Difficult septal deviation cases: open or closed technique?

Eliçora, Sultan Şevik; Erdem, Duygu; Işık, Hüseyin; Damar, Murat; Dinç, Aykut Erdem

doi:10.1016/j.bjorl.2016.03.015

Cited by 5 publications

(5 citation statements)

References 11 publications

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“…The correction of C-or S-shaped deviated cartilage is difficult, especially in cases with a high deviation. 6) Moreover, if a deviation near the keystone area is removed excessively, the surgeon faces issues due to lack of stability of structures supporting the septum. Therefore, the complete correction of cartilage with high deviation is sometimes difficult.…”

Section: Resultsmentioning

confidence: 99%

Horizontal Dorsal Septal Incision for High Deviation Correction During Septoplasty

Ku¹,

Lee²,

Park³

et al. 2022

Korean J Otorhinolaryngol-Head Neck Surg

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When performing septoplasty in patients with a high deviation of the nasal septum, effective correction is difficult and postoperative complications such as a saddle nose may result if the bone or cartilage is removed inordinately. Although several surgical techniques have been introduced, some are difficult to apply easily. Furthermore, the deviation may persist despite the application of surgical techniques due to the rebound memory of the remaining cartilage. This study aimed to describe a simple and safe surgical technique for crooked nasal septa with a high deviation. This method using horizontal dorsal septal incision allows easy separation of the highly deviated portion from the upper lateral cartilage. Furthermore, it is less traumatic than other methods, and predictably preserves the keystone area.

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Section: Resultsmentioning

confidence: 99%

Horizontal Dorsal Septal Incision for High Deviation Correction During Septoplasty

Ku¹,

Lee²,

Park³

et al. 2022

Korean J Otorhinolaryngol-Head Neck Surg

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show abstract

“…Nonetheless, these techniques need an open approach which takes more time and adds the burden of a columellar incision scar, making it difficult to apply unless accompanied by a deviated nose 11 . In a study comparing results of open and closed septoplasty, NOSE scale scores showed better improvement in open septoplasty but without statistical significance 12 …”

Section: Discussionmentioning

confidence: 99%

“… 11 In a study comparing results of open and closed septoplasty, NOSE scale scores showed better improvement in open septoplasty but without statistical significance. 12 …”

Section: Discussionmentioning

confidence: 99%

“…In general, deviation of the L‐strut of the nasal septum is more challenging to correct than the middle and has less favorable results 2 . There are various techniques to correct the L‐strut, but there is no clear choice 3‐15 …”

Section: Introductionmentioning

confidence: 99%

“… 2 There are various techniques to correct the L‐strut, but there is no clear choice. 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 …”

Section: Introductionmentioning

confidence: 99%

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A novel surgical technique to correct caudal and high dorsal septal deviations: L‐shape cutting and suturing on the septal L‐strut (L‐septoplasty)

Lee

Kim

et al. 2021

Laryngoscope Investig Oto

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Objectives In general, deviation of the L‐strut of the nasal septum is more challenging to correct than the middle and has less favorable results. This study aimed to develop a technique to correct the L‐strut while preserving nasal support effectively and introduce the L‐septoplasty technique and its effects. Methods Patients with caudal and high dorsal septal deviations who underwent the L‐septoplasty technique were retrospectively analyzed. Preoperative and three‐month postoperative comparative assessments included the Nasal Obstruction Symptom Evaluation (NOSE) scale and minimal cross‐sectional area (MCA). Results Thirty patients seen at a tertiary care center were included. NOSE scale scores improved from 47.2 to 13.6, which was statistically significant (P < .001). MCA increased from 0.43 cm2 to 0.74 cm2 (P < .001). During the 3‐month follow‐up period, deviation correction was well maintained in all patients, and no surgical complications, such as saddle nose deformity, occurred. Conclusion The L‐septoplasty technique is effective in simultaneously correcting caudal and high dorsal septal deviations without any complications. Level of evidence 4.

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Functional Results of a Modified Extracorporeal Septoplasty With Open Access

Marangi

Segreto

Signoretti

et al. 2018

Annals of Plastic Surgery

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Difficult septal deviation cases: open or closed technique?

Abstract: ENS is as successful as the OTS in management difficult septal deviation cases. In patients with severe septal deformities type of the surgical technique should be selected according to the surgeon's experience and the patient's preference.

Cited by 5 publications

References 11 publications

Horizontal Dorsal Septal Incision for High Deviation Correction During Septoplasty

Horizontal Dorsal Septal Incision for High Deviation Correction During Septoplasty

A novel surgical technique to correct caudal and high dorsal septal deviations: L‐shape cutting and suturing on the septal L‐strut (L‐septoplasty)

Functional Results of a Modified Extracorporeal Septoplasty With Open Access

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