Abstract: Objective To compare the effect of nasal septum support individual tension relaxing plasty with traditional submucousal resection for nasal septum deviation. Methods A case-control study was made on patients with deviation of nasal septum treated in our department during 2009 to 2013. Based on the lesion site, similar type and age difference of less than 5 years, 80 patients in the study group and 80 in the control group were one to one matched in this study. Followed up over 12 months, the operation time, intra-operative bleeding, post-operative nasal septal hematoma, post-operative pain, stuffy nose and nasal valve of the original symptom improvement were compared. Results The operation time was 20-60 (37.48±10.78) minutes in the study group and 20-55(34.66±10.86) minutes in the control group (t=1.644, P>0.05). The intra-operative bleeding was 3-15(9.38±3.02) mL in the study group and 5-20 (11.59±4.71) mL in the control group (t=-3.536, P<0.01). The post-operative pain was moderate in the two groups and it was the most on the first day 2-6 (4.59±0.82) points in the study group and 3-7 (4.95±0.86) points in the control group (t=-2.733, P<0.01), on the second day 1-5 (2.93±0.65) points in the study group and 2-5 (3.43±0.71) points in the control group (t=-4.649, P<0.01), on the third day 1-2 (1.55±0.50) points in the study group and 1-3 (1.69±0.52) points in the control group (t=-1.707, P>0.05). Post-operative complications: nasal septum hematoma, 1 case in the study group (1/80) while 5 in the control group (χ²=1.558 4, P>0.05); valvular nasal obstruction, none in the study group while 6 (6/80) in the control group (χ²=4.329, P<0.05); nasal obstruction, none in the study group while 6 in the control group (χ²=4.329, P<0.05). Conclusion Compared with traditional submucosal resection, individual tension plastic correction has advantages of less intra-operative bleeding and post-operative pain and fewer complications in the deviation of nasal septum treatment.

Key words: Individual therapy, Plastic nasal septum, Nasal septum plasty, Deviation of nasal septum, Tension relaxing