Functional Results of a Modified Extracorporeal Septoplasty With Open Access

Marangi, Giovanni Francesco; Segreto, Francesco; Signoretti, Marianna; Cazzato, Vito; Persichetti, Paolo

doi:10.1097/sap.0000000000001444

Cited by 9 publications

(9 citation statements)

References 10 publications

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“…Fifty-nine articles were selected for a full review with 17 meeting the inclusion criteria. 6-10,12-22 Of the 17 studies selected, 10 studies recorded subjective functional outcome data, four studies provided objective functional outcome data, three studies provided subjective aesthetic outcome data, and six studies provided objective aesthetic outcome data—Table 1. Three studies reported the complication rate with no functional and/or aesthetic outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…An I-shaped deformity is defined by the tip deviation angle, which is the angle formed from a vertical reference line from the center of the radix down to the cupid’s bow, and a line drawn from the center of the radix to the middle of the nasal tip. 22 The lack of an I-shaped deviation (ie, a perfectly straight nose) results in a measured angle of 0°. In contrast, a C-shaped deviation is defined as the angle created by drawing an oblique line from the nasion to the most extreme point of convexity and then to the nasal tip.…”

Section: Resultsmentioning

confidence: 99%

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Functional and Aesthetic Outcomes of Extracorporeal Septoplasty: A Systematic Review and Meta-Analyses

Bresler

Povolotskiy

Nguyen

et al. 2019

Ann Otol Rhinol Laryngol

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Objective: The safety and efficacy of extracorporeal septoplasty (ECS) has long been debated. Our objective was to determine this technique’s functional and aesthetic outcomes and complications through a systematic review of the literature. Data Sources: PubMed/MEDLINE, Embase, Cochrane Library, and Web of Science databases were evaluated for studies detailing functional or aesthetic outcomes of ECS. Review Methods: Bias was evaluated using the Cochrane Risk of Bias Tool and the Methodological Index for Non-randomized Studies (MINORS) score. Aesthetic and functional outcomes in addition to complications were evaluated using subjective and objective measures. Meta-analyses were performed when appropriate. Results: Seventeen studies encompassing 1418 patients were included. The average MINORS score for observational studies was 9.2. Overall there was a significant improvement in subjective nasal function with a preoperative average Nasal Obstruction Symptom Evaluation (NOSE) score of 75 (±16) decreasing to 19.5 (±16.5) postoperatively for a mean difference (MD) of −55 (95% confidence interval (CI): –60 to −49.5). In terms of objective nasal function, at 6 months postoperatively, there was an improvement of nasal flow measured by rhinometry ranging from 70 to 71% across studies. Anthropometric measurements were utilized for objective aesthetic outcomes. There was a significant improvement in I-shaped deviations (MD: –2.7°, 95% CI: –5.6 to −0.16) and C-shaped deviations improved by 11.9° (95% CI +2.8-+21.2). Complication rates ranged from 0 to 18%. Conclusion: ECS can achieve significant improvements in the subjective and objective function of the nose. The associated complication rate is low but variable between surgeons.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Functional and Aesthetic Outcomes of Extracorporeal Septoplasty: A Systematic Review and Meta-Analyses

Bresler

Povolotskiy

Nguyen

et al. 2019

Ann Otol Rhinol Laryngol

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“…18 There are many current studies that demonstrate the ESR outcomes in long-term success with decrease from severe preoperative to lighter postoperative symptoms. About the influence of ESR technique on the nasal obstruction, Marangi et al 19 compared the NOSE scores and acoustic rhinomanometry after ES technique and ESR technique with 50 patients. The authors reported that rhinomanometric scores in the ES group were higher than in the ESR group at 3 months postoperatively and this difference disappeared at 6 months postoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…Higher scores meant serious nasal obstruction. According to the NOSE Scale results, the patients were categorized as mild (1-5), moderate (6)(7)(8)(9)(10), severe (11)(12)(13)(14)(15), or extreme (16)(17)(18)(19)(20).…”

Section: Outcome Datamentioning

confidence: 99%

Outcomes of Endonasal Septoplasty and Extracorporeal Septal Reconstruction in Anterocaudal Septal Deviation

