Assessing the effectiveness of transseptal suturing septoplasty in elderly individuals. The method used in this study involved the prospective separation of septoplasty candidates over 65 into 2 groups. The first group underwent nasal packing, while the transseptal suture technique was used on the second group. Postoperative pain was measured using the visual analog scale, and the effectiveness of the surgery was assessed using the Standardized Cosmesis and Health Nasal Outcomes-Obstruction scale. In addition, the patients' oxygen saturation levels were monitored using a pulse oximeter, and the results of the 2groups were compared. The study included 26 patients with an average age of 66 years, ranging from 65 to 74 years. Of these patients, 13 received nasal packing, and the transseptal suture technique was used on the other 13. The results showed no statistically significant difference between the Standardized Cosmesis and Health Nasal Outcomes-Obstruction scores ( > .05). However, the oxygen saturation levels in group 1 were significantly lower, and the pain scores were significantly higher ( < .05) than those recorded for the other group. We concluded that transseptal suturing septoplasty is an effective, safe, and more comfortable surgical option for the elderly.
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http://dx.doi.org/10.1177/01455613241255994 | DOI Listing |
J Craniofac Surg
December 2024
Department of Plastic Surgery, the Affiliated Friendship Plastic Surgery Hospital of Nanjing Medical University.
Background: Nasal packing (NP), trans-septal suturing (TSS), and submucosal trans-septal suturing (STSS) are common techniques to avoid dead space after the deviated septum is corrected. However, there is rare data about surgical complications and discomfort of these techniques after septal extension grafts (SEG) with autogenous costicartilage.
Objective: To compare the complications and discomfort of NP, TSS, and STSS techniques after SEG with autogenous costicartilage.
Cureus
October 2024
Department of Oral and Maxillofacial Surgery, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.
Securing the endotracheal tube is vital for airway patency, especially in oral surgeries; naso-endotracheal intubation is ideal, but improper fixation risks nasal injury or accidental extubation. This technical note unveils the trans-septal mattress suture technique as a novel approach to secure naso-endotracheal tubes, amplifying stability, reducing trauma, and elevating aesthetic outcomes in head and neck surgeries. This study was performed at the Department of Oral and Maxillofacial Surgery at Kalinga Institute of Medical Sciences, Bhubhaneshwar, Khordha, Odisha, India, from December 2022 to March 2024 with due consent taken from all patients.
View Article and Find Full Text PDFKyobu Geka
September 2024
Department of Cardiovascular Surgery, Iwate Medical University, Iwate, Japan.
Arthrosc Tech
October 2024
School of Medicine, University of Turin, CTO Hospital, Turin, Italy.
This technical note aims to provide a detailed description of our arthroscopic technique for suture fixation of posterior cruciate ligament (PCL) tibial avulsion fractures. Various surgical approaches have been described, including both open and arthroscopic techniques. The arthroscopic approach can be less disruptive and more accurate in visualizing anatomic landmarks.
View Article and Find Full Text PDFJ Craniofac Surg
August 2024
Department of Plastic Surgery, the Affiliated Friendship Plastic Surgery Hospital of Nanjing Medical University.
Background: Recently, a submucosal trans-septal suturing (STSS) technique was introduced to obviate the dead space of septum after septal extension graft (SEG) with porous high-density polyethylene (pHDPE).
Objective: To investigate STSS technique after SEG with pHDPE and concurrent nasal lateral osteotomy (LO).
Methods: A retrospective study was conducted in 53 patients who underwent a STSS technique after SEG with pHDPE and concurrent LO.
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