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Extracorporeal septoplasty for the markedly deviated septum
1Clinic for Plastic Surgery, Marienhospital, Stuttgart, Germany.
Archives of Facial Plastic Surgery
|July 20, 2005
Summary
Extracorporeal septal reconstruction effectively corrects severely deviated nasal septums. This technique, involving careful fixation and grafting, offers a valuable surgical option with manageable complication rates.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Rhinology
Background:
- Markedly deviated nasal septums present significant functional and aesthetic challenges.
- Surgical correction is often necessary to restore nasal patency and improve appearance.
Purpose of the Study:
- To describe the technique of extracorporeal septal reconstruction.
- To evaluate the outcomes and complications of this surgical approach.
Main Methods:
- Retrospective review of 2119 patients undergoing extracorporeal septoplasty.
- Data collected included surgical complications, revision rates, and functional/aesthetic outcomes.
Main Results:
- Early cohort (1981-1987): 12% complications, 8% dorsal irregularity, 4% revisions.
- Later cohort (1996): 13% complications, 11% dorsal irregularity, 7% revisions.
Conclusions:
- Extracorporeal septal reconstruction is a viable option for severe nasal septum deviation.
- Essential elements include secure fixation and the use of spreader and dorsal onlay grafts.