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Yuri Ovchinnikov, MD; Emil Sobol, PhD; Valery Svistushkin, MD; Anatoly Shekhter, MD; Victor Bagratashvili, PhD; Alexander Sviridov, PhD

Arch Facial Plast Surg. 2002;4:180-185.

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.

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.

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