Evaluation of Metzenbaum Technique in Correction of Caudal End Nasal Septal Deviation

Study Overview
=================
Brief Summary
-----------------
• To evaluate the results of Metzenbaum 's technique in correction of the Caudal end septal deviation on nasal airway obstruction

Detailed Description
-----------------
Deviation of Nasal septum in different parts may have various functional or aesthetic effects . The etiology of a deviated septum is generally congenital, but may also be as a result of trauma or iatrogenic causes. Most important is the Caudal septal deviation which narrows the airway and impairs major mechanisms supporting the tip, leading to tip-ptosis and airway collapse. .The correction of caudal septal deviations can be a challenging problem so many techniques have been described and tested to correct caudal septal deflections . Attempts to correct nasal septal deformities were described in the medical literature as early as the late 19th century , and till now there is not one specific technique that is agreed upon by surgeons worldwide.

Official Title
-----------------
Evaluation of Metzenbaum Technique in Correction of Caudal End Nasal Septal Deviation

Conditions
-----------------
Nasal Septal Caudal Dislocation

Intervention / Treatment
-----------------
* Procedure: metzenbaum's technique


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Patients presenting to Assiut University Clinic of Otolaryngology department. Aging from 16 to 45 years old Patients complaining of nasal airway obstruction causes by caudal septal deviation. Exclusion Criteria: Other causes of airway obstruction e.g. nasal polyps, hypertrophied inferior turbinates' External nasal deformities Contraindications for general anesthesia

Ages Eligible for Study
-----------------
Minimum Age: 16 Years
Maximum Age: 45 Years

Sexes Eligible for Study
-----------------
All

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Intervention/Treatment |
| --- |
|Procedure: metzenbaum's technique|surgical procedure for correction of caudal end nasal septal deviation|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the caudal end deviation of the nasal septum corrected is measured by photographic documentation | Photographs will be taken in the 6 dimensional (frontal,basal, lateral and oblique) views of the nose at two points ,First photograph set will be taken in preoperative period. The second photograph set will taken at six months follow up. Both these photographs will be shown to the patient and he/she was asked to give a score to rate the difference in appearance on a 4 point scale 4 point scale for evaluating postoperative outcome Little/no photographic evidence of residual caudal septal deviation. Marked improvement but was still detectable by careful observation. Mild improvement/not improved. Made worse after surgical intervention. | 6 month | 
| air way obstruction which will be be evaluated by The Nasal Obstruction Symptom Evaluation (NOSE) scale score questionnaire | The Nasal Obstruction Symptom Evaluation (NOSE) scale score is a questionnaire that each patient will take to compare the symptoms of air way obstruction improvement after surgery . the patients will take it at two points , first in pre - operative assessment and second in post operative follow up after 2 month | 2 month | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
caudal end nasal septal deviation