Abstract
Background
In crooked noses, the standard septoplasty is a challenge because of the complex deviation of the septum, where straightening of the cartilage in situ is impossible. Hence, it is required to remove the partial/total septum and later is replaced back after being straightened; the procedure is called partial/total extracorporeal septoplasty. In the present study, we shared our experience of partial extracorporeal septoplasty in patients with crooked noses.
Materials and Methods
It is a retrospective analysis of 30 crooked noses who underwent extracorporeal septoplasty due to gross septal deviation from March 2020 to August 2022. The functional and aesthetic outcomes were evaluated at the end of 12 months.
Results
Of 30 cases, partial and total extracorporeal septoplasty was performed in 28 cases and two cases respectively. Neoseptum was reconstructed with septal cartilage in 27 (90%) cases, costal cartilage in one case and conchal cartilage was used in two instances. All the patients had good functional and aesthetic outcomes till 12 months of follow-up, and there were no major intraoperative or postoperative complications.
Conclusion
Extracorporeal septoplasty can be an excellent surgical procedure in the highly deviated nasal septum, in Indian noses with a crooked nasal deformity. It provides adequate exposure to the whole septum, ensuring good functional and aesthetic outcomes with minimal complication rate.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
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Research involving human participants. Informed consent - Written informed consent has been taken from each patient prior to the surgery and same has been informed to the institute reviewer board. No part of the body has been demonstrated in the case report without the permission of the patient.
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Pradhan, P., Kharwanlang, M., Preetam, C. et al. Partial Extracorporeal Septoplasty in Crooked Noses. Aesth Plast Surg 48, 1715–1721 (2024). https://doi.org/10.1007/s00266-023-03589-4
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DOI: https://doi.org/10.1007/s00266-023-03589-4