Versatile Applications of Different Septal Correction Techniques in Rhinoplasty | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Article 6, Volume 44, Issue 3, July 2020, Page 431-438 PDF (16.14 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2020.122299 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Ahmed El Sherifa* ; Mohamed Hassan El Fahar; Mohamed El Hadidy; Ahmed Mohamed Bahaa El DIn; Tarek Ahmed Zahra | ||||
| The Department of Plastic Surgery, Faculty of Medicine, Mansoura University | ||||
| Abstract | ||||
| Nasal obstruction due to septal deviation is a common problem. In addition to the functional problem it may cause an aesthetic deformity. Several septal correction techniques have been evolved over the years either through open or the endoscopic approaches. Beside the classic Insitu septal correction techniques; extracorporeal septoplasty represents an effective tool in the management of severely deviated septum. The internal nasal valves are the narrowest part of the upper airway system. Their reconstruction is very essential step for a successful functional outcome. In the current study, the authors compared between two groups of patients. The first group was the extracorporeal septoplasty and the second group < br />was the Insitu septoplasty. In both groups; they used spreader grafts for the internal valve reconstruction. The procedure then was conducted with the same essential steps of rhinoplasty according to each case individually. A validated subjective score for functional assessment of the improvement (NOSE) was used. NOSE score was used for subjective assessment of the results before and 6 months after the procedure. Statistically, results were nearly the same between the two groups after 6 months. The authors concluded that both techniques were effective in the management of moderate to severe septal deviation provided that the internal valve was constructed with spreader grafts. | ||||
| Keywords | ||||
| Extracorporeal; Spreader grafts; Insitu Septoplasty | ||||
| References | ||||
|
1- Barıs Cakır, Teoman Dog˘an, Ali Rıza Orerog˘lu and Rollin K. Daniel: Rhinoplasty: Surface Aesthetics and Surgical Techniques. Aesthetic Surgery Journal, 33: 363-375, 2013. 2- https://www.plasticsurgery.org/documents/News/ Statistics/ 2018/plastic-surgery-statistics-full-report-2018.pdf. Page 7 Accessed June 20, 2019. 3- Heppt W. and Gubisch W.: Septal surgery in rhinoplasty. Facial Plastic Surgery, 27: 167-178, 2011. 4- Yiqiao Wang and James P. Bonaparte: Diagnosis and management of septal deviation and nasal valve collapsea survey of Canadian otolaryngologists Journal of Otolaryngology - Head and Neck Surgery, 48: 71, 2019. 5- Cho G.S. and Jang Y.J.: Deviated nose correction: Different outcomes according to the deviation type, The Laryngoscope, 123 (5): 1136-1142, 2013. 6- Artur Gevorgyan and Oakley Smith: Correcting a Bent Septum by a K-Wire Stabilization During an Extracorporeal Septal Reconstruction. Aesth. Plast. Surg., 37: 698- 703, 2013. 7- Persichetti P., Toto V., Marangi G.F. and Poccia I.: Modified Extracorporeal Septoplasty: Functional, Results at 6 years follow-up. Head and Neck Surgery, 5: 504-508, 2016. 8- Song H.M., Kim J.S., Lee B.J. and Jang Y.J.: Deviated nose cartilaginous dorsum correction using a dorsal Lstrut cutting and suture technique. The Laryngoscope, 6: 1-986, 2008. 9- Kim J.H., Kim D.Y. and Jang Y.J.: Outcomes after endonasal septoplasty using caudal septal batten grafting. American Journal of Rhinology & Allergy, 4166-1, 2011. 10- King E.D. and Ashley F.L.: The correction of the internally and externally deviated nose. Plast. Reconstr. Surg., 10 (2): 116-120, 1952. 