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Review and update on extracorporeal septoplasty
Monica McGrath1, Evan Bell2, Garrett D Locketz3
1Princeton University, Princeton New Jersey.
Extracorporeal septoplasty effectively treats severe nasal septum deformities. Recent literature favors the external approach, using polydioxanone foil, with low complication rates, though tip changes can occur without rhinoplasty.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Rhinology
Background:
- Nasal septum deviations can cause functional and cosmetic issues.
- Surgical correction is often necessary for moderate to severe deformities.
Purpose of the Study:
- To review recent literature on extracorporeal septoplasty.
- To assess its efficacy and techniques for septal reconstruction.
Main Methods:
- Literature review of extracorporeal septoplasty studies.
- Analysis of surgical approaches (endonasal vs. external).
- Evaluation of materials like polydioxanone foil for septal support.
Main Results:
- Extracorporeal septoplasty is effective for caudal and dorsal septum deformities.
- External approach shows advantages in recent literature.
- Polydioxanone foil is a common and effective scaffold material.
- Low complication rates reported, but tip deprojection/rotation possible without rhinoplasty.
Conclusions:
- Extracorporeal septoplasty is a valuable surgical technique.
- It addresses dorsal and caudal septum deviations effectively.
- Surgeons should consider approach and potential tip changes.
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