et al. 2020

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Objective: The aim of this study was to compare the functional and aesthetic outcomes of endonasal septoplasty (ES) and extracorporeal septal reconstruction (ESR) in anterocaudal septal deviation. Methods: In this study, patients (n ¼ 46) who underwent nasal septoplasty surgery due to anterocaudal septal deviation during February 2015 to August 2017 were analyzed; 23 patients underwent ES and the others (n ¼ 23) underwent ESR. The decision of whether to use the ES or ESR was randomized by random number table method. Nasal obstruction symptoms evaluation (NOSE) scores, total nasal resistance (TNR), aesthetic visual analog scale (VAS), nasal anatomical angles, and incidence of complications were used to assess the patients in 2 groups. Results: The NOSE scores, TNR, aesthetic VAS, tip deviation angle (TDA), nasolabial angle (NLA), nasofrontal angle (NFA) in the ESR group were significantly improved from preoperative to postoperative 1 year, whereas in the ES group, except aesthetic VAS, NLA, NFA, all other postoperative outcomes were improved from preoperative values. The objective and subjective postoperative results of ESR group were better than the ES group except TDA. The incidence of complications was not significantly different between the 2 groups. Conclusion: Our study have compared the nasal functional and aesthetic outcomes of 2 septoplasty techniques in a randomized controlled trial. The ESR technique is more effective than ES technique in correcting functional and aesthetic disorders caused by anterocaudal septal deviation.

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“…La desviación del tabique nasal es una de las principales causas de los trastornos obstructivos nasales (2). Una deformidad de la pirámide por su parte, aunque no produzca obstrucción, puede acarrear gran molestia para el paciente, alterando su autoconfianza y funcionamiento mental y psicosocial (3).…”

Section: Introduccionunclassified

Funcional and aesthetic rhinoplasty, our experience in the Otorhinolaryngology and Head and Neck Surgery Service

Benítez

Tornaco

Lezcano

et al. 2020

An. Fac. Cienc. Méd. (Asunción)

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Introducción: En la región son varios los centros de ambiente académico que realizan rinoplastia, y la experiencia del otorrinolaringólogo es cada vez más basta en cuanto a estética nasal se refiere. Debido a la alta prevalencia de trastornos estéticos y funcionales asociados, es necesario que el profesional esté capacitado para resolver ambas problemáticas, incluso en el mismo acto quirúrgico. Objetivos: Describir los abordajes y técnicas utilizados en cirugía de rinoplastia en nuestro servicio. Materiales y métodos: Estudio observacional, descriptivo con componentes analíticos, transversal, retrospectivo, de muestreo no probabilístico de casos consecutivos, de pacientes con alteración de la estética y de la funcionalidad nasal que acudieron al servicio de Otorrinolaringología del Hospital de Clínicas, San Lorenzo desde enero del 2016 a junio del 2019. Resultados: Se realizaron 76 Rinoplastias en el servicio, 76,3% de ellos también requirió septoplastia y el 61,8% requirió turbinectomía. El 68% fue de sexo femenino. La media de edades fue de 25,21±8,79 años. El 47,36% de los motivos de consulta fue por obstrucción nasal, seguido de síntomas tanto obstructivos como estéticos en el 42,1%; y el 10,52% puramente estéticos. El 40,78% de los pacientes del estudio refería antecedente de traumatismo nasal. Se realizó la cirugía por abordaje abierto en el 71,05% de los casos y en el 28,95% por abordaje cerrado. Los procedimientos más frecuentes fueron la colocación de Strut Columellar (89,47%), la Resección de Dorso (78,94%) y la Osteotomía (72,36%). La complicación más frecuente fue la epistaxis en el 5,26%, todos ellos con antecedente de osteotomía. El 100% de los pacientes con obstrucción refirió mejoría, y en 3 se vio persistencia de ligera laterorrinia. Conclusión: Se realizaron 76 Rinoplastias desde enero del 2016 a junio del 2019, la mayoría también requirió septoplastia y turbinectomía. La edad promedio fue 25,21 años, y la mayoría del sexo femenino. La cirugía estética en la población masculina fue más frecuente en pacientes con antecedente traumático (p<0,05 en la prueba de xi cuadrado). La mayor parte de los pacientes tenía como principal inconveniente la funcionalidad más que la estética. El abordaje más frecuente fue por vía abierta, y los procedimientos más frecuentemente fueron el Strut Columellar, la Resección de Dorso y la Osteotomía. La complicación más frecuente fue la epistaxis, la cual en la mayoría de los casos se resolvió con métodos tópicos. Todos los pacientes con síntomas obstructivos refirieron mejoría funcional, la laterorrinia fue la alteración más difícil de corregir.

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Functional Results of a Modified Extracorporeal Septoplasty With Open Access

Abstract: Based on the results obtained from our work, we can declare that open access is a functionally valid procedure. At 6 months after surgery, the 2 accesses have a comparable functional efficacy.

Cited by 9 publications

References 10 publications

Functional and Aesthetic Outcomes of Extracorporeal Septoplasty: A Systematic Review and Meta-Analyses

Functional and Aesthetic Outcomes of Extracorporeal Septoplasty: A Systematic Review and Meta-Analyses

Outcomes of Endonasal Septoplasty and Extracorporeal Septal Reconstruction in Anterocaudal Septal Deviation

Funcional and aesthetic rhinoplasty, our experience in the Otorhinolaryngology and Head and Neck Surgery Service

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