Septoplasty: Correcting the Nasal Valve

Urquhart, Andrew C.; Bersalona, Fernando

doi:10.1097/00005537-199704000-00020

Cited by 7 publications

(5 citation statements)

References 2 publications

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“…In selected cases of sharply bent anterior septal deviation, the technique of scoring, splinting, and suturing achieves stability as well. A straight septum is important for unimpaired nasal valve function, 11 and if material is missing, replacement is required. 12 In any case, the goal is creating bilateral symmetrical cross sections in the nasal valve area.…”

Section: Discussionmentioning

confidence: 99%

Nasal Valves-Importance and Surgical Procedures

Fischer

Gubisch

2006

Facial plast Surg

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One of the most difficult aspects in rhinoplasty is resolving and preventing functional compromise of the nasal valve area reliably. The nasal valves are crucial for the individual breathing competence of the nose. Structural and functional elements contribute to this complex system: the nasolabial angle, the configuration and stability of the alae, the function of the internal nasal valve, the anterior septum symmetrically separating the bilateral airways and giving structural and functional support to the alar cartilage complex and to their junction with the upper lateral cartilages, the scroll area. Subsequently, the open angle between septum and sidewalls is important for sufficient airflow as well as the position and function of the head of the turbinates. The clinical examination of these elements is described. Surgical techniques are more or less well known and demonstrated with patient examples and drawings: anterior septoplasty, reconstruction of tip and dorsum support by septal extension grafts and septal replacement, tip suspension and lateral crural sliding technique, spreader grafts and suture techniques, splay grafts, alar batten grafts, lateral crural extension grafts, and lateral alar suspension. The numerous literature is reviewed.

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Section: Discussionmentioning

confidence: 99%

Nasal Valves-Importance and Surgical Procedures

Fischer

Gubisch

2006

Facial plast Surg

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“…Previous authors have described their operative technique [2][3][4][5] inferring that only one approach is necessary for all septal deviations. Others have tried to classify all septal deviations and suggest operative strategies to apply to these cases.…”

Section: Introductionmentioning

confidence: 99%

“…Others have tried to classify all septal deviations and suggest operative strategies to apply to these cases. 6,7 Different techniques for re-shaping bent sections of cartilage include morselization 5,8,9 or incising cartilage in various ways. [10][11][12] The possibility of laser re-shaping has been explored, 13,14 but is yet to nd its way into clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Principles of septal correction

2004

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The operation of septoplasty is often given to junior surgeons to perform and dismissed as a simple procedure. This can lead to unsatisfactory results with unnecessary morbidity for the patient and disillusionment for the surgeon. Trainee surgeons feel that the operation of septoplasty is poorly taught. Some common problems encountered during septal surgery are described and a variety of surgical solutions are offered. Key words: Nasal Septum; Surgical Procedures, Operative IntroductionThe septoplasty technique is on the curriculum to be taught and undertaken in the UK in the rst year as a specialist registrar in otolaryngology and it is often dismissed as a simple procedure. According to trainees septoplasty is poorly taught and should not be considered as a simple procedure in which one operation ts all.1 The competent septal surgeon should have a range of techniques at their disposal to get the best operative result.Previous authors have described their operative technique 2-5 inferring that only one approach is necessary for all septal deviations. Others have tried to classify all septal deviations and suggest operative strategies to apply to these cases.

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“…Endonasal devices that could theoretically interfere with nasal physiology because they are in contact with the mucosa 1,2 are, at present, frequently employed during nasal surgical procedures; in particular, endonasal paraseptal splints made in fluoroplastic (Teflon) are widely applied in rhinosurgery, 3,4 since they permit stabilization of the septum, 5 avoid subperichondral and subperiostal hematoma collection, and also avoid cicatricial synechias between adjacent mucosal walls. 4,6 G/M septo-valvular splints (G/M-SVS) possess an intrinsic dynamic force at the folding line of the wing (Figs 1-3) that represents a new concept in postoperative internal nasal devices 7 ; besides, they support the triangular cartilage, drive the cicatrization process of the anterior nasal valve region, [8][9][10][11] and perform a centrage action on the quadrangular cartilage (see Tables 1 and 2).…”

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confidence: 99%

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confidence: 99%