Extracorporeal Septoplasty Combined With Valve Surgery in Rhinoplasty Patients

Karameşe, Mehtap; Akdağ, Osman; Akatekin, Ahmet; Koplay, Tuğba Gün; Koplay, Mustafa; Tosun, Zekeriya

doi:10.1097/sap.0000000000000213

Cited by 6 publications

(9 citation statements)

References 21 publications

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“…As regard complications, there were no significant complications to report. The same incidence of complications have been reported in similar studies including; Karamese et al, There were only 3 cases of unilateral persistent obstruction due to inferior turbinate hypertrophy that was corrected by doing turbinectomy [30].…”

Section: Discussionsupporting

confidence: 74%

Versatile Applications of Different Septal Correction Techniques in Rhinoplasty

Sherifa

Fahar

Hadidy

et al. 2020

The Egyptian Journal of Plastic and Reconstructive Surgery

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Section: Discussionsupporting

confidence: 74%

Versatile Applications of Different Septal Correction Techniques in Rhinoplasty

Sherifa

Fahar

Hadidy

et al. 2020

The Egyptian Journal of Plastic and Reconstructive Surgery

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“…Of 31 studies, all studies except 1 randomized clinical trial (3.2%) were observational in nature, with 21 retrospective studies (67.7%) and 9 prospective studies (29.0%). Conventional ECS was performed in 16 studies (51.6%), 20,22,24,25,[35][36][37][38][39][40][41][42][43][44][45][46] while the other 15 (48.4%) were modific ations of this technique, 21,26,27,[30][31][32][33][34][47][48][49][50][51][52][53] although heterogeneity of each technique used for every study was present. Sample size varied from 10 to 567, and the mean age varied from 22.5 to 46 years (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Of the included 31 studies, methodologically, 14 (45.2%) were considered to be good, 11 (35.5%) were considered poor, and 6 (19.3%) were considered fair (eTable 2 in the Supplement).…”

Section: Resultsmentioning

confidence: 99%

“…Of the 11 studies (35.5%) 20,22,24,25,35,38,39,41,42,44,46 reporting complications of conventional ECS (pooled n = 990, only including groups of interest), there were 9 infections (0.90%), 6 bleeding events (0.60%), 59 nasal dorsal irregularities (6.0%), 2 other cosmetic complications (0.20%), and 21 other functional complications (2.1%). Of 7 studies (22.6%) 22,25,35,[40][41][42][43] reporting…”

Section: Risks Of Complications or Revision Surgerymentioning

confidence: 99%

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Outcomes of Extracorporeal Septoplasty and Its Modifications in Treatment of Severe L-Strut Septal Deviation

Spataro

Saltychev

Kandathil

et al. 2019

JAMA Facial Plast Surg

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IMPORTANCE While extracorporeal septoplasty (ECS) and its modifications have been previously studied, to our knowledge, no systematic review of surgical outcomes and complications of this technique has been performed. OBJECTIVE To evaluate the evidence of surgical outcomes and complications of ECS (including modified techniques) to treat severe L-strut septal deviation defined as deviation within 1.0 cm of the caudal or dorsal septum.DATA SOURCES MEDLINE, Embase, CINAHL, CENTRAL, Scopus, and Web of Science databases and reference lists were searched from inception to April 2018 for clinical and observational studies. Search terms included extracorporeal, septoplasty, and septum.STUDY SELECTION Selection criteria were defined according to the population, intervention, comparison, and outcome framework. Relevant studies were selected by 2 independent reviewers based on abstracts and full texts.DATA EXTRACTION AND SYNTHESIS Data were extracted using standardized lists chosen by the authors according to Cochrane Collaboration guidelines. Data were collected and synthesized with ranges reported, as well as assessment of bias and heterogeneity when applicable. Analysis started in February 2019. MAIN OUTCOMES AND MEASURESOutcomes assessed included functional nasal airway improvement by objective measurements and subjective measurements (Nasal Obstruction Symptom Evaluation [NOSE] and visual analog scale scores); complications including bleeding, infection, dorsal irregularities, and other functional or cosmetic deficits; and as revision surgery rates. RESULTSOf 291 records initially obtained, 31 were considered relevant after review according to PRISMA guidelines. All studies except 1 randomized clinical trial (3.2%) were observational in nature, with 21 retrospective studies (67.7%) and 9 prospective studies (29.0%). Conventional ECS was performed in 16 studies (51.6%), and modified ECS was performed in 15 studies (48.4%). The sample size varied from 10 to 567, and the mean age varied from 22.5 to 46 years. Of 31 studies, 14 (45%) were of good methodology. Meta-analysis was performed on 5 studies reporting change in NOSE scores, with pooled effect of −60.0 (95% CI, −67.8 to −52.2) points, but heterogeneity was high, with I 2 = 96%. When comparing complications between modified and conventional ECS, the relative risk for infections was 0.95 (95% CI, 0.34-2.7); for bleeding, 0; for nasal dorsal irregularities, 0.29 (95% CI, 0.16-0.53); for other cosmetic complications, 4.3 (95% CI, 0.87-21.1); for other functional complications, 0.47 (95% CI, 0.20-1.1); and for revision operations, 1.4 (95% CI, 0.83-2.3). CONCLUSIONS AND RELEVANCEOf the 31 studies included in this systematic review, less than half were of good methodology, and a significant level of heterogeneity was found regarding type of outcome measure used and reporting of complications. To improve the level of evidence, better study methodology, standardization of surgical outcomes measures, and reporting of complications are needed.

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“…Broken and deformed parts are excised and omitted in a way that a heavy strong L strut remains or is reconstructed. This newly formed septum is placed back inside the nose and tightly fixed to the bony vault and upper lateral cartilages [44][45][46][47]…”

Section: Complicated Septal Deformitiesmentioning

confidence: 99%

Advanced Rhinoplasty: Problems and Solutions

Varedi¹

2015

A Textbook of Advanced Oral and Maxillofacial Surgery Volume 2

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A tip spanning suture is a mattress suture that is used on each dome area to refine the angle between lateral crura and medial crura cartilages (Figure 1).This suture has been shown to increase tip projection. 2. Cap graft: Cap graft is a small piece of cartilage that is precisely formed and trimmed and fixed over the cartilaginous tip (Figure 2). The main indication of this graft is necessity to form and refine the tip; though this graft slightly increases tip projection in this technique. 3. Shield graft (Sheen graft): The shield graft is the only technique that may arbitrarily add to tip projection. A usual approach is to prepare and fix a bigger piece of cartilage. This

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Extracorporeal Septoplasty Combined With Valve Surgery in Rhinoplasty Patients

Cited by 6 publications

References 21 publications

Versatile Applications of Different Septal Correction Techniques in Rhinoplasty

Versatile Applications of Different Septal Correction Techniques in Rhinoplasty

Outcomes of Extracorporeal Septoplasty and Its Modifications in Treatment of Severe L-Strut Septal Deviation

Advanced Rhinoplasty: Problems and Solutions

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