From the Department of Otolaryngology, Sechenov Medical Academy of
Moscow, Moscow (Drs Ovchinnikov, Svistushkin, and Shekhter); the Institute
of Laser and Information Technologies, Troitsk (Drs Sobol, Bagratashvili,
and Sviridov); and the Center for Molecular Medicine at Moscow State University,
Moscow (Drs Sobol and Sviridov), Russia.
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.
Ovchinnikov Y, Sobol E, Svistushkin V, Shekhter A, Bagratashvili V, Sviridov A. Laser Septochondrocorrection. Arch Facial Plast Surg. 2002;4(3):180-185. doi: