Anatomy and Development of the Nasal Septum in Relation to Septal Surgery in Children

2005 ◽  
pp. 127-145 ◽  
Author(s):  
Carel Verwoerd ◽  
Henriette Verwoerd-Verhoef
Keyword(s):  
Nasal Septum ◽  
Septal Surgery

Comparative Study between Endoscopic Aided Septoplasty with Two Handed Technique using Endoholder and Conventional Septoplasty

2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Apar Pokharel ◽  
Naganawalachullu Jaya Prakash Mayya ◽  
Nabin Gautam
Keyword(s):  
Comparative Study ◽  
Nasal Septum ◽  
Deviated Nasal Septum ◽  
Endoscopic Septoplasty ◽  
Septal Surgery ◽  
Significant Difference ◽  
Common Causes ◽  
Prospective Comparative Study ◽  
Evolutionary Step ◽  
One Year

Introduction: Deviated nasal septum is one of the most common causes for the nasal obstruction. The objective of this study is to compare the surgical outcomes in patients undergoing conventional septoplasty and endoscopic septoplasty in the management of deviated nasal septum. Methods:  Prospective comparative study was conducted on 60 patients who presented to the Department of ENT, College of Medical sciences, during a period of one year. The severity of the symptoms was subjectively assessed using NOSE score and objectively assessed using modified Gertner plate. Results: There was significant improvement in functional outcome like NOSE Score and area over the Gertner plate among patients who underwent endoscopic septoplasty. Significant difference in incidence of post-operative nasal synechae and haemorrhage was seen in conventional group compared to endoscopic group. Conclusions: Endoscopic surgery is an evolutionary step towards solving the problems related to deviated nasal septum. It is safe, effective and conservative, alternative to conventional septal surgery.

Posterior prolongation of the cartilaginous nasal septum: an under-utilised source of autologous graft material

2012 ◽  
Vol 127 (S1) ◽  
pp. S21-S25
Author(s):  
P S Phillips ◽  
R J Harvey ◽  
R Sacks ◽  
D Chin ◽  
G N Marcells
Keyword(s):  
Computed Tomography ◽  
Nasal Septum ◽  
Septal Cartilage ◽  
Nasal Reconstruction ◽  
Graft Material ◽  
Length Standard ◽  
Septal Surgery ◽  
Mean Width ◽  
Good Cosmesis ◽  
Autologous Grafts

AbstractAim:To assess the clinical and radiological characteristics of the posterior prolongation of the cartilaginous nasal septum, an under-utilised source of autologous cartilage for nasal reconstruction.Materials and methods:Consecutive patients undergoing primary, external approach rhinoplasty were included. The septal cartilage was assessed intra-operatively prior to routine harvest. Cartilage use was recorded and post-operative cosmesis noted. Computed tomography scans from a separate patient group, with no septal surgery, were used to assess septal cartilage dimensions.Results:Of the 25 rhinoplasty patients studied, 24 had harvestable septal cartilage, with a posterior prolongation mean length ± standard deviation of 24.3 ± 8.40 mm, mean height of 4.33 ± 0.34 mm and mean width of 1.1 ± 0.35 mm. The mean post-operative cosmesis score was +2.41 ± 0.71 at a mean follow up of 45 ± 8.7 weeks. All 25 radiology patients had visible posterior prolongations on computed tomography (mean length, 18.1 ± 5.1 mm; mean height, 4.2 ± 1.1 mm; mean width 1.5 ± 0.63 mm).Conclusion:Harvesting of the posterior prolongation would increase by 25 per cent the cartilage area available for autologous grafts. Endoscopic guidance aids this process. Cartilage is most commonly used for overlay grafts, with good cosmesis. The posterior prolongation is demonstrated on computed tomography, although dimensions may be underestimated.

Septoplasty in Pediatric Population: A Ten Years' Experience

2020 ◽  
Vol 5 (2) ◽  
pp. 1040-1044
Author(s):  
Krishna Prasad Koirala
Keyword(s):  
Nasal Septum ◽  
Residual Disease ◽  
Pediatric Population ◽  
Adult Population ◽  
Septal Deviation ◽  
Facial Growth ◽  
Nasal Breathing ◽  
Deviated Nasal Septum ◽  
Female Ratio ◽  
Septal Surgery

