Journal archive · Rib, ear and septal grafts · Septum, valve and airway · Adolescent and aging nose · 2025
Evaluating the Efficacy and Safety of Batten Grafts in Pediatric Caudal Septoplasty: A Prospective Observational Study
Alshehri AA.
In the archive as a landmark paper: the core sweep runs 2011–2026, and this one is here because the history of rhinoplasty rests on it · cited on pediatric septoplasty.
Abstract
Purpose: This study evaluates the effectiveness and safety of batten grafts in pediatric septoplasty for caudal septal deviation, focusing on nasal function and postoperative outcomes.
Methods: A prospective analysis of 29 pediatric patients aged 4 years and older assessed nasal function preoperatively and postoperatively using the Nasal Obstruction Symptom Evaluation (NOSE) and Visual Analogue Scale (VAS) throughout the 6-month follow-up period.
Results: Significant improvements in nasal function were noted, with the mean NOSE score decreasing from 86.03 preoperatively to 12.76 at 6 months (p < 0.001). VAS scores improved from a median of 3 preoperatively to 9 at 1 month, remaining stable at 6 months (p < 0.001). Most patients (75.9%) experienced no complications, with minimal adverse effects such as nasal crustation and residual deviation.
Conclusion: Batten grafts in pediatric caudal septoplasty are a safe and effective option for improving nasal function, though further research is needed to assess long-term effects on facial growth and aesthetics.
Level Of Evidence Iii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Abstract as indexed by PubMed; the article is open access (PubMed Central).
Citation
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What the rhinoplasty literature says on this paper's topics, cited line by line to PubMed.
Rib, ear and septal grafts
Modern rhinoplasty builds rather than removes, so the operation runs on cartilage: the septum first, then the ear, then the rib, and when none of those will do, a piece of donated rib from a tissue bank.
Septum, valve and airway
Every rhinoplasty is a breathing operation whether it intends to be or not: the septum holds the nose up as well as dividing it, and the narrowest part of the whole airway is the internal valve the surgeon is standing over.
Adolescent and aging nose
The same operation is a different problem at twelve and at seventy: in a child the fear is stunting a nose that has not finished growing, and in an older patient the nose has kept changing, dropping at the tip, thinning at the skin and weakening at the cartilage, until it blocks the airway.
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