Evaluación comparativa de diferentes métodos de corrección de la cresta premaxilar durante la septoplastia

The article presents a comparative analysis of various techniques for correcting the premaxillary crest used in septoplasty, evaluated in terms of their clinical effectiveness and complication rates.

To evaluate the clinical efficacy and frequency of complications associated with incisive canal injury in various methods of premaxillary ridge correction in patients with nasal septal curvature.

The study involved 125 patients. Three groups of patients were formed based on the surgical method applied: in the first group, a premaxillary crest crista was performed using a surgical chisel, in the second group, instrumental correction was carried out using only a raspatory and Blakesley forceps, and in the third group, a motorized system was used.

Classical instrumental techniques are associated with an increased risk of complications, such as intraoperative bleeding from the vascular-nervous bundle of the incisive canal and paresthesia in the area of the upper incisors. In instrumental correction of the premaxillary crest without using motorized systems, secondary deviation of the premaxillary crest is possible, which can lead to recurrent nasal obstruction in the postoperative period. The use of a motorized system significantly reduces the risk of such complications and contributes to improve nasal breathing in the postoperative period.

The use of motor systems in nasal septum surgery demonstrates a high level of safety and efficacy compared to traditional methods, making it a promising area for further scientific research.