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This research aims to compare the effects of adding batten grafts to the standard septoplasty and turbinate reduction surgeries for nasal obstruction caused by septal deviation and related issues. The study focuses on improving nasal airflow and reducing future surgeries by addressing not only septal deviation and inferior turbinate hypertrophy but also nasal valve collapse, which can contribute to breathing difficulties. Participants will be randomly assigned to one of two groups. In the intervention group, a piece of the patients own nasal septal cartilage will be reshaped and re-implanted as a batten graft during septoplasty and turbinate reduction. The control group will receive the standard septoplasty and turbinate reduction without the batten graft. The study evaluates these approaches over a 12-month period, measuring nasal symptoms and airflow. During the trial, participants will undergo evaluations including symptom questionnaires and airflow measurements at 12 months after surgery. Researchers will monitor nasal obstruction symptoms, nasal valve function, peak inspiratory flow, any complications or side effects, cost-effectiveness, and the need for additional surgeries. The total participation time includes follow-up assessments over one year to assess long-term outcomes.