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Related Experiment Video

Updated: Jun 15, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
06:13

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Pulp necrosis during septorhinoplasty.

Saeed Moradi1, Mehdi Poursadegh, Mehdi Bakhshaee

  • 1Dental Research Center, Faculty of Dentistry, Mashhad, Iran.

The Laryngoscope
|March 6, 2010
PubMed
Summary
This summary is machine-generated.

This study found no pulp necrosis in teeth after septorhinoplasty, even with bony manipulation near the nasal spine or maxillary crest. Dental complications from this surgery appear unlikely, with abnormal anatomy potentially explaining rare cases.

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Published on: October 27, 2023

Area of Science:

  • Otolaryngology
  • Dental Surgery
  • Oral and Maxillofacial Surgery

Background:

  • Septorhinoplasty involves bony manipulation near teeth, raising concerns about potential dental injury.
  • Aberrant vascular supply or high root apices may increase risks during these procedures.

Purpose of the Study:

  • To investigate the frequency of pulp necrosis in teeth adjacent to surgical sites during septorhinoplasty.
  • To assess the impact of bony manipulation, including nasal spine and maxillary crest procedures, on dental pulp vitality.

Main Methods:

  • A prospective cross-sectional study evaluated 438 teeth (maxillary incisors/canines) and 73 control teeth in 73 septorhinoplasty candidates.
  • Pulp vitality was assessed using electrical, heat, and cold tests preoperatively and at 2 weeks, 3 months, and 6 months postoperatively.
  • Patients with pre-existing dental issues or difficult intubation were excluded.

Main Results:

  • No cases of pulp necrosis were observed in any of the evaluated teeth during the 6-month follow-up period.
  • Septoplasty with anterior maxillary crest trimming and anterior nasal spine manipulation was performed in a majority of cases.
  • The study included 73 patients (11 males, 62 females) meeting the inclusion criteria.

Conclusions:

  • Pulp necrosis is an unlikely complication of septorhinoplasty, even with significant bony manipulation.
  • The risk of serious dental complications from septorhinoplasty appears low.
  • Rare dental issues may be attributable to underlying abnormal patient anatomy.