Introduction: Septoplasty is a commonly performed surgical procedure worldwide in otorhinolaryngology. Septoplasty aims to correct the deviated nasal septum at the midline thereby opening the nasal airway in patients with long standing nasal obstruction secondary to septal deviation. Nasal breathing is important for proper facial growth and improvement of quality of life in children. Most surgeons are still reluctant to perform septoplasty in children. But septoplasty should be performed in children if there are severe breathing problems related to septal deviation. Objectives: The objectives of this study were to identify the incidence of children presenting with symptomatic nasal septal deviation and to analyze the early outcomes of septal surgery in children with regard to improvement in nasal symptoms, residual disease and need for revision surgery. Methodology: Children less than seventeen years of age who underwent septoplasty for symptomatic DNS from 1st January 2009 to 31st December 2018 were enrolled in the study. Patients having the follow up record of at least 6 months after surgery were included in the final analysis. Results: There were 37 male and 13 female children enrolled in the study. Male to female ratio was 2.84:1.Majority of children in the study were of 13 years (24%). Left sided DNS was seen in 28 children and right sided DNS in 22 children. Bleeding requiring re-packing, septal hematoma, recurrent DNS, synechia and septal perforation were the common complications, which were comparable to adult population. Conclusion: Early correction of the obstructed nose due to deviated nasal septum is essential to provide normal nasal breathing, relieve complications of mouth breathing and to promote normal craniofacial growth. Septoplasty can be performed in pediatric population with relatively good results without occurrence of nasal deformity and equal complications as that in adults.

Use of N-butyl cyanoacrylate in nasal septoplasty: histopathological evaluation using rabbit nasal septum model

2010 ◽  
Vol 124 (7) ◽  
pp. 753-758 ◽  
Author(s):  
F Aksoy ◽  
F Yılmaz ◽  
Y S Yıldırım ◽  
K Gideroglu ◽  
Z Tatar
Keyword(s):  
Nasal Septum ◽  
Rabbit Model ◽  
Tissue Adhesive ◽  
Control Group ◽  
Open Approach ◽  
Septal Surgery ◽  
Nasal Floor ◽  
Significant Difference ◽  
Histopathological Evaluation ◽  
Haematoma Formation

AbstractObjectives:This study was designed to investigate the effects of the tissue adhesive N-butyl cyanoacrylate on nasal septal tissues after septal surgery in a rabbit model.Methods:Forty-two adult New Zealand rabbits were randomly divided into three groups (14 in each group): septoplasty alone, septoplasty plus N-butyl cyanoacrylate, and controls. The open approach was used to explore the nasal septum. After raising mucoperichondrial and mucoperiosteal flaps on both sides of the septum, the septum was detached from the nasal floor in the septoplasty alone and septoplasty plus N-butyl cyanoacrylate groups. In the septoplasty plus N-butyl cyanoacrylate group, the mucoperichondrial and mucoperiosteal flaps were fixed to the septum and the septum was fixed lateral to the nasal spine using N-butyl cyanoacrylate; in the septoplasty alone group, the septum was packed with Merocel. In the control group, no further septal surgery was performed after flap elevation. Animals were observed for bleeding and haematoma formation over the first 24 hours. Seven animals in each group were used to evaluate early histopathological effects on the septal tissues, at four weeks post-operatively; the other seven in each group were used to evaluate late effects, at 12 weeks.Results:Haematoma formation was observed in 10 animals in the septoplasty alone group, in four animals in the control group, and in only one animal in the septoplasty plus N-butyl cyanoacrylate group. The difference in haematoma incidence between the septoplasty alone and the septoplasty plus N-butyl cyanoacrylate groups was significant (p = 0.000). Histopathological evaluation revealed no significant difference between the groups as regards granulation tissue formation at week four versus week 12; however, there was a significant difference between the septoplasty plus N-butyl cyanoacrylate group and the control groups as regards inflammation at week 12 (p = 0.038). There was a significant difference between the septoplasty plus N-butyl cyanoacrylate group and the septoplasty alone group as regards the composition of the bone–cartilage junction zone at week four (p = 0.001). There was also a significant difference between the septoplasty plus N-butyl cyanoacrylate group and the control group as regards the cellular structure of new cartilage formation at week 12 (p = 0.004).Conclusions:In this rabbit septoplasty model, N-butyl cyanoacrylate appeared to be an effective nasal tissue adhesive, with a low complication rate.

scholarly journals A Study on Clinical Profile of Deviated Nasal Septum and to determine the Efficacy of the Surgery

2017 ◽  
Vol 10 (2) ◽  
pp. 70-73
Author(s):  
Mohan Mogarnad ◽  
Vandana Mohta
Keyword(s):  
Nasal Septum ◽  
Clinical History ◽  
Likert Scale ◽  
Clinical Profile ◽  
Nasal Discharge ◽  
Deviated Nasal Septum ◽  
Medical College ◽  
Subjective Scale ◽  
Septal Surgery ◽  
Detailed Clinical History

