Clinical trial NCT04323111: Evaluation of Metzenbaum Technique in Correction of Caudal End Nasal Septal Deviation
Official title: Evaluation of Metzenbaum Technique in Correction of Caudal End Nasal Septal Deviation
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Nasal Septal Caudal Dislocation
Keywords: caudal end nasal septal deviation
Lead sponsor: Assiut University
Sponsor class: OTHER
First posted: 2020-03-26
Enrollment: 20
Sex: ALL
Minimum age (years): 16
Maximum age (years): 45
Standard ages: CHILD
ADULT
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: all adults having nasal airway obstruction due to caudal end nasal septal deviation

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.

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

Primary outcomes:
measure: the caudal end deviation of the nasal septum corrected is measured by photographic documentation
timeFrame: 6 month
measure: air way obstruction which will be be evaluated by The Nasal Obstruction Symptom Evaluation (NOSE) scale score questionnaire
timeFrame: 2 month
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
References:
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citation: Menegat F, Monnazzi MS, Silva BN, de Moraes M, Gabrielli MA, Pereira-Filho VA. Assessment of nasal obstruction symptoms using the NOSE scale after surgically assisted rapid maxillary expansion. Int J Oral Maxillofac Surg. 2015 Nov;44(11):1346-50. doi: 10.1016/j.ijom.2015.06.018. Epub 2015 Jul 15.
citation: Haack J, Papel ID. Caudal septal deviation. Otolaryngol Clin North Am. 2009 Jun;42(3):427-36. doi: 10.1016/j.otc.2009.03.005.
citation: Sedwick JD, Lopez AB, Gajewski BJ, Simons RL. Caudal septoplasty for treatment of septal deviation: aesthetic and functional correction of the nasal base. Arch Facial Plast Surg. 2005 May-Jun;7(3):158-62. doi: 10.1001/archfaci.7.3.158.
citation: Batioglu-Karaaltin A, Yigit O, Donmez Z. A new persistent suture technique for correction of caudal septal dislocation. J Craniofac Surg. 2014 Nov;25(6):2169-71. doi: 10.1097/SCS.0000000000000893.