Patient Age Predicts Nasal Septal Deviation in Orthognathic Surgery
Author Information
Author(s): Taxis Juergen, Florian Henrik-Robert, Napodano Gerardo, Rink Maximilian, Nieberle Felix, Himmelstoß Katja, Lindner Sophia R., Ettl Tobias, Reichert Torsten E., Waiss Waltraud
Primary Institution: University Hospital Regensburg
Hypothesis
Patient age has no influence on the postoperative occurrence of nasal septal deviation (NSD).
Conclusion
The study found that Le Fort I osteotomy can both worsen and improve nasal septal deviation, with older patients at a higher risk of increased deviation post-surgery.
Supporting Evidence
- 62 patients showed an increase in nasal septal deviation post-surgery.
- 35 patients showed a decrease in nasal septal deviation post-surgery.
- Age positively correlated with increases in nasal deviation.
- Anterior maxillary displacement correlated with a decrease in nasal septal deviation.
Takeaway
This study looked at how age affects the nose after jaw surgery. It found that older people are more likely to have problems with their nose after the surgery.
Methodology
The study analyzed pre- and postoperative cone beam computed tomography (CBCT) scans of 102 patients who underwent Le Fort I osteotomy, measuring nasal septal deviation and correlating it with patient age and maxillary displacement.
Potential Biases
The study may have selection bias due to the exclusion of patients with prior surgeries or syndromes affecting nasal septum structure.
Limitations
The study's retrospective design and manual measurement methods may introduce errors, and the results may not be generalizable due to specific inclusion criteria.
Participant Demographics
The cohort included 60 females and 42 males, with an average age of 28.12 years (range: 17 to 56 years).
Statistical Information
P-Value
p = 0.014 for age correlation with increase in NSD
Confidence Interval
CI: −1.0–−0.068 for age correlation with increase in NSD
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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