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Initial management of total nasal septectomy defects using resorbable plating.
Charles C Della Santina1, Patrick J Byrne
1Departments of Otolaryngology--Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Archives of Facial Plastic Surgery
|March 22, 2006
Summary
Resorbable plating provides temporary nasal support after septectomy, maintaining structure and function during surveillance. This method offers advantages like ease of use and reversibility before definitive reconstruction.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Biomaterials Science
Background:
- Nasal skeletal defects often require staged reconstruction after cancer resection.
- Temporary support is crucial for maintaining nasal patency and soft tissue integrity during surveillance.
- Traditional methods may interfere with radiotherapy or imaging.
Observation:
- Resorbable plating was used for temporary nasal support in complex skeletal defects post-cancer resection.
- The material provided structural support for nasal soft tissues over a 1-year surveillance period.
- Patients experienced maintained nasal patency and external contour, enabling early return to activities.
Findings:
- Temporary nasal reconstruction with resorbable plating yielded good functional results and acceptable cosmesis.
- The plating offered protection against soft tissue contracture and did not interfere with radiation or imaging.
- Adequate support was maintained for at least one year, with partial extrusion noted in a heavy smoker.
Implications:
- Resorbable plating is a viable option for temporary nasal support in staged reconstructions.
- This approach facilitates patient recovery and surveillance prior to definitive reconstructive surgery.
- Careful patient selection, considering factors like smoking, is important for optimal outcomes.