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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
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Wedge resection combined with 3D-printed polycaprolactone mesh for caudal septal deviation
Jee Won Moon1, Seok-Youl Choi1, Su-Jong Kim1
1Department of Otorhinolaryngology-Head and Neck Surgery, Guro Hospital, Korea University College of Medicine, 08308, Seoul, South Korea.
Summary
Three-dimensional printed polycaprolactone mesh batten grafts are safe and effective for correcting caudal septal deviation in septoplasty. This innovative material provides excellent support, significantly improving nasal obstruction symptoms.
Area of Science:
- Biomaterials Engineering
- Surgical Innovation
- Otolaryngology
Background:
- Polycaprolactone (PCL) mesh grafts demonstrate biocompatibility and stability in nasal surgery.
- The efficacy of PCL mesh as a batten graft for caudal septal deviation remains undocumented.
- This study evaluates PCL mesh batten grafts in septoplasty for caudal septal deviation.
Purpose of the Study:
- To investigate the safety and efficacy of 3D printed PCL mesh batten grafts.
- To assess the graft's performance in correcting caudal septal deviation using wedge resection during septoplasty.
Main Methods:
- Retrospective review of 20 patients (≥18 years) undergoing septoplasty with PCL mesh batten graft.
- Study conducted at a tertiary medical center in South Korea (Dec 2019 - May 2021).
- Exclusion criteria: no preoperative nasal obstruction or follow-up <28 days.
Main Results:
- 17 patients (85% male, mean age 48.0 years) were analyzed.
- Significant improvement in nasal obstruction (NOSE score 68.2 to 15.0, P<.001).
- 95% of patients achieved a straight septum post-surgery with no complications observed up to 364 days.
Conclusions:
- 3D printed PCL nasal mesh is safe and offers sufficient support against septal cartilage memory.
- The material shows potential for various reconstructive surgeries beyond septoplasty.
- The graft effectively corrects caudal septal deviation, enhancing patient outcomes.
