EXTRACORPOREAL SEPTOPLASTY PDF

Received Aug 20; Accepted Aug Abstract 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.

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June 5, The shape and severity of deviated septums vary greatly. From mild and asymptomatic, to serious anatomical alterations that produce obstruction and physical deviation of the nose. It is in these more complicated cases in which extracorporeal septoplasty is used. The nasal septum is a thin sheet of cartilage and bone that separates the two nostrils. Its central position and lack of deviations are essential for air to properly flow to the nasopharynx.

When this partition is curved or deviated it can produce a physical obstruction to the passage of air through the nostrils. Septoplasties are used for the treatment of nasal septum irregularities. When the problem is deviation, the septoplasties are based on two basic corrections.

The portion of the deviated cartilage can be removed if it is not possible to straighten, or when it is going to be used as a graft. Deviations of the septum are not the only cause of nasal obstruction, but they are the most frequent. What is an extracorporeal septoplasty?

Usually, extracorporeal septoplasties are performed using an open rhinoplasty technique and under general anesthesia. They are typically performed by rhinoplasty michigan surgeons as well. This is the best way to extract the entire nasal septum as it gives the surgeon a lot of access. Once extracted, it is carefully carved on the operating table to make it completely straight.

Once the septum has been straightened and reinforced it is reintroduced in its position, fixing it properly to avoid displacements. The usefulness of extracorporeal septoplasty Severe cases that involve deviations of the entire nasal septum and nose axis cannot be treated by removing the entire affected septum this would be a dangerous procedure.

On the other hand, it is not easy to carve, in an effective way, heavily deviated partitions directly inside the nose. Extracorporeal septoplasty is a type of septoplasty which removes the entire cartilaginous portion of the nasal septum so that it can be carved on the operating table and then placed back in its original position. Extracorporeal septoplasty is a matter of debate and has been, and continues to be, questioned by many of the best rhinoplasty surgeons in michigan.

The truth, however, is that it is a very useful and effective tool if it is executed carefully. Postoperative and complications of extracorporeal septoplasty.

The postoperative period of extracorporeal septoplasty does not vary too much with respect to other types of septoplasty. For safety reasons, after surgery, a ventilated tamponade is placed , which is usually maintained for four to seven days to control the internal inflammation and allow the mucosa of the septum to adhere correctly to the reconstructed septum. Because it helps the patient breathe through their nose, it can be left in longer if necessary.

The complications do not differ much from any other type of septoplasty if it is well performed. The loss of support in the nose is prevented by fixing the reconstructed partition solidly.

Perforations of the septum, the sacred or the reappearance of the deviation are infrequent complications. Is it possible to reroute the nasal septum after an extracorporeal rhinoplasty? To prevent the cartilage from recovering its memory, it is necessary to take the time to provide the reconstructed partition with corrective measures and powerful anchors. Despite the fact that the repair is thorough, the intensity of the postoperative inflammation can weaken part of the repair and facilitate the cartilage to curl again.

Although very rare, it can occur if the patient does not comply with the postoperative recommendations given by their surgeon. In summary, extracorporeal septoplasty is a technique aimed to treat the most severe cases of nasal obstruction caused by extreme deviation of the nasal septum.

It is a technique practiced for years and that has very satisfactory and lasting functional results if it is carried out properly. If you are suffering from a deviated septum and you are looking for a specialist in Michigan who can help restore your breathing, contact SurgeonGate today and we will place you with an experienced specialist in your area. I hope that by reading our content, you can become a more confident patient and make informed decisions about your body.

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EXTRACORPOREAL SEPTOPLASTY PDF

June 5, The shape and severity of deviated septums vary greatly. From mild and asymptomatic, to serious anatomical alterations that produce obstruction and physical deviation of the nose. It is in these more complicated cases in which extracorporeal septoplasty is used. The nasal septum is a thin sheet of cartilage and bone that separates the two nostrils. Its central position and lack of deviations are essential for air to properly flow to the nasopharynx.

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Vikasa We believe that a permanently straight septum, a precondition for a straight outer nose, could only be achieved with an extracorporeal septoplasty in these cases. Preoperative nasal resistance obtained by AAR and nasal cross sectional areas obtained by AR were compared with postoperative results using the non-parametric Wilcoxon Sign Rank test. The unilateral cleft lip and palate deformity typically presented with the following nasal deformities: As mentioned previously, Gubisch was the first to report his data. Role of Extracorporeal Septoplasty in Deviated Noses Multiple holes were drilled in the bony section for use in the caudal aspect of the reconstructed nasal septum. General anesthesia or intravenous conscious sedation was provided in all cases. Introduction Extreme deviations of septum especially on dorsal and caudal end of cartilaginous septum are difficult to treat. Bent deformities can be straightened by unilaterally reducing tension on the cartilage Figure 2.

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Role of Extracorporeal Septoplasty in Deviated Noses

Abstract Septoplasty is one of the most common surgery of ENT but even today the difficult septum still presents a great surgical problem. A severe septum deformity is usually due to an accident quite often in childhood. It is also seen in patients with malformation such as cleft lip and cleft palate deformity. It affects not only the nasal function, but also the aesthetic part of the nose.

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