The Correction of the Internally and Externally Deviated Nose

King, Edward; Ashley, Franklin L.

doi:10.1097/00006534-195208000-00008

Cited by 89 publications

(50 citation statements)

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“…In 1950s King, Ashley and Perret suggested that the entire septum should be removed, corrected and repositioned to correct a markedly deviated septum. 12,13 Thus the technique of extracorporeal septoplasty came into vogue. Gubisch was the first to publish a large series on this technique in 1995.…”

Section: Discussionmentioning

confidence: 99%

EXTRACORPOREAL SEPTOPLA S TY USING POLYDIO XANONE PLATES v/s CONVENTIONAL SEPTOPLASTY IN MANAGEMENT OF DIFFICULT SEPTUM

L¹,

Saravanam²,

A³

et al. 2015

jemds

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BACKGROUND:The technique and management of deviated nasal septum has evolved over the last few centuries. However, difficult and severely deviated septum still poses a surgical challenge. Difficult septum is characterized by severe malformations of cartilaginous, bony or both components, with significant airway block. Extracorporeal septoplasty with reconstruction with polydioxanone plates can be recommended as a viable alternative to conventional methods in management of such difficult septum. OBJECTIVE: To assess the clinical results and functional outcome of extracorporeal decortication septoplasty using polydioxanone (PDS) plate and compare the outcome with conventional septoplasty. METHODS: This is a prospective study of 60 patients who were managed by extracorporeal decortication septoplasty using PDS plates and conventional septoplasty. Preoperative and postoperative subjective assessment in the form of 'Nasal Outcome and Septoplasty Effectiveness scale' (NOSE score) and a modified 'Sinonasal Outcome Test' (SNOT score) was done. Patients were followed up using diagnostic nasal endoscopy. The functional outcome and complications were assessed. RESULTS: In our study we found a statistically significant reduction between preoperative and postoperative score in patients who underwent extra-corporeal decortication septoplasty using PDS plate when compared to the results of those who underwent conventional septoplasty with a p-value of 0.000. CONCLUSION: Extracorporeal decortication septoplasty can be recommended as a suitable alternate in the management of difficult septum where conventional septoplasty may fail to achieve a good functional outcome.

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Section: Discussionmentioning

confidence: 99%

EXTRACORPOREAL SEPTOPLA S TY USING POLYDIO XANONE PLATES v/s CONVENTIONAL SEPTOPLASTY IN MANAGEMENT OF DIFFICULT SEPTUM

L¹,

Saravanam²,

A³

et al. 2015

jemds

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“…It was first discussed in the 1950s by King and Ashley [3]. Gubisch, [1,4], [5], was the first to publish a large and highest series on this topic in 1995.…”

Section: Commentmentioning

confidence: 99%

Role of Extracorporeal Septoplasty in Deviated Noses

Ghaisas¹,

Parab²

2015

Indian J Otolaryngol Head Neck Surg

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Severe gross septal deviations present big surgical challenges for operating surgeon. Septal deviations has direct effect on aesthetic and functional part of nose. Correcting septal deviations during rhinoplasty is basic procedure. Extreme deviations of septum especially on dorsal and caudal end of cartilaginous septum are difficult to treat. The classical septoplasty approach becomes unsuitable for such severe deviations. Gubisch has first reported in 1995 about extracorporeal septoplasty. To report the experience of Extracorporeal septoplasty and the complication rates with the technique. Retrospective study of 112 patients who underwent extracorporeal septoplasty in primary rhinoplasty from May 2009 to June 2014. Patient's pre and postoperatively evaluation was done by photographs, nasal endoscopy and subjective by symptoms evaluation satisfaction scale 6 and 12 months postoperatively. Nasal endoscopy revealed significant improvement in nasal airway and nasal valve and subjective evaluation satisfaction score was very encouraging. Complications like septal perforation, bleeding, aesthetic complications were minimal (9 %) On basis of results obtained, shows that this technique, increases patients nasal airway and aesthetic look of the patients. Irrespective of extreme nasal deviations.

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“…Zur Korrektur ausgeprägter Deformitäten rieten einige Autoren, unter ihnen King [21] und Perret [26], das gesamte Septum zu entfernen und nur gerade Anteile wieder einzusetzen. Gubisch [11,12] betonte, dass die 7 extrakorporale Septumrekonstruktion bei ausgeprägten Septumdeviationen die Voraussetzung für eine stabile gerade Achse der Nase sei.…”

Section: Entwicklung Der Septumchirurgieunclassified

Septumkorrektur in der Septorhinoplastik

Heppt

Hildenbrand

2011

HNO

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In general septoplasty precedes all other procedures in rhinoplasty as a straight, stable septum dictates the aesthetic and functional outcome. The patient's history and expectations, correct preoperative analysis and the surgeon's skills determine the approach in septum correction. As a rule of thumb, slight deviations, e.g. single vomer spurs, maxillary crests, the septal tilt and simple C and S-shaped deformities can be managed endonasally using a hemitransfixion incision and procedures such as the swinging door technique, scoring, batten grafts or caudal septal replacement grafts. In contrast, for severe S-shaped and wave-like deviations, cleft nose deformities, the multiple fractured septum as well as for most revision cases, the open approach with complete septal reconstruction has been found to be the method of choice. After initial general remarks on the basic procedures, the present article focuses on current concepts of septum correction which have to be adapted to the individual pathology.

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The Correction of the Internally and Externally Deviated Nose

Cited by 89 publications

References 0 publications

EXTRACORPOREAL SEPTOPLA S TY USING POLYDIO XANONE PLATES v/s CONVENTIONAL SEPTOPLASTY IN MANAGEMENT OF DIFFICULT SEPTUM

EXTRACORPOREAL SEPTOPLA S TY USING POLYDIO XANONE PLATES v/s CONVENTIONAL SEPTOPLASTY IN MANAGEMENT OF DIFFICULT SEPTUM

Role of Extracorporeal Septoplasty in Deviated Noses

Septumkorrektur in der Septorhinoplastik

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