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Transseptal suture to secure middle meatal spacers
Neil G Hockstein1, Christina B Bales, James N Palmer
1Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Health System, 34th and Spruce Sts., 5 Ravdin, Philadelphia, PA 19104, USA.
Ear, Nose, & Throat Journal
|March 3, 2006
Summary
A novel transseptal suture technique secures middle meatal spacers, preventing aspiration after ethmoidectomy. This safe method ensures spacers remain in place, offering cosmetic benefits and avoiding septal injury.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Rhinology
Background:
- Middle meatal spacers are crucial for postoperative care in sinus surgery.
- Aspiration of these spacers presents a significant clinical concern.
Purpose of the Study:
- To introduce and evaluate a novel transseptal suture technique for securing middle meatal spacers.
- To assess the safety, efficacy, and cosmetic outcome of this method in preventing spacer aspiration.
Main Methods:
- Spacers were fashioned from glove fingers packed with Merocel sponges and secured with 2-0 Prolene sutures.
- A transseptal suture technique was employed for bilateral or unilateral procedures.
- The method was applied to 78 patients undergoing total ethmoidectomy.
Main Results:
- No spacer migration was observed in any patient during the 1-week placement period.
- One patient reported minor pain during spacer removal.
- Follow-up revealed no evidence of septal injury at the suture site.
Conclusions:
- The transseptal suture technique is a safe and effective method for securing middle meatal spacers.
- This approach significantly reduces the risk of spacer aspiration.
- The technique offers cosmetic advantages and avoids septal damage.