{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T06:44:42Z","timestamp":1780555482192,"version":"3.54.1"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2010,9,29]],"date-time":"2010-09-29T00:00:00Z","timestamp":1285718400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Lasers Surg Med"],"published-print":{"date-parts":[[2010,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Occurring in one\u2010third of the population, nasal obstruction is the most common complaint in an average rhinologic practice. The etiology is usually a deviation of the nasal septum, although other conditions, such as turbinate hypertrophy, can also cause nasal obstruction. Our team has already demonstrated that laser assisted cartilage reshaping can be used effectively for the correction of ear protrusion. This study aims to evaluate laser assisted septal cartilage reshaping (LASCR) to treat septal deviation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Between March 2009 and September 2009, 12 patients (8 males, 4 females\u2014mean age: 23 years) underwent LASCR for treatment of septal deviation. The mean NOSE score was 11.6. Preoperative examination included rhinomanometry and nasal endoscopy to exclude inferior turbinate or adenoid hypertrophy. Both sides of the septum were irradiated using a 1,540\u2009nm laser connected to a 4\u2009mm spot handpiece with integrated cooling (fluence: 50\u2009J\/cm<jats:sup>2<\/jats:sup>). Contact cooling made the treatment tolerable, but topical anesthesia was still required. Immediately after the procedure, an internal splint was inserted into the nostril and kept for 7 days. The NOSE score was calculated at 1 week, 1 month, and 3 months post\u2010procedure and a rhinomanometry was carried out at 3 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The entire procedure took an average of 20\u2009minutes. For all procedures, there were no lesions of the septal mucosa. Three months post\u2010op, mean NOSE score improved from 11.6 to 5.3. Rhinomanometry assesses an increase in airflow (+19%) and improvement to air inflow resistance (\u221216%), confirming a subjective improvement. In seven adults, the expected septal reshaping was achieved. In five adults, incomplete septum reshaping was observed. In three patients it was correlated to anatomical variations: a thick septum in two cases and a long septum in one case. In the remaining two patients, it was due to insufficient fluence. In these cases, insufficient local anesthesia did not allow us to finish the procedure and the patients received a fluence of 30\u2009J\/cm<jats:sup>2<\/jats:sup> only. Those patients were re\u2010treated at 3 months at 50\u2009J\/cm<jats:sup>2<\/jats:sup> fluence and all achieved suitable reshaping.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>LASCR is a safe and less morbid approach to surgical septoplasty. Since significant variability in the cartilaginous elements of the nose is the rule rather than the exception, some improvements in the technique are still required. Lasers Surg. Med. 42:693\u2013698, 2010 \u00a9 2010 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lsm.20958","type":"journal-article","created":{"date-parts":[[2010,9,29]],"date-time":"2010-09-29T13:07:07Z","timestamp":1285765627000},"page":"693-698","source":"Crossref","is-referenced-by-count":17,"title":["Laser assisted septal cartilage reshaping (LASCR): A prospective study in 12 patients"],"prefix":"10.1002","volume":"42","author":[{"given":"Franck M.","family":"Lecl\u00e8re","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Petropoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Buys","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serge","family":"Mordon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,9,29]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1258\/002221503321192476"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2005.05.011"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(05)70159-6"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2009.01.005"},{"key":"e_1_2_7_6_2","first-page":"61","article-title":"Deflection of septum narium","volume":"4","author":"Ingals E","year":"1882","journal-title":"Trans Am Laryngol Assoc"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1126\/science.16.406.579"},{"issue":"6","key":"e_1_2_7_8_2","first-page":"230","article-title":"From Killian's submucous septum resection and Cottle's septoplasty to modern plastic septum correction and functional septo\u2010rhinoplasty","volume":"32","author":"Rudert H","year":"1984","journal-title":"HNO"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2009.01.010"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1053\/ajot.2002.30987"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1985.00800090060009"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110400215"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.99279"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.4.3.180"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/0196-0709(93)90115-N"},{"key":"e_1_2_7_16_2","first-page":"43","volume-title":"Laser surgery: Advanced characterization, therapeutics and systems, Vol. 2128","author":"Sobol E","year":"1993"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1117\/12.388027"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.20029"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.20372"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-009-9353-9"},{"issue":"1","key":"e_1_2_7_21_2","first-page":"62","article-title":"Septal cartilage reshaping with the use of an Erbium doped glass fiber laser. 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