Correction of Severe Caudal Deflections With a Cartilage "Plating" Rigid Fixation Graft

Dyer, Wallace K.; Kang, John

doi:10.1001/archotol.126.8.973

Cited by 23 publications

(12 citation statements)

References 15 publications

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“…The use of batten grafting to support the caudal septum was first described by Dingman, and several studies have since reported on this procedure. [10][11][12][13][14][15][16] Batten grafting can be performed either via endonasal or external approaches. Harvested septal cartilage has typically been used as the batten graft material, although some studies recently reported on the usefulness of nasal septal bone for deviated caudal septum correction.…”

Section: Discussionmentioning

confidence: 99%

Selection of Surgical Technique and Treatment Outcome of Revision Septoplasty

Kim¹,

Jang²

2017

Korean J Otorhinolaryngol-Head Neck Surg

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Background and ObjectivesZZThis study was designed to review our experience with patients undergoing revision septoplasty and to evaluate the causes of persistent nasal obstruction and treatment outcomes of revision septoplasty. Subjects and MethodZZThe medical records of 58 patients (53 men) who underwent revision septoplasty by the author of this study between 2006 and 2012 at our institute were retrospectively reviewed. Data on demographics, symptoms, anatomic site of deviation, surgical techniques performed, and postoperative complications were collected. Patient satisfaction scores were graded with a grading scale from 1 (excellent) to 4 (poor). ResultsZZAll of the patients visited our hospital for persistent nasal obstruction after prior septoplasty. Forty-seven patients (81%) showed caudal septal deviation and 11 (19%) showed some other forms of septal deviation. Twenty-one cases (36.2%) were treated with the batten graft with cutting and suture technique, 20 (34.5%) with a batten graft alone, 10 (17.3%) with resection of remnant deviated septal bone and cartilage, 4 (6.8%) with the cutting and suture technique, 2 (3.5%) with a relocation suture, and 1 (1.7%) with a spreader graft. The median patient satisfaction score for 31 patients who answered the telephone interview was 2.06±0.93. ConclusionZZA considerable number of patients who undergo revision septoplasty have remnant or recurrent caudal septal deviation that was not properly corrected in previous surgery. We recommend the batten grafting and the cutting and suture technique for the correction of caudal septal deviation in revision septoplasty.

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Section: Discussionmentioning

confidence: 99%

Selection of Surgical Technique and Treatment Outcome of Revision Septoplasty

Kim¹,

Jang²

2017

Korean J Otorhinolaryngol-Head Neck Surg

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“…Subsequently, many septoplasty techniques have been introduced by various authors. These include the crosshatching incision, 4 wedge resection, 5 suture techniques with incision or excision of cartilage 6,7 and cartilage graft techniques 8,9 . Despite these procedures, complete correction of a deviated cartilage is difficult.…”

Section: Discussionmentioning

confidence: 99%

Wedge resection and modified mattress suture for correcting anterior septal deviation: how we do it

Shin

Lee

Kim

et al. 2011

Clinical Otolaryngology

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“…16 Metzinger et al described a technique of applying perpendicular plate of ethmoid bone, and Dyer offered an alternative plating technique to maintain the caudal end of the septum in the midline. [26][27][28] Kridel et al described the "tongue-in-groove" technique for the management of the caudal septum, finding that by securing the caudal septum between the medial crura, the caudal septum is held in place in the midline. 29 Placing the caudal septum between the medial crura has also been shown to provide outstanding tip support.…”

Section: Principles Of Septal Surgerymentioning

confidence: 99%

Septal Deviation after Septorhinoplasty: Causes and Surgical Management

Luu

Friedman

2020

Facial plast Surg

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Revision rhinoplasty exists because the perfect primary rhinoplasty technique does not. The benefit of revision surgery is that it offers us the opportunity to study and identify what did not work well during previous surgery. Thoughtful approaches to technique and outcomes allow us to recognize which maneuvers are dependable and worth repeating, and which are not reliable and therefore worth avoiding. As surgeons seek safer, more predictable results to improve patient outcomes, new techniques emerge which we then apply, study, and modify again, based on what works and what does not over the short term and the long term. There is no substitute for experience or for learning from trusted surgeons' experiences. Revision rhinoplasty presents many challenges including surgically induced anatomical changes, weakened structural support, a lack of available tissue for reconstruction, tissue remodeling responses, and other iatrogenic and wound healing complications. The septum, as the primary source of structural nasal integrity, forms the foundation for functional and aesthetic rhinoplasty. Herein, we describe strategies in septorhinoplasty for patients who have undergone prior nasal septal surgery.

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Correction of Severe Caudal Deflections With a Cartilage "Plating" Rigid Fixation Graft

Abstract: Cartilage plating rigid fixation seems to be an effective method of correcting the functional problems associated with severe caudal septal deformities.

Cited by 23 publications

References 15 publications

Selection of Surgical Technique and Treatment Outcome of Revision Septoplasty

Selection of Surgical Technique and Treatment Outcome of Revision Septoplasty

Wedge resection and modified mattress suture for correcting anterior septal deviation: how we do it

Septal Deviation after Septorhinoplasty: Causes and Surgical Management

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