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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Extracorporeal septorhinoplasty: Technical note
A Depeyre1, M Schlund2, C Delmotte3
1Oral and Maxillofacial Department, Estaing Hospital, CHU de Clermont-Ferrand, 63003 Clermont-Ferrand, France; Faculty of Medicine, université d'Auvergne, 63001 Clermont-Ferrand cedex 1, France; Laboratoire CROC EA 3847, Faculty of Dental Surgery, université d'Auvergne, 63100 Clermont-Ferrand, France; Inserm, U1008-Controlled Drug Delivery Systems and Biomaterials, University Lille, CHU de Lille, 59000 Lille, France; Ramsay GDS, hôpital privé de la Loire, 39, boulevard de la Palle, 42100 Saint-Étienne, France.
Abstract:
Severe nasal septal deformities can be responsible for functional and aesthetic impairments. Correction of these deformities can be difficult and restoring perfect nasal shape and function is still challenging. Classical techniques can, sometimes, lead to disappointing results or relapse. In this article, the aim was to describe the different techniques of extracorporeal septorhinoplasty and fixation of the neoseptum. Three techniques are mainly used: "crisscross" suture, "U-shaped" suture and anterior septal reconstruction to fix the neoseptum after extracorporeal remodeling. All these techniques are technically demanding, especially concerning keystone area management; but, if well performed, could give satisfactory functional and aesthetic outcomes. We therefore think that extracorporeal septorhinoplasty should really improve our results concerning functional and aesthetic aspects in case of severe anterior or caudal septum deviation.
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