Outcome of In Situ Septoplasty and Extracorporeal Subtotal Septal Reconstruction in Crooked Noses: A Randomized Self-Controlled Study

Göde, Sercan; Benzer, Murat; Uslu, Mustafa; Kaya, İsa; Midilli, Raşit; Karci, Bulent

doi:10.1007/s00266-017-0973-1

Cited by 13 publications

(21 citation statements)

References 16 publications

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“…Consistent with the current study results, Gode et al, reported that there was no statistically significant difference in the nasal scores between extracorporeal septoplasty and Insitu groups [27].…”

Section: Discussionsupporting

confidence: 91%

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: 91%

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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“…Fifty-nine articles were selected for a full review with 17 meeting the inclusion criteria. 6-10,12-22 Of the 17 studies selected, 10 studies recorded subjective functional outcome data, four studies provided objective functional outcome data, three studies provided subjective aesthetic outcome data, and six studies provided objective aesthetic outcome data—Table 1. Three studies reported the complication rate with no functional and/or aesthetic outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…Jang et al utilized a 4 tier scale for grading appearance (excellent, good, moderate, or poor) provided by the patient postoperatively, while Gode et al utilized a VAS; nonetheless, both studies showed statistically significant improvement in patients’ aesthetic perception. 7,13 In contrast, Serna et al utilized third-party otolaryngologists to compare preoperative and postoperative photos using a Likert scale (completely straight, almost straight, deviated, very deviated, or severely deviated) and scored all but 5% as improved by at least one step (eg, from deviated to almost straight). 21 Due to the heterogeneity of scoring methods, a meta-analysis was not performed.…”

Section: Resultsmentioning

confidence: 99%

“…4,5 Others limited ECS to a subtotal resection with preservation of the keystone area. 6-9 As the discussion regarding the efficacy, limitations and complications of ECS continued, several groups have published their experiences with this technique. 6-14 In this analysis, we conduct a systematic review of published studies utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines in an attempt to better define both the subjective and objective aesthetic and functional outcomes along with complication rates (eg, saddle-nose deformity) of this aggressive but important technique.…”

Section: Introductionmentioning

confidence: 99%

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Functional and Aesthetic Outcomes of Extracorporeal Septoplasty: A Systematic Review and Meta-Analyses

Bresler

Povolotskiy

Nguyen

et al. 2019

Ann Otol Rhinol Laryngol

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Objective: The safety and efficacy of extracorporeal septoplasty (ECS) has long been debated. Our objective was to determine this technique’s functional and aesthetic outcomes and complications through a systematic review of the literature. Data Sources: PubMed/MEDLINE, Embase, Cochrane Library, and Web of Science databases were evaluated for studies detailing functional or aesthetic outcomes of ECS. Review Methods: Bias was evaluated using the Cochrane Risk of Bias Tool and the Methodological Index for Non-randomized Studies (MINORS) score. Aesthetic and functional outcomes in addition to complications were evaluated using subjective and objective measures. Meta-analyses were performed when appropriate. Results: Seventeen studies encompassing 1418 patients were included. The average MINORS score for observational studies was 9.2. Overall there was a significant improvement in subjective nasal function with a preoperative average Nasal Obstruction Symptom Evaluation (NOSE) score of 75 (±16) decreasing to 19.5 (±16.5) postoperatively for a mean difference (MD) of −55 (95% confidence interval (CI): –60 to −49.5). In terms of objective nasal function, at 6 months postoperatively, there was an improvement of nasal flow measured by rhinometry ranging from 70 to 71% across studies. Anthropometric measurements were utilized for objective aesthetic outcomes. There was a significant improvement in I-shaped deviations (MD: –2.7°, 95% CI: –5.6 to −0.16) and C-shaped deviations improved by 11.9° (95% CI +2.8-+21.2). Complication rates ranged from 0 to 18%. Conclusion: ECS can achieve significant improvements in the subjective and objective function of the nose. The associated complication rate is low but variable between surgeons.

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“…The complete cartilaginous and bony septum was then excised along its superior border except for the remaining few millimeters of the dorsal strip at the keystone area and removed in 1 piece if possible. 5 Several technical options were used to create a straight septal plate which needs usually the dimensions of 30 mm. in horizontal and 18-20 mm.…”

Section: Operative Procedures Group A: It Included 30 Patients Subjecmentioning

confidence: 99%

Endonasal endoscopic assisted extracorporeal septoplasty in aesthetic reconstruction of crooked nose

El-Banhawy¹,

Elshafy²,

Atala³

et al. 2018

JOENTR

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Submit Manuscript | http://medcraveonline.com Exclusion criteriai. Patients aged less than 18 years and greater than 50 years.ii. Patients with coexisting debilitating diseases, major systemic disease or facial asymmetry. AbstractObjectives: To describe the technique of endonasal endoscopic assisted extracorporeal septoplasty (ECS)/septorhinoplasty and its comparison to ECS/septorhinoplasty via open approach in crooked nose.Methods: This is a prospective comparative study was conducted on 60 patients suffering from crooked nose and septal deviation of different etiologies between November 2015 and January 2018. Patients were randomly equally divided in 2 groups A and B. Group A underwent endonasal endoscopic assisted ECS/septorhinoplasty and Group B subjected to ECS/septorhinoplasty with open approach. Patient satisfaction was assessed using subjective evaluation of the nasal patency by Nasal Obstruction Symptom Evaluation (NOSE) scale. Anthropometric changes were assessed from preoperative and postoperative facial photographs. Results:The ECS through endonasal endoscopic assisted approach and in open septorhinoplasty techniques proved to be functionally effective and obtained reasonable straight nasal septum and aesthetic outcome at follow-up in all cases included in the current study. In group A: 24 patients (89%) were satisfied with the cosmetic outcome, and all 23 patients with moderate to severe nasal obstruction were satisfied with the postoperative improved nasal breathing. Conclusion:The technique of ECS through endonasal endoscopic assisted approach provided the structural support without destabilizing the keystone area. Sutures the replanted quadrangular cartilage to the fibrous tissue in the area of the nasal spine under direct endoscopic visualization was easy to perform and effective fixation technique. The present study had some limitations. The study involved a relatively small number of patients, a relatively short follow-up period and an ambiguous indication for ECS. Citation: El-Banhawy MO, Elshafy IAA, Atala AT, et al. Endonasal endoscopic assisted extracorporeal septoplasty in aesthetic reconstruction of crooked nose. J Otolaryngol ENT Res. 2018;10(2):92-99.

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Outcome of In Situ Septoplasty and Extracorporeal Subtotal Septal Reconstruction in Crooked Noses: A Randomized Self-Controlled Study

Abstract: 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 .

Cited by 13 publications

References 16 publications

Versatile Applications of Different Septal Correction Techniques in Rhinoplasty

Versatile Applications of Different Septal Correction Techniques in Rhinoplasty

Functional and Aesthetic Outcomes of Extracorporeal Septoplasty: A Systematic Review and Meta-Analyses

Endonasal endoscopic assisted extracorporeal septoplasty in aesthetic reconstruction of crooked nose

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