The following is the summary of “Fashioned Mucoperichondrial Flap Technique Versus Fishing Line Technique in the Repair of Septal Dislocation: A Prospective Comparative Study” published in October 2022 issue of Rhinology and allergy by El Naga, et al.


One of the most prevalent types of septal deviation, a dislocated septum in the nose presents a number of difficulties and can be corrected in a number of ways. The purpose of this study is to compare 2 methods often used to repair septal dislocation: the fashioned mucoperichondrial flap technique and the fishing line technique. Between June 2021 and June 2022, 88 patients aged 18 and above with symptomatic mild to moderate caudal septal dislocation participated in a prospective, comparative cohort research. 

Each patient’s degree of nasal obstruction was measured preoperatively using the Nasal Obstruction and Septoplasty Effectiveness (NOSE) scale. In addition, every patient had an anterior rhinoscopy and endoscopic nose examination to determine how severe their obstruction was. Both procedures were evaluated for their ability to alleviate nasal blockage as measured by the NOSE scale, and they were compared with respect to their operational and postoperative specifics. Both groups in the current investigation exhibited statistically significant postoperative improvement on the NOSE scale (P<.00001). Group I had shorter average operating times than Group II (P<.0001). As for the NOSE score and the degree of obstruction after surgery, there was no statistically significant difference between the two groups (P=.066 and.56, respectively). 

There was no statistically difference between the 2 groups in terms of postoperative complications; however, there was a significant difference in terms of patient discomfort 1 week after surgery. Patients in Group II reported considerably higher discomfort (P=.02), however, this subsided by Week 4. After surgery, nasal obstruction was greatly reduced using any of the methods provided in this study for mild to severe caudal septal dislocation. Cosmetic results were favorable for both groups, and problems were minimal across the board.

Source: journals.sagepub.com/doi/abs/10.1177/19458924221135709