A novel and cost-effective technique for securing the nasal septum to the anterior nasal spine in septoplasty and/or rhinoplasty surgery
| Autor: | Foteini Neamonitou, Navdeep Bhamra, Adnan Darr, James Barraclough |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Nasal septum medicine.medical_treatment lcsh:Surgery 030230 surgery Rhinoplasty 03 medical and health sciences 0302 clinical medicine Nasal deflection Ptosis Suture (anatomy) Septoplasties otorhinolaryngologic diseases Medicine Periosteum Septoplasty business.industry Septorhinoplasty Case Reports and Short Communication Anterior nasal spine lcsh:RD1-811 Saddling respiratory system Surgery Anterior nasal spine (ANS) medicine.anatomical_structure 030220 oncology & carcinogenesis Extra-corporeal medicine.symptom business |
| Zdroj: | JPRAS Open JPRAS Open, Vol 21, Iss, Pp 43-47 (2019) |
| ISSN: | 2352-5878 |
| Popis: | Summary: Septoplasties and septorhinoplasties are common procedures in otolaryngology, aimed at addressing septal and/or bony pyramidal deflections to improve functional and cosmetic outcomes. The nasal septum as well as regulating air flow provides structural support to the nasal tip. The attachment of the nasal septum to the anterior nasal spine must be structurally resilient to prevent saddling or tip ptosis. This can be achieved by direct attachment with absorbable suture material to the periosteum of the anterior nasal spine or a drill fitted with 0.6 mm diamond tip burr (Ultrabur, Invotec International), to create channel through which the nasal spine can be secured to the anterior nasal spine. We describe a novel, and cost-effective alternative utilising a blunt fill needle and simple absorbable suture. A blunt fill needle (Sol-Millenium®, cost £0.03 per unit) is passed through to form a securing channel. The neoseptum is then secured using a figure-of-eight suture. Our novel technique enables the nasal septum to be secured to the anterior nasal spine in a cost effective and efficient manner. Keywords: Septoplasty, Septorhinoplasty, Nasal septum, Anterior nasal spine (ANS), Saddling, Extra-corporeal, Nasal deflection |
| Databáze: | OpenAIRE |
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