Partial Extracorporeal Septoplasty in Crooked Noses.
Crooked nose
Extracorporeal septoplasty
Functional and aesthetic outcomes
Journal
Aesthetic plastic surgery
ISSN: 1432-5241
Titre abrégé: Aesthetic Plast Surg
Pays: United States
ID NLM: 7701756
Informations de publication
Date de publication:
21 Aug 2023
21 Aug 2023
Historique:
received:
21
05
2023
accepted:
19
07
2023
medline:
22
8
2023
pubmed:
22
8
2023
entrez:
21
8
2023
Statut:
aheadofprint
Résumé
In crooked noses, the standard septoplasty is a challenge because of the complex deviation of the septum, where straightening of the cartilage in situ is impossible. Hence, it is required to remove the partial/total septum and later is replaced back after being straightened; the procedure is called partial/total extracorporeal septoplasty. In the present study, we shared our experience of partial extracorporeal septoplasty in patients with crooked noses. It is a retrospective analysis of 30 crooked noses who underwent extracorporeal septoplasty due to gross septal deviation from March 2020 to August 2022. The functional and aesthetic outcomes were evaluated at the end of 12 months. Of 30 cases, partial and total extracorporeal septoplasty was performed in 28 cases and two cases respectively. Neoseptum was reconstructed with septal cartilage in 27 (90%) cases, costal cartilage in one case and conchal cartilage was used in two instances. All the patients had good functional and aesthetic outcomes till 12 months of follow-up, and there were no major intraoperative or postoperative complications. Extracorporeal septoplasty can be an excellent surgical procedure in the highly deviated nasal septum, in Indian noses with a crooked nasal deformity. It provides adequate exposure to the whole septum, ensuring good functional and aesthetic outcomes with minimal complication rate. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Sections du résumé
BACKGROUND
BACKGROUND
In crooked noses, the standard septoplasty is a challenge because of the complex deviation of the septum, where straightening of the cartilage in situ is impossible. Hence, it is required to remove the partial/total septum and later is replaced back after being straightened; the procedure is called partial/total extracorporeal septoplasty. In the present study, we shared our experience of partial extracorporeal septoplasty in patients with crooked noses.
MATERIALS AND METHODS
METHODS
It is a retrospective analysis of 30 crooked noses who underwent extracorporeal septoplasty due to gross septal deviation from March 2020 to August 2022. The functional and aesthetic outcomes were evaluated at the end of 12 months.
RESULTS
RESULTS
Of 30 cases, partial and total extracorporeal septoplasty was performed in 28 cases and two cases respectively. Neoseptum was reconstructed with septal cartilage in 27 (90%) cases, costal cartilage in one case and conchal cartilage was used in two instances. All the patients had good functional and aesthetic outcomes till 12 months of follow-up, and there were no major intraoperative or postoperative complications.
CONCLUSION
CONCLUSIONS
Extracorporeal septoplasty can be an excellent surgical procedure in the highly deviated nasal septum, in Indian noses with a crooked nasal deformity. It provides adequate exposure to the whole septum, ensuring good functional and aesthetic outcomes with minimal complication rate.
LEVEL OF EVIDENCE IV
METHODS
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Identifiants
pubmed: 37605016
doi: 10.1007/s00266-023-03589-4
pii: 10.1007/s00266-023-03589-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.
Références
Gubisch W (1995) The extracorporeal septum plasty: a technique to correct difficult nasal deformities. Plast Reconstr Surg 95(4):672–682
doi: 10.1097/00006534-199504000-00008
pubmed: 7892311
Wright WK (1969) Principles of nasal septum reconstruction. Trans Am Acad Ophthalmol Otolaryngol 73(2):252–255
pubmed: 4890426
King ED, Ashley FL (1952) The correction of the internally and externally deviated nose. Plast Reconstr Surg 10(2):116–120
doi: 10.1097/00006534-195208000-00008
Gubisch W, Constantinescu MA (1999) Refinements in extracor- poral septoplasty. Plast Reconstr Surg 104(4):1131–1142
doi: 10.1097/00006534-199909020-00041
pubmed: 10654757
Gubisch W (2005) Extracorporeal septoplasty for the markedly deviated septum. Arch Facial Plast Surg 7(4):218–226
doi: 10.1001/archfaci.7.4.218
pubmed: 16027341
Senyuva C, Yucel A, Aydin Y, Okur I, Guzel Z (1997) Extracorporeal septoplasty combined with open rhinoplasty. Aesthet Plast Surg 21(4):233–239
doi: 10.1007/s002669900116
Bloom JD, Kaplan SE, Bleier BS, Goldstein SA (2009) Septo- plasty complications: avoidance and management. Otolaryngol Clin North Am 42(3):463–481
doi: 10.1016/j.otc.2009.04.011
pubmed: 19486742
Persichetti P, Toto V, Segreto F, Signoretti M, Marangi GF (2016) Modified extracorporeal septoplasty: functional results at 6-year follow-up. Ann Plast Surg 76(5):504–508
doi: 10.1097/SAP.0000000000000377
pubmed: 25643183
Gode S, Benzer M, Uslu M, Kaya I, Midilli R, Karci B (2018) Outcome of in situ septoplasty and subtotal extracorporeal septal reconstruction crooked noses: a randomized self-controlled study. Ann Plast Surg 42(1):234–243
Lee SB, Jang YJ (2014) Treatment outcomes of extracorporeal septoplasty compared with in situ septal correction in rhinoplasty. JAMA Facial Plast Surg. 16(5):328–334
doi: 10.1001/jamafacial.2014.387
pubmed: 25079613
Senyuva C, Yucel A, Aydin Y, Okur I, Guzel Z (1997) Extracorporeal septoplasty combined with open rhinoplasty. Aesthet Plast Surg. 21(4):233–239
doi: 10.1007/s002669900116
Unsal O, Bozkurt G, Akpinar M, Akova P, Turk B, Coskun BU (2016) Outcomes of open-approach extracorporeal septoplasty without simultaneous rhinoplasty: effects on nasal tip projection and rotation. JAMA Otolaryngol Head Neck Surg 142(10):988–993
doi: 10.1001/jamaoto.2016.1891
pubmed: 27490193
Rezaeian F, Gubisch W, Janku D, Haack S (2016) New suturing techniques to reconstruct the keystone area in extracorporeal septoplasty. Plast Reconstr Surg 138(2):374–382
doi: 10.1097/PRS.0000000000002412
pubmed: 27465161