Simple method of insertion of Xomed one piece septal button

Abstract

Silicone septal buttons have been available to obturate septal perforations since the 1970s. Various methods of insertion have been suggested but the procedure is not always easy. We have devised an alternative method which has proved quick and simple to perform.

Novel technique for nasal septal button insertion: The sutured rosette

“…Septal button insertion for NSP has been well‐described in the literature using various techniques and materials . For example, there have been reports describing cutting a large, straight slit in a single flange . Another method modifies this slit technique by suggesting a small radial cut across the flange and using two forceps for insertion .…”

Septal button insertion—The screw technique

“…Kelly et al suggested sewing the flange in a purse string fashion, and then applying traction so that the disc assumes a concertina shape, thus making it small enough to pass through the perforation 5. Al‐Khabori suggested trimming the edges and making a radial slit in one of the flanges to facilitate insertion of the septal button 2. However, with the radial cut we found it difficult to deliver the flange across the perforation.…”

“…The main problem with the silicone button is the insertion of flange through the septal perforation, especially when the perforation size is relatively small. Some authors recommend trimming the edges of the silicone button, but that may result in traumatizing the perforation edge 2. Kelly et al suggested sewing the flange in a purse string fashion, and then applying traction so that the disc assumes a concertina shape, thus making it small enough to pass through the perforation 5.…”

“…Nasal septal perforation can be asymptomatic or can present with symptoms, such as epistaxis, crusting, secondary infection, whistling, or nasal obstruction 1. Septal perforations can be caused by various etiological factors, including trauma, infection, irritant (chemical), neoplasm, or inflammatory conditions 2…”

A New Technique for the Insertion of a Silastic Button for Septal Perforations

“…One technique suggested making a radial cut to allow the disk to be rotated into position. 2 This still required a degree of intranasal manipulation. Other techniques use customized designs 3 that may not be readily available in all departments or that require special prosthetic techniques.…”