Purpose <p>This study evaluates the effectiveness and safety of batten grafts in pediatric septoplasty for caudal septal deviation, focusing on nasal function and postoperative outcomes.</p> Methods <p>A prospective analysis of 29 pediatric patients aged 4&#xa0;years&#xa0;and older assessed nasal function preoperatively and postoperatively using the Nasal Obstruction Symptom Evaluation (NOSE) and Visual Analogue Scale (VAS) throughout the 6-month follow-up period.</p> Results <p>Significant improvements in nasal function were noted, with the mean NOSE score decreasing from 86.03 preoperatively to 12.76 at 6&#xa0;months (<i>p</i> &lt; 0.001). VAS scores improved from a median of 3 preoperatively to 9 at 1&#xa0;month, remaining stable at 6&#xa0;months (<i>p</i> &lt; 0.001). Most patients (75.9%) experienced no complications, with minimal adverse effects such as nasal crustation and residual deviation.</p> Conclusion <p>Batten grafts in pediatric caudal septoplasty are a safe and effective option for improving nasal function, though further research is needed to assess long-term effects on facial growth and aesthetics.</p> Level of Evidence III <p>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors &#xa0;<a href="http://www.springer.com/00266">www.springer.com/00266</a>.</p>