Severe nasal septal deformities can be responsible for functional and aesthetic impairments. Correction of these deformities can be difficult and restoring perfect nasal shape and function is still challenging. Classical techniques can, sometimes, lead to disappointing results or relapse. In this article, the aim was to describe the different techniques of extracorporeal septorhinoplasty and fixation of the neoseptum. Three techniques are mainly used: "crisscross" suture, "U-shaped" suture and anterior septal reconstruction to fix the neoseptum after extracorporeal remodeling. All these techniques are technically demanding, especially concerning keystone area management; but, if well performed, could give satisfactory functional and aesthetic outcomes. We therefore think that extracorporeal septorhinoplasty should really improve our results concerning functional and aesthetic aspects in case of severe anterior or caudal septum deviation.
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http://dx.doi.org/10.1016/j.jormas.2020.03.005 | DOI Listing |
Front Surg
April 2024
College of Medicine, University of Sulaimani, Sulaimani, Iraq.
Introduction: Extensive septal deviations requiring advanced correction beyond conventional methods. Extracorporeal rhinoplasty technique, involving complete septum removal, reshaping, and reinsertion. While this technique possesses unacceptable risks, the current study aims to introduce a new approach, the sling-bridge technique to enhance and simplify extracorporeal septorhinoplasty, with more tip control and better integrity within the keystone area.
View Article and Find Full Text PDFBraz J Otorhinolaryngol
May 2024
Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Otorrinolaringologia, Programa de Pós-Graduação em Ciências Médicas: Otorrinolaringologia, Porto Alegre, RS, Brazil.
Objectives: This study aimed to evaluate quality-of-life and satisfaction outcomes in patients undergoing the MES using the Portuguese version of the Nasal Obstruction Symptom Evaluation (NOSE-p) and Rhinoplasty Outcome Evaluation (ROE), and also to evaluate the frequency of possible complications of this technique.
Methods: We conducted a single-center prospective study with patients who had the indication for MES, from May 2016 to September 2020 at the Facial Plastic Surgery Clinic of Otolaryngology Department of the Hospital de Clinicas de Porto Alegre. The primary outcome was the relative postoperative change in NOSE-p.
J Coll Physicians Surg Pak
January 2021
Department of ENT, Mayo Hospital/K.E.M.U, Lahore, Pakistan.
Objective: To compare endonasal and external septoplasty for type 2 caudal septal deviations in terms of operative time, aesthetic and functional outcome.
Study Design: Descriptive Analysis.
Place And Duration Of Study: ENT Department, Mayo Hospital/ K.
Eur Ann Otorhinolaryngol Head Neck Dis
November 2020
CHRU-Nancy, ORL et Chirurgie Cervico-Faciale, Hôpitaux de Brabois, Bâtiment Louis Mathieu, Allée du Morvan, 54600 Vandoeuvre les Nancy, France; EA 3450 DevAH-Développement, Adaptation et Handicap, Régulations Cardio-Respiratoires et de la Motricité, Université de Lorraine, Faculté de Médecine de Nancy-Laboratoire de Physiologie, 9 Avenue de la Forêt de Haye, CS 50184, 54505 Vandoeuvre les Nancy, France.
The difficulty of correcting nasal septum deformities using the classical Killian or Cottle techniques or derivatives has led in recent years to new suggestions such as extracorporeal septoplasty or various apposition grafts to counteract refractory deformity of the quadrangular cartilage. Naturally occurring septal deformities result from conflicts in growth between the quadrangular cartilage, perpendicular ethmoidal plate and vomer, which each have their own different evo-devo origin. Septoplasty by disarticulation consistently restores a level septum by completely resolving the growth conflicts.
View Article and Find Full Text PDFFacial Plast Surg Aesthet Med
September 2021
CHU Bordeaux, CIC 14-01 IT, Bordeaux, France.
A validated biomaterial would have several medical advantages in septorhinoplasties requiring a large-volume graft such as avoiding donor site morbidity, making ambulatory surgery possible, and reducing surgical costs. To assess the safety and efficacy of a ceramic to treat saddle and crooked noses. The main endpoint was the biocompatibility of the implant.
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