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This research aims to compare the effectiveness of adding batten grafts to septoplasty and turbinate reduction versus septoplasty and turbinate reduction alone for patients with nasal obstruction caused by septal deviation and related conditions. The study focuses on both subjective and objective assessments to evaluate potential improvements in nasal airflow and long-term outcomes. Batten grafts are designed to support the weakened lateral nasal wall and address nasal valve collapse, which may enhance surgical results beyond anatomical corrections alone. Participants will be assigned to either the intervention group receiving batten grafts along with septoplasty and bilateral inferior turbinate reduction, or to the control group undergoing septoplasty and turbinate reduction without grafts. The batten grafts are made from the patient's own nasal septal cartilage during surgery and aim to stabilize the internal nasal valve. All surgical procedures are conducted following standard practices for septoplasty and turbinate reduction. Throughout the study, researchers will evaluate nasal outcomes using measures like the Nasal Obstruction Symptom Evaluation (NOSE) score at 12 months. Patients will undergo clinical and endoscopic examinations to confirm anatomical issues contributing to nasal obstruction before surgery. The study will monitor subjective and objective nasal function outcomes to assess whether adding batten grafts leads to better long-term results and fewer future nasal surgeries.