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Ethmoid bone sandwich grafting for caudal septal defects
S E Metzinger1, R G Boyce, P L Rigby
1Department of Otolaryngology/Head and Neck Surgery, Louisiana State University Medical Center, New Orleans.
Archives of Otolaryngology--Head & Neck Surgery
|October 1, 1994
Summary
The ethmoid bone sandwich graft effectively corrects severe caudal septal defects, improving nasal airway function and cosmetic appearance. This technique maintains structural support without significant complications.
Area of Science:
- Plastic Surgery
- Rhinology
- Otolaryngology
Background:
- Severe caudal septal defects present significant cosmetic and functional challenges.
- Previous surgical interventions like submucous resection may not fully address these complex deviations.
Purpose of the Study:
- To evaluate the efficacy of a novel ethmoid bone sandwich grafting technique for correcting severe caudal septal defects.
- Assess the technique's impact on nasal airway function, nasal tip projection, and patient morbidity.
Main Methods:
- A cohort of ten patients with severe caudal septal defects underwent repair using the ethmoid bone sandwich grafting technique.
- Preoperative and postoperative assessments included photographic grading, nasal tip projection (NTP) measurements, and airway surveys.
- Radiographic evaluation assessed bone graft resorption, and complications were meticulously recorded.
Main Results:
- All patients achieved satisfactory correction of caudal septal defects at one year post-surgery.
- Significant nasal airway improvement (average 126.7%) was observed.
- Nasal tip projection was maintained in most patients, with minimal bone graft resorption and only one instance of granuloma as a complication.
Conclusions:
- The ethmoid bone sandwich grafting technique offers a reliable solution for severe caudal septal deviations.
- This method effectively restores structural integrity of the caudal septal strut, improving both form and function without compromising nasal tip projection or airway patency.