Cartilage reshaping under nonablative laser radiation: research and clinical applications in ENT

We developed a new surgical procedure to correct cartilaginous deformities of the nasal septum using transmucosal laser irradiation without the need for sedation or traditional septoplasty techniques in particular the creation of mucoperichondrial flaps. Since 1988, at the Sechenov Medical Academy of Moscow, 150 patients have underwent laser septal cartilage reshaping using a Holmium:YAG laser. Minimal re-relaxation of shaped septa was observed. Rhinomanometric findings confirmed subjective assessments of improved breathing and relief of nasal obstruction. Laser septoplasty involves photothermal non-destructive heating of the septal cartilage allowing plastic deformation of this tissue. It is performed in an outpatient setting requiring only about ten minutes to complete without the need for sedation or splints. No visible undesirable side effects were observed for all patients underwent to laser reshaping procedure. It is shown that the laser reshaping is a simple bloodless, painless procedure. Potential applications in aesthetic, reconstructive, and pediatric head and neck surgery are discussed.