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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The AR software provides minimal cross-sectional areas in two separate points: Plast Reconstr Surg 10 2: To avoid postoperative irregularities in the area of the nasal spine, a cartilage caudal strut graft could be placed. Cite This Citation Gubisch W.

Asher—Mc-dade index, deviated nasal septum, extracorporeal septoplasty, intracorporealseptoplasty, Nasal Obstruction Symptom Evaluation Scale, unilateral cleft lip and palate. Gubisch W, Constantinescu MA. In cases of extensive complex nasal septal deformities, classic septoplasty techniques fail in their aim to create a straight septum, a prerequisite for a permanently straight nasal axis and physiological nasal breathing. Principles of nasal septum reconstruction. He accomplished this by drilling a hole through nasal bones and the nasal spine and suturing the newly reconstructed neo septum.

Extracorporeal Septoplasty: External and Endonasal Techniques.

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. The drawbacks of this procedure are the swelling of the mucosa, restenosis of the nasal valve area, septal hematoma and saddle nose development.

In patients with a mild or moderate deviation of the septum, traditional techniques of septoplasty are effective to improve nasal breathing. D-F, Postoperative photographs of the same patient 1 year after open extracorporeal septorhinoplasty. G, The removed nasal septum with thickened bone and minimal cartilage. Subperiosteal inferior tunnels are then created along the floor of the nasal cavities. That series included more than patients during a year clinical experience. Now, however, the technique uses PDS sutures, which guarantee a significantly longer stabilization and do not need to be removed.


Male to female ratio was As early as the s, King septopkasty Ashley 1 and Perret 2 suggested that the complete septum should be removed and corrected in such cases. The ideal extrcorporeal plate would be as large as possible, with stable upper and anterior borders. A, Polydioxanone foil and bilateral spreader grafts.

Extracorporeal Septoplasty: External and Endonasal Techniques.

Extracorporeal of Septoplasty for the markedly deviated septum. I thank David C.

Extracorporeal septoplasty is a newer, rapidly exgracorporeal technique. Braz J Otorhinolaryngol ; None, Conflict of Interest: Gubisch has first reported in about extracorporeal septoplasty. Extracorporeal septoplasty, Septoplasty, Rhinoplasty crooked nose.

Extracorporeal Septoplasty for the Markedly Deviated Septum

The functional and aesthetic results were not compromised. At this point it is determined whether additional cartilage is needed.

Among the different operations for septoplasty, the extracorporeal septoplasty technique basically consists in the removal septoplast all the nasal septum, the correction of bone and cartilage deformities, and their replacement with a particular suture technique to correct the markedly deviated nasal septum especially in the internal nasal valve area. These cases are characterized by a massive deformation in all levels of the septum with consecutive blockage of 1 or both airways.

If only a small amount of non-structural supportive cartilage is required, then an ear cartilage graft or rib cartilage is obtained. Applied surgical anatomy of the nose. Surgeries were done by five different surgeons of the ENT department with a median operating time of 42 minutes range, min. 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.

Introduction Exyracorporeal deviations of septum especially on dorsal and caudal end exteacorporeal cartilaginous septum are difficult to treat.

The extracorporeal extracorpreal technique was used in patients from January 1,through July 31,to correct severe deformities of the nasal septum. The septum is approached through a caudal septal incision on the right side, with Cottle hemitransfixion incision, mm from the caudal margin, cutting the pericondrium completely. Two representative cases are presented in Figure 10 and Figure The side of the nasal obstruction was determined by anterior rhinoscopy.


Secure fixation of the extracorporeal septoplasty implant was essential for successful long-term aesthetic and functional outcomes. J Oto Rec Surg 2 1: The traumatized nose also presented with a cartilage and bony septum with deformities in extraocrporeal 3 levels of the nasal septum. Smoothly filed pieces of the lamina perpendicularis of the ethmoid bone could be sutured to the cartilaginous septum Figure 3or cartilaginous spreader grafts could be sewn to the upper extrcorporeal of the septum to stabilize it and reinforce the internal nasal valve Figure 4.

Role of Extracorporeal Septoplasty in Deviated Noses

The implications of nasal septal deviation are also frequently underestimated during the correction of the crooked nose. Because many of these procedures are performed for functional reasons, most patients are not concerned with nasal tip firmness. Gubisch, [ 14 ], [ 5 ], was the first to publish a large and highest series on this topic in Typically, 3—6 sutures are required for adequate fixation.

B, The segments were used to reconstruct a straight septal plate. Evaluation of septoplasty patients with health status scale, rhinomanometry and computed tomography. Sign in to customize your interests Sign in to your personal account. Septoplasty is usually associated with other surgical procedures such as functional endoscopic sinus surgery FESS and rhinoplasty.

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