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.
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Extracorporeal septoplasty for the markedly deviated septum.
This was obtained using topical cocaine and careful injection of ropiivacaine hydrochloride and epinephrine 1: B, Intraoperative photograph demonstrating the open approach used to place the straight septal plate back between the mucoperichondrial flaps with spreader grafts in place between the upper lateral cartilages. They attributed this high sfptoplasty rate to unrecognized or uncorrected septal deviation.
Reorientation of the septum to provide maximal stability of the caudal and dorsal aspect was sometimes necessary Figure 8. Two follow-up studies extracorrporeal performed in and Suture should be under the quadrangular cartilage inserted. J Craniofac Surg ; The resistance is determined at a pressure of Pa.
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Simple replacement of the cartilage segments between the two mucoperichondral layers, as suggested by other authors, is a highly imprecise maneuver that fails to reinforce the anterior and superior part of the septum and may create postoperative reduplication of the cartilage with nasal obstruction. Arch Facial Plast Surg.
What is Extracorporeal Septoplasty?
Recurrent nasal septal deviation after extensive septal resection with cosmetic deformity is a difficult case to solve, especially when the remaining framework is deviated or destabilized. Traumatized nasal septums will also frequently present with thickened and redundant cartilage that could make elevation of the mucoperichondrial flaps difficult.
The broad range of approaches illustrates extracoproreal difficulty in treating caudal septal deviation and this is the reason why we consider, there is no doubt regarding the need to obtain pre and postoperative rhinometric measures if objective results in septal surgery are to be achieved.
This is relatively easy during an open approach but is also possible through a closed approach. This additional level of stability helped decrease the rate of postoperative dorsal saddling from 1. A right-sided hemitransfixion incision was extended to combine with an intercartilaginous incision. ECS is safe and versatile procedure to amply address the septal deformity in all dimensions and offers adequate septal cartilage from the excess septum in cleft nose wxtracorporeal can be used as sole graft for all reconstructive requirements in rhinoplasty with improved aesthetics and no additional intra-operative time, cost and complications.
A clear operative field can by obtained by minimizing blood loss via adequate local anesthetic. According to modified-Asher — Mcdade index, nasal form, nasal profile and deviation of nose hadfair to good appearance throughout the case series. Extracorporeal of Septoplasty for the markedly deviated septum.
Two healed fracture lines at sites of cartilage dislocation are evident. All these complications are also possible when performing the extracorporeal technique, but can be avoided by nasal splint, dosal free diced cartilage with or without fascia.
Role of Extracorporeal Septoplasty in Deviated Noses
Sign in to access your subscriptions Sign in to your personal account. Our study presents a drawback that was the use of nasal packing for 48 hours and admission of the patient for one or two nights at hospital.
Extracorporeal septoplasty — how we do it at marine hospital Stuttgart germany, Indian Journal of Otolaryngology and Head and Neck Surgery ; We describe a new type of simple suturing technique to correct caudal septal cartilage deviation, which is quick, easy to perform, free of major complications and produces excellent cosmetic and functional results.
Next, the spina nasalis anterior was positioned in the midline, and a notch and hole were drilled for anterior fixation of the cartilage. Stabilisation to nasal bones, upper lateral cartilage ans nasal spine with nasal silicone splints is must. 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.
Twenty-year-old woman with a deviated nose after trauma. Then, the creation of the magic plane is made with the Knapp scissors introduced through the hemitransfixion incision immediately under the membranous septum and into the crural connective tissue, with small spreading movements.
The splints are sutured into place with through-and through 3—0 black nylon suture. They can be avoid by a correct suture technique to straighten the mucosa, especially in the valve area and give support to the nasal cartilage replaced in order to avoid saddle nose development. He described areas of fixation to secure extracorpoeral newly reconstructed septum back into the nose.
All patients had subjective improvement in their nasal obstructive symptoms. Alternatively, Numanoglu 17 suggested a transcutaneous suture that, although it prevents slippage, is not as exact for restoring the nasal valve. Mean duration of ECS was 40 minutes.
Kulak Burun Bogaz Ihtis Derg ; The Institutional Review Board of the Hospital approved this retrospective study. We also have this outcome listed in and discussed on our written risk and consent form.