Refinements in extracorporal septoplasty

Area of Science:

• Plastic Surgery
• Otolaryngology
• Rhinology

Background:

• Septal deviations impair nasal airflow and cause external nasal deformities.
• Severe septal deformities often necessitate temporary cartilage removal for remodeling.
• Extracorporeal septoplasty is a technique for correcting complex septal issues.

Purpose of the Study:

• To describe refinements to extracorporeal septoplasty for improved safety and efficacy.
• To detail techniques for straightening, fixing, and stabilizing the septal plate.
• To evaluate patient satisfaction with the refined procedure.

Main Methods:

• Refined extracorporeal septoplasty technique involving intraoperative septal cartilage removal and remodeling.
• Use of a milling cutter for straightening the septal plate and thinning nasal spines.
• Stabilization techniques including microplates, rein stitch, transosseous sutures, and quilt stitches.
• Fixation to upper lateral cartilages and management of nasal dorsum irregularities.

Main Results:

• The refined technique simplifies septal plate straightening and fixation.
• Enhanced stability of the reconstructed septum was achieved.
• High patient satisfaction rates were reported, regardless of surgeon experience.
• 108 patients with severe septal deviations underwent the refined procedure.

Conclusions:

• Refined extracorporeal septoplasty offers a safer and more effective approach for severe septal deviations.
• The described modifications improve the stability and aesthetic outcomes of nasal reconstruction.
• The procedure leads to high patient satisfaction, even in complex cases.