Septal Cartilage Traction Suture Technique for Correction of Caudal Septal Deviation

2020 ◽  
Vol 130 (12) ◽  
Author(s):  
Hyo‐Seok Seo ◽  
Han‐Seul Na ◽  
Sung‐Dong Kim ◽  
Keun‐Ik Yi ◽  
Sue‐Jean Mun ◽  
...  
Keyword(s):  
Septal Cartilage ◽  
Suture Technique ◽  
Septal Deviation ◽  
Traction Suture

Traction suture technique of the pericardium to suspend the heart for excellent exposure in abdominal-transhiatal approach

Esophagus ◽  
2010 ◽  
Vol 7 (1) ◽  
pp. 71-74
Author(s):  
Yasushi Rino ◽  
Munetaka Masuda ◽  
Norio Yukawa ◽  
Hitoshi Murakami ◽  
Ken Takata ◽  
...  
Keyword(s):  
Suture Technique ◽  
Transhiatal Approach ◽  
Traction Suture

Modified Mattress Suture Technique to Correct Anterior Septal Deviation

2004 ◽  
pp. 1436-1441 ◽  
Author(s):  
Luis T. Calder??n-Cu??llar ◽  
Benjam??n Trujillo-Hern??ndez ◽  
Clemente V??squez ◽  
Javier Padilla-Acero ◽  
H??ctor Cisneros-Preciado
Keyword(s):  
Suture Technique ◽  
Septal Deviation ◽  
Mattress Suture

Caudal Septal Division and Interposition Batten Graft: A Novel Technique to Correct Caudal Septal Deviation in Septoplasty

2019 ◽  
Vol 128 (12) ◽  
pp. 1158-1164 ◽  
Author(s):  
Shin Ae Kim ◽  
Yong Ju Jang
Keyword(s):  
Postoperative Complications ◽  
Nasal Obstruction ◽  
Surgical Outcomes ◽  
Septal Cartilage ◽  
Septal Deviation ◽  
Surgical Approaches ◽  
Symptom Improvement ◽  
Level Of Evidence ◽  
Novel Technique ◽  
Evaluation Scores

Background: Correction of caudal septal deviation is a challenging task that may require multiple surgical approaches. Objective: To introduce a novel technique – caudal septal division and interposition batten graft – and evaluate its surgical outcomes in patients undergoing correction of caudal septal deviation. Method: The surgical procedure includes a division of the deviated caudal L-strut preserved after resection of the deviated quadrangular septal cartilage at the central portion. A batten graft made of septal cartilage or bone is interposed between the cut ends of the caudal L-strut, the upper part of which mobilized toward the more concave side of the nasal cavity, and then sutured. The medical records of 29 patients with caudal septal deviation who underwent septoplasty using caudal L-strut division and interposition batten graft technique between January 2016 and March 2018 were retrospectively reviewed. Patient satisfaction and symptom improvement were evaluated by using the Nasal Obstruction Symptoms Evaluation scores. Endoscopic assessment of deviation correction was performed and postoperative complications were analyzed. Results: Of the 29 patients, 19 (65.5%) answered the telephonic interview. Mean Nasal Obstruction Symptoms Evaluation scores were 62.1 preoperatively and 9.2 postoperatively, exhibiting significant improvement ( P < .001). Satisfaction was rated as much improved in 9 (32.0%) patients, improved in 16 (57.0%), unchanged in 2 (7%), and worse in 1 (4%). Records of endoscopic examinations showed that 26 (82.9%) patients had a straight septum, 4 (11.4%) had improved but persisting caudal deviation, and 2 (5.7%) had no available data. Four patients had postoperative complications: 2 had septal abscesses, 1 had wound dehiscence, and 1 had synechia. All of these complications were managed without persistent problems. Conclusions: Caudal septal division and interposition batten graft can serve as an alternative surgical approach with acceptable surgical outcomes for managing severely deviated caudal septum. Level of evidence: 4

Role of the Sphenoidal Process of the Septal Cartilage in the Development of Septal Deviation

2011 ◽  
Vol 146 (1) ◽  
pp. 151-155 ◽  
Author(s):  
Joohwan Kim ◽  
Sung Won Kim ◽  
Soo Whan Kim ◽  
Jin Hee Cho ◽  
Yong Jin Park
Keyword(s):  
Septal Cartilage ◽  
Septal Deviation

scholarly journals Horizontal dorsal resection of a crooked septum in septoplasty

2021 ◽  
Author(s):  
상만 박 ◽  
Hyun Jong Jeon ◽  
Hyun Soo Lee ◽  
Jae Woo Lee ◽  
Eun Jung Lee ◽  
...  
Keyword(s):  
Medical Records ◽  
Suture Technique ◽  
Septal Deviation ◽  
Lateral Cartilage ◽  
Septal Perforation ◽  
Analog Scale ◽  
Anatomic Site ◽  
Subjective Satisfaction ◽  
Upper Lateral Cartilage

Objective: There are several types of septal deviation, including horizontal, vertical, C-shaped, S-shaped, and high deviation. One of the most difficult of these types to correct is the crooked dorsal septum, which attaches to the upper lateral cartilage and causes a high septal deviation. We propose a method for horizontal dorsal resection of a crooked septum using a mucosal through-and-through suture technique for the correction of high septal deviation. Design and setting: The medical records of 30 patients (27 men) who underwent septoplasty by one author of this study from 2019 to 2020 at our institute were reviewed prospectively. The median follow-up was 11 months (range, 4–16 months). All patients underwent a horizontal dorsal septal cartilaginous resection with mucosal through-and-through suture. Data were collected on demographics, symptoms, anatomic site of deviation, and postoperative complications. Patient self-satisfaction scores were subjectively graded using a visual analog scale ranging from 0 (excellent) to 10 (poor). Results: One surgeon performed each septoplasty using the same method; 2 (6.7%) patients underwent additional valvuloplasty. The median scores in subjective satisfaction for the 30 patients were 8.4±1.22 before surgery and 2.07±1.26 after surgery (p<0.05). Furthermore, no patient experienced a saddle deformity, septal hematoma, septal perforation, or loss of nasal tip support during follow-up. Conclusions: After horizontal dorsal resection from the upper lateral cartilage during septoplasty, the patients experienced no stability problems. This suggests that this surgical technique is a safe and effective method for correcting high deviation due to a crooked dorsal septum.

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