11- Gubisch W.: Extracorporeal septoplasty for the markedly deviated septum. Arch. Facial Plastic Surgery, 7: 218- 226, 2005. 12- Persichetti P., Toto V., Marangi G.F., et al.: Extracorporeal septoplasty: Functional results of a modified technique. Annals of Plastic Surg., 69: 232-239, 2012. 13- Gubisch W.: Twenty-five years experience with extracorporeal septoplasty. Facial Plastic Surgery, 2: 230-239, 2006. 14- Tasca I., Ceroni Compadretti G. and Sorace F.: Nasal valve surgery. Acta. Otorhinolaryngolica Italica, 33: 196- 201, 2013. 15- Wittkopf M., Wittkopf J. and Ries W.R.: The diagnosis and treatment of nasal valve collapse. Curr. Opin. Otolaryngol. Head Neck Surg., 16 (1): 10-3, 2008. 16- Fischer H. and Gubisch W.: Nasal valves-importance and surgical procedures. Facial Plastic Surgery, 22: 266-280, 2006. 17- Kohsh M.M., Jen A., Honrado C., et al.: Nasal valve reconstruction: Experience in 53 consecutive patients. Arch. Facial Plastic Surgery, 6: 167-171, 2004. 18- Stewart M.G., Wit Sell D.L. and Smith T.L.: Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) Scale. Otolaryngology-Head and Neck Surgery, 130: 157-163, 2004. 19- Thomas Yu Xia, Ayesha Punjabi, Jessica Hyejin Oh, Corinne Wee and Bahman Guyuron: Updated Dynamics of Rhinoplasty: A Review of the Literature and Comprehensive List of the Findings. Aesth. Plast. Surg., 2020. 20- Sam P. Most and Shannon F. Rudy: Septoplasty Basic and Advanced Techniques. Facial Plast. Surg. Clin. N. Am., 1-9, 2017. 21- Matt A. Wilson and Steven R. Mobley: Extracorporeal 438 Vol. 44, No. 3 / Versatile Applications of Different Septal Correction Techniques in Rhinoplasty Septoplasty Complications and New Techniques. Arch. Facial Plast. Surg., (13): 85-90, 2011. 22- L. Somu, Prasanna Kumar Saravanam, A. Ravi Kumar, Urvashi S., Prem Nivas, Gokul An and M.S.: Extracorporeal Septoplasty Using Polydioxanone Plates v/s. Conventional Septoplasty in Management of Difficult Septum. Evolution of Medical and Dental Sciences, 4 (73): 12742- 12753, 2015. 23- Omer Faruk Kocak and Ufuk Düzenli: Assessment of Vertical Triangular Spreader Graft Technique for Reconstruction of Middle Vault and Internal Nasal Valve Angle. The Journal of Craniofacial Surgery, 29: 2096-2100, 2018. 24- Hardy K.L., Davis K.E., Constantine R.S., et al.: The impact of operative time on complications after plastic surgery: A multivariate regression analysis of 1753 cases. Aesthet. Surg. J., 34: 614-22, 2014. 25- Lee S.B. and Jang Y.J.: Treatment Outcomes of Extracorporeal Septoplasty Compared With In Situ Septal Correction in Rhinoplasty. JAMA Facial Plast. Sur., 16 (5): 328- 334, 2014. 26- Gubisch W.: The extracorporeal septum plasty: A technique to correct difficult nasal deformities. Plast. Reconstr. Surg., 95: 672-682, 1995. 27- Gode S., Benzer M., Uslu M., et al.: Outcome of In Situ Septoplasty and Extracorporeal Subtotal Septal Reconstruction in Crooked Noses: A Randomized Self-Controlled Study. Aesth. Plast. Surg., 42: 234-243, 2018. 28- Senyuva C., Yucel A., Aydin Y., Okur I. and Guzel Z.: Extracorporeal septoplasty combined with open rhinoplasty. Aesthetic Plast. Surg., 21: 233-239, 1997. 29. D'Andrea F., Brongo S. and Rubino C.: Extracorporeal septoplasty with paramarginal incision. Scand J. Plast. Reconstr. Surg. Hand Surg., 35: 293-296, 2001. 30- Karamese M., Akda O., Akatekin A., Koplay T.G., Koplay M. and Tosun Z.: Extracorporeal Septoplasty Combined With Valve Surgery in Rhinoplasty Patients. Annals of Plastic Surgery, 12: 1-7, 2017. | ||||
|
Statistics Article View: 202 PDF Download: 597 |
||||
