R. L. (2005) · Archives of Facial Plastic Surgery · doi:10.1001/archfaci.7.3.158 · Cited by 66
Septal Batten Graft to Correct Cartilaginous Deformities in Endonasal Septoplasty
Wee, J. H., Lee, J., Cho, S., et al. (2012) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archoto.2012.650 · Cited by 52
Frequency of the Preoperative Flaws and Commonly Required Maneuvers to Correct Them
Lee, M., Zwiebel, S. J., & Guyuron, B. (2013) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0b013e3182a01457 · Cited by 47
Is turbinate surgery necessary when performing a septoplasty?
Jun, B. C., Kim, S. W., Kim, S. W., Kim, S. W., Kim, S. W., Cho, J. H., Park, Y. J., & Yoon, H. R. (2008) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-008-0855-x · Cited by 43
Lin, J. K., Wheatley, F. C., Handwerker, J., Harris, N. J., & Wong, B. J. F. (2014) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2013.2480 · Cited by 37
Augmenting the Nasal Airway: Beyond Septoplasty
Simon, P. E., & Sidle, D. M. (2012) · American Journal of Rhinology and Allergy · doi:10.2500/ajra.2012.26.3786 · Cited by 29
Menegat, F. D. A., Monnazzi, M. S., Silva, B. N., de Moraes, M., Gabrielli, M. A. C., & Pereira-Filho, V. A. (2015) · International Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.ijom.2015.06.018 · Cited by 24
Nasal soft tissue obstruction improvement after septoplasty without turbinectomy
Haroon, Y., Saleh, H. A., & Abou-Issa, A. H. (2013) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-012-2304-0 · Cited by 20
The caudal septum angle of deflection: an objective analysis for caudal septum deviation
Maturo, S. C., & Lopez, M. A. (2010) · American Journal of Otolaryngology · doi:10.1016/j.amjoto.2010.01.003 · Cited by 6
Nasenatmungsbehinderung nach Septumplastik: Deviation der Lamina perpendicularis bei Schiefnase
Veit, J. A., Rotter, N., Feucht, A., Rettinger, G., & Scheithauer, M.-O. (2012) · Laryngo-Rhino-Otologie · doi:10.1055/s-0032-1309019 · Cited by 6
Research works printed but not linked: 2
- Sillers, 2009, Revision septoplasty otolaryngol, Clin North Am, 42, 261
- Veit, 2012, Persistent nasal obstruction following septoplasty: deviated nasal pyramid and perpendicular plate, Laryngorhinootologie, 91, 363
Cited by
Position Paper on Nasal Obstruction: Evaluation and Treatment
SEAIC Rhinoconjunctivitis Committee & SEORL Rhinology, A., Valero, A., Navarro, A., del Cuvillo, A., Alobid, I., Benito, Jr., Colás, C., de los Santos, G., Fernández Liesa, R., García-Lliberós, A., et al. (2018) · Journal of Investigational Allergology and Clinical Immunology · doi:10.18176/jiaci.0232 · Cited by 76
Metadata
- Authors
- Derin, S., Sahan, M., Deveer, M., Erdogan, S., Tetiker, H., & Koseoglu, S.
- Affiliations
- Kocaeli Üniversitesi (TR)
- Corresponding author
- Derin, Serhan
- Venue
- Journal of Craniofacial Surgery
- Published
- 2016-06
- Volume
- 27
- Issue
- 4
- Pages
- 828-830
- ISSN
- 1049-2275 (ISSN-L)
- OpenAlex
- W2349848959
- Cited by
- 28
- References
- 15
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 2 · 2023: 1 · 2022: 5 · 2021: 1 · 2020: 3 · 2019: 4 · 2018: 3 · 2017: 1 · 2016: 1
- FWCI
- 3.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Craniofacial Surgery (publishedVersion)
- PubMed (publishedVersion)
- Kocaeli Üniversitesi - AVESİS (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Health Sciences › Dentistry › Oral Surgery › Cleft Lip and Palate Research
- Keywords
- septoplasty, revision rhinoplasty, nasal synechiae, septal perforation, saddle nose, inferior turbinate hypertrophy, concha bullosa, caudal septal deviation
- MeSH terms
- Adult, Female, Follow-Up Studies, Humans, Male, Middle Aged, Nose Deformities, Acquired, Recurrence, Reoperation, Rhinoplasty, Nasal Obstruction, Treatment Outcome, Young Adult
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