ABSTRACT Aim To study the clinical profile of deviated nasal septum and to assess the subjective efficacy of the surgical outcome using Likert scale. Materials and methods This study is a prospective, observational, single-center study from October 2013 to May 2015. The study was conducted in Sri Siddhartha Medical College, Tumkur, Karnataka, India. A detailed clinical history was taken and clinical examination of the patient was carried out. Sixty symptomatic patients were taken up. Patient scored their symptom-related severity using a Likert scale preoperatively. All patients underwent conventional septoplasty. Postoperatively, their symptoms were scored on 30th, 45th, and 90th day. Results Preoperative and Postoperative values were analyzed. Statistically significant improvement was observed in the entire population: Nasal obstruction (p<0.001), headache (p<0.001), nasal discharge (p<0.001), facial pain (p<0.001), and hyposmia (p<0.001). Patient satisfaction was high and they used fewer nasal medications. Conclusion After surgical correction of the septum and analysis of the subjective scale, i.e., Likert scale showed improvement in all symptoms. The principal benefits of septal surgery relate to improvement in nasal symptoms. How to cite this article Mogarnad M, Mohta V. A Study on Clinical Profile of Deviated Nasal Septum and to determine the Efficacy of the Surgery. Clin Rhinol An Int J 2017;10(2):70-73.

Septal perforations closure utilizing the backwards extraction-reposition technique of the quadrangular cartilage

1999 ◽  
Vol 113 (8) ◽  
pp. 721-724 ◽  
Author(s):  
Adolfo Sarandeses-García ◽  
Giorgio Sulsenti ◽  
Manuel López-Amado ◽  
José Martínez-Vidal
Keyword(s):  
Nasal Septum ◽  
Simple Technique ◽  
Common Cause ◽  
Surgical Closure ◽  
Septal Surgery ◽  
Definitive Solution ◽  
Nasal Physiology ◽  
Septal Perforations ◽  
Anatomical Defects

AbstractNasal septal perforations are anatomical defects of the nasal septum, causing dynamic alterations in nasal physiology which may lead to variable symptoms and otolaryngological referral.Repair of nasal septal perforations continues to remain a difficult surgical problem, and nowadays there is no definitive solution for their successful surgical closure.Thirty patients with small- or medium-sized anterior nasal septal perforations were treated with a simple technique of backwards extraction-reposition of the quadrangular cartilage. Prior nasal septal surgery and repeated cautery were the most common cause of perforation. After a minimum follow-up of two years the success rate for relief of symptoms and closure of the perforation was 87 per cent.This technique showed very good results in small-sized and selected cases with medium-sized perforations, but the mucosal dissection employed is not suitable for medium to large perforations.

scholarly journals Use of Biodegradable Implant in Rhinoplasty and Nasal Septum Surgery

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Walaa A Sheleib
Keyword(s):  
Nasal Septum ◽  
Initial Period ◽  
Biodegradable Implant ◽  
Form And Function ◽  
Septal Surgery ◽  
Wide Range ◽  
Aesthetic Results ◽  
Nasal Pyramid ◽  
And Function ◽  
Real Challenge

The nasal septum has a significant influence on the form and function of the nose, as it is a key element of the nasal framework. Its shape, size, position, and integrity help determine not only the patency of the nasal fossae but also the appearance of the nasal pyramid. Achieving satisfactory functional and aesthetic results presents a real challenge for the surgeon in a wide range of nasal septal deformities. During the last decade, the absorbable biodegradable plate DePuySynthes Rapidsorb fixation system has been used to repair pediatric facial fractures. It provides stability during the initial period of healing until the bony fracture segments have reunited. There are many differently sized and shaped plates with varying thickness available. We believe this is a useful technique to improve the rate of septoplasty success, and with further experience, the indications and role in septal surgery can be better defined.

scholarly journals Quilting sutures for nasal septum

2007 ◽  
Vol 122 (5) ◽  
pp. 522-523 ◽  
Author(s):  
C Hari ◽  
C Marnane ◽  
P J Wormald
Keyword(s):  
Nasal Septum ◽  
Healing Process ◽  
Middle Part ◽  
Septal Surgery ◽  
Suturing Technique ◽  
Additional Support

AbstractSuturing of the nasal septum after septal surgery is a commonly performed procedure designed to prevent complications such as septal haematoma and bleeding. It is also useful for closing any inadvertent tears of the septal mucosa and providing additional support for the cartilage pieces retained in septoplasty. In addition, the suture can be placed through the middle turbinates, stabilising them during the healing process. Placing knots for interrupted sutures in the posterior and middle part of the nasal septum can be technically difficult. We describe a continuous suturing technique for approximating the mucosal flaps following septal surgery.

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