OBJECTIVE
To present results from a clinical series of patients who underwent office-based laser nasal septal cartilage reshaping.
DESIGN
Nonrandomized prospective clinical trial.
SETTING
Outpatient university-based otolaryngology clinic.
PATIENTS
One hundred ten patients aged 11 to 66 years with symptomatic nasal obstruction due to septal deviation.
INTERVENTION
Topical anesthesia (10% lidocaine solution) was applied to the nasal cavity. The septum was then mechanically straightened using a modified nasal speculum, and it was secured in a median position. Laser energy from a holmium:YAG laser was delivered via an optical fiber to the septum along the regions of maximum mechanical stress. Irradiation was delivered through the mucosa.
MAIN OUTCOME MEASURES
A subjective survey, rhinoscopy, and rhinomanometry in 110 patients before and after surgery.
RESULTS
Eighty-four patients (76%) showed stable improvement in airways and disappearance of the attendant symptoms. The average duration of follow-up was 18 months.
CONCLUSIONS
This technique uses local, nondestructive laser irradiation to reshape septal deviations without the use of mucoperichondrial flaps or sedation.