Correcting Caudal Septal Deviation with a Modified Horizontal Mattress Suture

Grover, Ritwik; Seyidova, Nargiz; Alnaeem, Hassan; Lin, Samuel J.

doi:10.1097/gox.0000000000003988

Cited by 3 publications

(4 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, Grover et al suggested horizontal mattress sutures solely for deviated L-strut. 16 This technique depends on the malleability of the septal cartilage in secondary rhinoplasties. A minimally invasive approach is employed, and L-strut is visualized and corrected with sutures.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Double Opposing U Suture (DOUS) For Septal Multiple Axis Deviations

Bılkay

Yeğin

Gur

et al. 2023

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Septal cartilage deviations comprise the majority of deformities related to revision rhinoplasty operations. Therefore, the primary operation should be as eventless and durable as possible. Many techniques have been suggested, but most present with a monoplanar correction and fixation of the septum. This study aims to demonstrate a suture method that fixates and broadens the deviated septum. This method employs a single-stranded suture passing below the spinal periosteum, pulling the posterior and anterior portions of the septal base separately. It was utilized in 1578 patients, of which only 36 necessitated a revision of septoplasty in the past 11 years (2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017)(2018)(2019)(2020)(2021). With a revision rate of 2.29%, this method should be considered a preferable choice over many techniques described in the literature.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Recently, Grover et al suggested horizontal mattress sutures solely for deviated L-strut 16 . This technique depends on the malleability of the septal cartilage in secondary rhinoplasties.…”

Section: Discussionmentioning

confidence: 99%

Double Opposing U Suture (DOUS) For Septal Multiple Axis Deviations

Bılkay

Yeğin

Gur

et al. 2023

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

show abstract

“…The top section of the caudal L-strut was moved toward the nasal cavity’s more concave side, and a batten graft consisting of septal cartilage or bone was placed between the cut ends, then stitched in place. Grover et al 18 described a modified horizontal mattress suture technique to straighten the caudal end of the septum without any further resection of the L-strut using A 4-0 polydioxanone suture (PDS) on a Plastic Skin-2 (PS-2) needle in a horizontal mattress fashion spanning 1 cm in length.…”

Section: Discussionmentioning

confidence: 99%

Fashioned Mucoperichondrial Flap Technique Versus Fishing Line Technique in the Repair of Septal Dislocation: A Prospective Comparative Study

Naga

Hamdan

2022

Am J Rhinol�Allergy

View full text Add to dashboard Cite

Background A nasal septal dislocation is a common form of septal deviation with many challenges and different surgical techniques for correction. Objective To assess the efficacy of fashioned mucoperichondrial flap technique versus fishing line technique in the repair of septal dislocation. Methods The study was a prospective comparative cohort study conducted on 88 patients aged above 18 years who have symptomatic mild to moderate caudal septal dislocation spanning the period from June 2021 to June 2022. Preoperatively, all patients were evaluated by the Nasal Obstruction and Septoplasty Effectiveness (NOSE) scale to assess the degree of nasal obstruction. Anterior rhinoscopy and endoscopic examination of the nose were done for every patient to assess the degree of obstruction, whether mild, moderate, or severe. Outcomes included an assessment of both techniques’ efficacy in managing nasal obstruction as expressed by the NOSE scale and comparing both techniques regarding the operative and postoperative details. Results The current study showed a highly significant improvement in the NOSE scale postoperatively in both groups ( P < .00001 for both groups). The mean operative duration for group I was significantly less than that for group II ( P < .00001). There was a nonsignificant difference between both groups regarding the postoperative NOSE scale, and postoperative degree of obstruction ( P = .066 and .56, respectively). Regarding postoperative complications, there was a nonsignificant difference between both groups except for patient discomfort as assessed 1 week postoperatively. Group II showed significantly more patient discomfort ( P = .02), which improved 4 weeks postoperatively. Conclusion Both techniques presented in this study effectively corrected mild and moderate caudal septal dislocation with significant improvement of nasal obstruction postoperatively. Both techniques produced good esthetic outcomes and were associated with few comparable complications in both groups.

show abstract

“…11). [82][83][84] Experimental and clinical studies found that mattress sutures are most effective at a width of 10 mm with 4-0 suture. 35 Residual tip deviations related to discrepancies in the lower lateral cartilage lengths can be treated with transection and overlap on the contralateral side.…”

Section: Ementioning

confidence: 99%

Cosmetic Rhinoplasty

Boustany¹,

Grover²,

Alnaeem³

et al. 2023

Plastic &Amp; Reconstructive Surgery

Self Cite

View full text Add to dashboard Cite

Learning Objectives: After studying this article, the participant should be able to: 1. Perform a systematic nasofacial analysis. 2. Identify the underlying anatomical cause of specific external nasal findings. 3. Recognize the interrelated effects of operative maneuvers. 4. Develop an appropriate operative plan to address patient concerns. Summary: The rhinoplasty operation is one of the most challenging procedures in plastic surgery, and requires a combination of surgical judgment, knowledge of anatomy, technical skill, and lifelong study. A foundation must be built on clearly defined patient goals and an accurate diagnosis, based on known ideals and their anatomical correlation. It is important to recognize the definitive impact of each operative maneuver to achieve predictable outcomes. This article provides a problem-based approach to common cosmetic nasal deformities.

show abstract

Correcting Caudal Septal Deviation with a Modified Horizontal Mattress Suture

Cited by 3 publications

References 25 publications

Double Opposing U Suture (DOUS) For Septal Multiple Axis Deviations

Double Opposing U Suture (DOUS) For Septal Multiple Axis Deviations

Fashioned Mucoperichondrial Flap Technique Versus Fishing Line Technique in the Repair of Septal Dislocation: A Prospective Comparative Study

Cosmetic Rhinoplasty

Contact Info

Product

Resources

About