Facial Plast Surg. Feb;32(1) doi: /s Epub Feb Extracorporeal Septoplasty: External and Endonasal Techniques. Objectives: To report our complication rates during extracorporeal septoplasty ( ECS) and to describe a new fixation and splinting technique we developed to sim . Purpose: To evaluate the functional, aesthetic outcomes, and complications associated with extracorporeal septoplasty (ECS) while correcting.
|Published (Last):||28 February 2017|
|PDF File Size:||8.71 Mb|
|ePub File Size:||10.31 Mb|
|Price:||Free* [*Free Regsitration Required]|
Nasal valve stabilization in extracorporeal septoplasty is a successful surgical technique for anterior deviations of the septum, with an optimal surgery time and a reproductible surgical technique. We followed up a total of cases in our centre.
Extracorporeal septoplasty for the markedly deviated septum.
The new upper septum border was positioned at the height of the lateral cartilage, temporarily fixed with needles if necessary, and reconnected to the lateral cartilages using 2 sutures. H-I, Polydioxanone foil was necessary to stabilize the reconstructed nasal septum.
It was first discussed in the s by King and Ashley [ 3 ]. They even attributed those cases without a history of trauma to unrecognized birth trauma or early childhood trauma that disrupts the growth centers of the septum and results in marked abnormal development that manifests at puberty.
For a successful outcome, meticulous use of local anesthetics and hemostasis, fixation of the straightened septum at the nasal spine and upper lateral cartilages, quilting suture to approximate mucoperichondrium, and dorsal onlay grafts to camouflage any subsequent irregularities are recommended. Extracorporeal septoplasty combined with open rhinoplasty. How to cite this article: All patients stayed, hospitalized for 48 hours.
In thin-skinned individuals, bony and cartilaginous irregularities could be palpated and occasionally visualized.
What is Extracorporeal Septoplasty?
Extracorporeal septoplasty in a patient who has had numerous nasal procedures in which most of the cartilage had been resected. This perforation was closed without difficulty but required an tragal cartilage graft to aid in the closure. There are several extracotporeal options for creating a straight septal plate. C, The straightened septum from an anterior view.
The operative time that we measure in the study is also a strong point. He extracorpoeal described the approach extensively. Visual analogue scale for pain Click here to view. Although zeptoplasty fluid leak is a theoretical risk with the extensive removal of the septum, no leaks occurred as a result of extracorporeal septoplasty. Principles of nasal septum reconstruction.
The present study has one limitation. Create a personal account to register for email alerts with links to free full-text articles. Early complications included septal hematoma in one patient 0.
If only a small amount of non-structural supportive cartilage rxtracorporeal required, then an ear cartilage graft or rib cartilage is obtained. Of the patients, 2 cohorts were available for review. An increased incidence of postoperative nasal fracture has not been found as a complication of this procedure.
In this study, we aim to define a personal modified suture technique. The complete cartilaginous and bony septum was then removed in 1 piece. Evaluation of septoplasty patients with health status scale, rhinomanometry and computed tomography. Semin Plast Surg ; The caudal margin of the septal cartilage should be completely exposed using suction dissector with careful movements. Fixation of the straightened and replanted septum at the nasal spine and dorsal septum border with the upper lateral cartilages is essential.
Nasal Valve Stabilization in Extracorporeal Septoplasty
A total of adult patients treated with extracorporeal septoplasty were enrolled in this study. We believe that, as the technique of ECS continues to evolve and simplify, more nasal surgeons will embrace this new surgical method with which they can more reliably correct some of the most challenging septal deformities.
Informed consent for nasal septoplasty or septorhinoplasty with photographic documentation was obtained from the patients or their parent or legal guardian in all cases. Preoperative nasal resistance obtained by AAR and nasal cross sectional areas obtained by AR were compared with postoperative results using the non-parametric Wilcoxon Sign Rank test. In cases of severe septal deviation, Gubisch advised total quadrangular cartilage extraction, external reconstruction of the septal framework, and reinsertion in the mucopericon- drial pocket.
A cartilage and bony septum deformed in all 3 levels was a regular occurrence in patients with unilateral cleft lip and palate deformities. The most common complications in both cohorts studied were postoperative irregularities of the nasal dorsum.
Nasal obstruction and symptom evaluation scale average values of 15 patients Click here to view. To avoid postoperative irregularities in the area of the nasal spine, a cartilage caudal strut graft could be placed. Suture should be under the quadrangular cartilage inserted. Conventional endonasal septoplasty continues to be the standard of care for many deviated septa but may not reliably provide an opportunity to correct the more deviated, deformed, C- or cup-shaped septa.
A clear operative field can by obtained by minimizing blood loss via adequate local anesthetic.
Comparative preoperative and postoperative baseline investigation results. In the last century, there have been significant advances regarding surgical septal procedures [2,3]. No intraoperative complications were reported. Extracorporeal septoplasty, Septoplasty, Rhinoplasty crooked nose. Spreader grafts for stabilization of the internal nasal valve and dorsal onlay grafts to prevent dorsal septopalsty are strongly encouraged.
The domes are divided in the midline, and the upper lateral cartilages are released laterally, creating excellent exposure of the septum. We performed both examinations, before and after surgery dxtracorporeal the follow-up period, based on the Consensus report on acoustic rhinometry and rhinomanometry .
All these patients were primary septorhinoplasties.