Extracorporeal septoplasty for nasal correction in complex cases. Results in 16 patients

Conclusiones: La septoplastia extracorpórea es útil en casos difíciles de septorrinoplastia, con escasas complicaciones en nuestra serie.Abstract Objective: Septal deviation is one of the main causes of respiratory nasal insufficiency and external asymmetry. Septorhinoplasty, either open or closed, is sometimes unable to achieve good results, mostly due to a severe deviation of the anterior part of the septum. The results of extracorporeal septoplasty in the management of difficult cases of septonasal deviations are presented. Material and methods: An analysis was performed on 16 consecutive extracorporeal septoplasties. The technique consisted of a complete dissection of bony and cartilaginous septum, followed by complete septal resection and reconstruction «on the table» of a new anterior «L strut». This strut was then sutured to the K area, superior nasal cartilages, and anterior nasal spine. Other rhinoplasty steps were done as necessary. A review is presented of the clinical charts and pre- and post-surgical photographs. Results: Main indicati ons for surgery have been a severely crooked nose (9 cases), followed by nasal sequelae of cleft lip and palate (2 cases). Three patients had a previous septorhinoplasty performed (one of them plus orthognathic surgery). Comminute cartilage fracture was the most common intra-operative finding. All p atients have reported a significant relief of their nasal obstruction, and a clear improvement of their aesthetics. The phot...
Source: Revista Espanola de Cirugia Oral y Maxilofacial - Category: ENT & OMF Source Type: research