Efficacy of fibrin sealant for drainage reduction in total thyroidectomy with bilateral central neck dissection.

Objective: To investigate the efficacy of fibrin sealant (FS) for reducing postoperative drainage in patients who underwent total thyroidectomy (TT) with bilateral central neck dissection (CND) for papillary thyroid cancer.

Study Design: Prospective randomized trial.

Setting: Tertiary care institution.

Modified mattress suturing technique for correcting the septal high dorsal deviation around the keystone area.

Background: High dorsal deflection of the nasal septum around the bony-cartilaginous junction ("keystone area") is often missed and difficult to treat because of the importance of septal support. This study introduces a new technique of septoplasty to correct this dorsal deviation.

Methods: Forty-two patients with severe dorsal septal deviation around the bony-cartilaginous junction were included in the study.