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Related Concept Videos

Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required

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[Inoperable nasoseptal defects: closure with custom-made silastic prostheses].

A Neumann1, M Schneider, C Tholen

  • 1Städtische Kliniken Neuss Lukaskrankenhaus GmbH, Preussenstrasse 84, 41456, Neuss, Deutschland. aneumann@lukasneuss.de

HNO
|March 26, 2010
PubMed
Summary

Custom-made silastic prostheses offer an effective and safe treatment for inoperable nasoseptal defects. These custom prostheses provide subjective benefit to most patients, improving quality of life.

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Area of Science:

  • Otolaryngology
  • Medical Device Engineering
  • Surgical Reconstruction

Context:

  • Nasoseptal defects pose significant therapeutic challenges.
  • Traditional treatments like the bridge-flap technique have limitations.
  • Prefabricated silastic obturators present disadvantages in managing complex cases.

Purpose:

  • To evaluate the efficacy and safety of custom-made silastic prostheses for nasoseptal defects.
  • To overcome the limitations associated with prefabricated obturators.
  • To assess patient outcomes using the Sinu-nasal Outcome Test-20 German adapted Version (SNOT-20 GAV).

Summary:

  • A custom-made silastic prosthesis was fabricated using an endonasal cast and inserted under anesthesia.
  • Fourteen patients received the prosthesis; 12 completed questionnaires, and eight attended follow-up (mean 12 months).
  • Eleven patients reported subjective benefit, with symptom intensity scores improving post-insertion.

Impact:

  • Custom-made silastic prostheses are an effective and safe adjunct therapy for inoperable nasoseptal defects.
  • The SNOT-20 GAV has limited utility for assessing outcomes in nasoseptal defect therapy.
  • This approach offers a viable solution for patients not suitable for traditional surgical methods.