July 18, 2005
Reconstructive Technique Provides Option for Difficult Nasal Plastic Surgery
CHICAGO "“ A surgical technique that requires the removal, restructure and re-implantation of the nasal septum (the partition of the nose between the nostrils) appears to be a useful option for repairing the hard-to-treat severely deviated septum, according to an article in the July/August issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals.
Severe nasal septal deviations, usually the result of trauma, previous surgery or congenital malformations such as cleft palate, pose a particular challenge to plastic surgeons, according to background information in the article. The nasal septum affects both the appearance and the airway passages of the nose. Usual plastic surgical techniques often prove insufficient for reliably correcting severe septal deformities, the author suggests, necessitating the complete removal and correction of the septum to achieve good functional and aesthetic results.
In the first group of patients, "Based on the subjective opinion of the surgeon and patients and the findings of the clinical examinations, a good to excellent functional result was obtained in 96 percent," the author writes. "Despite the complex deformity and complicated operative procedure, postoperative complications were rare and only 20 patients (four percent) elected to have revision septoplasty. Fifty-seven complications (12 percent) occurred, with the most common complaint being irregular contour of the dorsum [the bridge of the nose] (32 patients, seven percent)." In the supervised procedures, there were 14 postoperative complications (13 percent) and 12 dorsal (bridge of the nose) irregularities (11 percent). Eight patients (7 percent) chose to redo surgery.
"This vast experience of extracorporeal septoplasty [removal of the septum from the nose for repair] in 2,119 patients spanning 20 years demonstrates that it is an important technique in the armamentariam (armory of techniques) of surgeons for correcting of extensive nasal septal deviations that result from trauma, previous surgery, or congenital anomalies," the author concludes. "During the study period, the technique was improved to make it safe and practical for all surgeons dealing with this difficult problem."
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