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

• To evaluate the results of Metzenbaum 's technique in correction of the Caudal end septal deviation on nasal airway obstruction

Study Overview

• Status: Not yet recruiting
• Conditions: Nasal Septal Caudal Dislocation
• Intervention / Treatment: Procedure: metzenbaum's technique

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.

• Study Type: Observational
• Enrollment (Anticipated): 20

Contacts and Locations

• Study Contact: Name: madonna atef aziz; Phone Number: 01275844850; Email: didotoffy@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 14 years to 43 years (Child, Adult)
• Accepts Healthy Volunteers: N/A
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

all adults having nasal airway obstruction due to caudal end nasal septal deviation

Description

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

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

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

Collaborators and Investigators

• Sponsor: Assiut University

Publications and helpful links

General Publications

• Chandra RK, Patadia MO, Raviv J. Diagnosis of nasal airway obstruction. Otolaryngol Clin North Am. 2009 Apr;42(2):207-25, vii. doi: 10.1016/j.otc.2009.01.004.
• Lal D, Corey JP. Acoustic rhinometry and its uses in rhinology and diagnosis of nasal obstruction. Facial Plast Surg Clin North Am. 2004 Nov;12(4):397-405, v. doi: 10.1016/j.fsc.2004.04.002.
• 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.
• 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.
• 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.
• 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.

Study record dates

Study Major Dates

• Study Start (Anticipated): October 1, 2020
• Primary Completion (Anticipated): October 30, 2022
• Study Completion (Anticipated): December 30, 2022

Study Registration Dates

• First Submitted: March 22, 2020
• First Submitted That Met QC Criteria: March 24, 2020
• First Posted (Actual): March 26, 2020

Study Record Updates

• Last Update Posted (Actual): March 26, 2020
• Last Update Submitted That Met QC Criteria: March 24, 2020
• Last Verified: March 1, 2020

More Information

Terms related to this study

• Keywords: caudal end nasal septal deviation
• Additional Relevant MeSH Terms: Wounds and Injuries; Joint Diseases; Musculoskeletal Diseases; Joint Dislocations
• Other Study ID Numbers: metzenbaum in caudal end NSD

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No