{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T01:41:50Z","timestamp":1783734110561,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,10,10]],"date-time":"2011-10-10T00:00:00Z","timestamp":1318204800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The sphenoidal process of the septal cartilage (SP) is a small strip of cartilage between the perpendicular plate of ethmoid bone and vomer. The present study was performed to evaluate the clinical significance of the SP in the development of nasal septal deviation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective, controlled.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Academic rhinologic practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>The authors examined 136 patients with nasal septal deviation. The length of SP was measured during septal surgery, and values were compared with the deviation angle. The distance between the anterior nasal spine (ANS) and the breakpoint of the suture line between the septal cartilage and the perpendicular plate of the ethmoid bone (ANS\u2010PPE) and that from the ANS to the point where the choana meets the sphenoid sinus (ANS\u2010CS) were determined and compared according to the age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean length of SP in patients with a deviated nasal septum was 25.90 \u00b1 7.82\u00a0mm and decreased with age. The average deviation angles at the level of the ostiomeatal unit and nasal valve area were 8.28\u00b0 \u00b1 3.50\u00b0 and 10.37\u00b0 \u00b1 4.38\u00b0, respectively. These angles increased with the length of SP (<jats:italic>P<\/jats:italic> &lt;. 01). The mean length of ANS\u2010PPE showed a significant negative correlation with age. The mean length of ANS\u2010CS had no correlation with age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>SP was longer with increasing deviation angle in patients with nasal septal deviation. A long SP, a remnant cartilaginous tail of the nasal septum resulting from delayed ossification of the nasal septum, contributes to the exacerbation of septal deviation.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599811425000","type":"journal-article","created":{"date-parts":[[2011,10,11]],"date-time":"2011-10-11T20:29:00Z","timestamp":1318364940000},"page":"151-155","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Role of the Sphenoidal Process of the Septal Cartilage in the Development of Septal Deviation"],"prefix":"10.1002","volume":"146","author":[{"given":"Joohwan","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Catholic University of Korea College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung Won","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Catholic University of Korea College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soo Whan","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Catholic University of Korea College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin Hee","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Catholic University of Korea College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong Jin","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Catholic University of Korea College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,10,10]]},"reference":[{"key":"e_1_2_8_2_2","first-page":"79","article-title":"What do we know about septal deformities?","volume":"4","author":"Mladina R","year":"1997","journal-title":"J Rhinology"},{"key":"e_1_2_8_3_2","first-page":"21","article-title":"A morphometric consideration of nasal septal deviations by people with paranasal complaints; a computed tomography study","volume":"41","author":"Buyukertan M","year":"2003","journal-title":"Rhinology"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(86)80004-0"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1993_030_0222_nsdiuc_2.3.co_2"},{"key":"e_1_2_8_6_2","first-page":"103","article-title":"The relationship between the concha bullosa, nasal septal deviation and sinusitis","volume":"41","author":"Aktas D","year":"2003","journal-title":"Rhinology"},{"key":"e_1_2_8_7_2","first-page":"113","article-title":"The influence of the caudal process on the formation of septal deformities","volume":"27","author":"Mladina R","year":"1989","journal-title":"Rhinology"},{"key":"e_1_2_8_8_2","first-page":"78","article-title":"Growth characteristics of the human nasal septum","volume":"34","author":"Van Loosen J","year":"1996","journal-title":"Rhinology"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20938"},{"key":"e_1_2_8_10_2","first-page":"946","article-title":"The causes and frequency of neonatal septal deformities","volume":"43","author":"Jung DH","year":"2000","journal-title":"Korean J Otolaryngol Head Neck Surg"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2004.06.016"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1055\/b-002-40814"},{"key":"e_1_2_8_13_2","first-page":"159","article-title":"The formation of nasal septum deviation in human evolution","volume":"15","author":"Takahashi R","year":"1977","journal-title":"Rhinology"},{"key":"e_1_2_8_14_2","first-page":"199","article-title":"The role of maxillar morphology in the development of pathological septal deformities","volume":"25","author":"Mladina R","year":"1987","journal-title":"Rhinology"},{"key":"e_1_2_8_15_2","first-page":"72","article-title":"A review of practical guidelines for correction of the deviated, asymmetric nose","volume":"38","author":"Vuyk HD","year":"2000","journal-title":"Rhinology"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(84)80054-3"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599811425000","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599811425000","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599811425000","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T12:50:01Z","timestamp":1760964601000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599811425000"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,10,10]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2012,1]]}},"alternative-id":["10.1177\/0194599811425000"],"URL":"https:\/\/doi.org\/10.1177\/0194599811425000","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,10,10]]},"assertion":[{"value":"2011-06-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-09-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-10-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}