A novel and cost-effective technique for securing the nasal septum to the anterior nasal spine in septoplasty and/or rhinoplasty surgery
Summary: Septoplasties and septorhinoplasties are common procedures in otolaryngology, aimed at addressing septal and/or bony pyramidal deflections to improve functional and cosmetic outcomes. The nasal septum as well as regulating air flow provides structural support to the nasal tip. The attachmen...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-09-01
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| Series: | JPRAS Open |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587819300257 |
| _version_ | 1819315466171056128 |
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| author | Navdeep Bhamra Adnan Darr Foteini Neamonitou James Barraclough |
| author_facet | Navdeep Bhamra Adnan Darr Foteini Neamonitou James Barraclough |
| author_sort | Navdeep Bhamra |
| collection | DOAJ |
| description | Summary: Septoplasties and septorhinoplasties are common procedures in otolaryngology, aimed at addressing septal and/or bony pyramidal deflections to improve functional and cosmetic outcomes. The nasal septum as well as regulating air flow provides structural support to the nasal tip. The attachment of the nasal septum to the anterior nasal spine must be structurally resilient to prevent saddling or tip ptosis. This can be achieved by direct attachment with absorbable suture material to the periosteum of the anterior nasal spine or a drill fitted with 0.6 mm diamond tip burr (Ultrabur, Invotec International), to create channel through which the nasal spine can be secured to the anterior nasal spine. We describe a novel, and cost-effective alternative utilising a blunt fill needle and simple absorbable suture. A blunt fill needle (Sol-Millenium®, cost £0.03 per unit) is passed through to form a securing channel. The neoseptum is then secured using a figure-of-eight suture. Our novel technique enables the nasal septum to be secured to the anterior nasal spine in a cost effective and efficient manner. Keywords: Septoplasty, Septorhinoplasty, Nasal septum, Anterior nasal spine (ANS), Saddling, Extra-corporeal, Nasal deflection |
| first_indexed | 2024-12-24T10:00:33Z |
| format | Article |
| id | doaj.art-e3bbcae020654057a1880a4d8180e162 |
| institution | Directory Open Access Journal |
| issn | 2352-5878 |
| language | English |
| last_indexed | 2024-12-24T10:00:33Z |
| publishDate | 2019-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj.art-e3bbcae020654057a1880a4d8180e1622022-12-21T17:01:06ZengElsevierJPRAS Open2352-58782019-09-01214347A novel and cost-effective technique for securing the nasal septum to the anterior nasal spine in septoplasty and/or rhinoplasty surgeryNavdeep Bhamra0Adnan Darr1Foteini Neamonitou2James Barraclough3Corresponding author. The Royal Wolverhampton Hospitals NHS Trust, New Cross Hospital, Wolverhampton Road, Wolverhampton, West Midlands, WV10 0QP, UK.; Otolaryngology Department, The Royal Wolverhampton Hospitals NHS Trust, New Cross Hospital, Wolverhampton Road, Wolverhampton, West Midlands WV10 0QP, United KingdomOtolaryngology Department, The Royal Wolverhampton Hospitals NHS Trust, New Cross Hospital, Wolverhampton Road, Wolverhampton, West Midlands WV10 0QP, United KingdomOtolaryngology Department, The Royal Wolverhampton Hospitals NHS Trust, New Cross Hospital, Wolverhampton Road, Wolverhampton, West Midlands WV10 0QP, United KingdomOtolaryngology Department, The Royal Wolverhampton Hospitals NHS Trust, New Cross Hospital, Wolverhampton Road, Wolverhampton, West Midlands WV10 0QP, United KingdomSummary: Septoplasties and septorhinoplasties are common procedures in otolaryngology, aimed at addressing septal and/or bony pyramidal deflections to improve functional and cosmetic outcomes. The nasal septum as well as regulating air flow provides structural support to the nasal tip. The attachment of the nasal septum to the anterior nasal spine must be structurally resilient to prevent saddling or tip ptosis. This can be achieved by direct attachment with absorbable suture material to the periosteum of the anterior nasal spine or a drill fitted with 0.6 mm diamond tip burr (Ultrabur, Invotec International), to create channel through which the nasal spine can be secured to the anterior nasal spine. We describe a novel, and cost-effective alternative utilising a blunt fill needle and simple absorbable suture. A blunt fill needle (Sol-Millenium®, cost £0.03 per unit) is passed through to form a securing channel. The neoseptum is then secured using a figure-of-eight suture. Our novel technique enables the nasal septum to be secured to the anterior nasal spine in a cost effective and efficient manner. Keywords: Septoplasty, Septorhinoplasty, Nasal septum, Anterior nasal spine (ANS), Saddling, Extra-corporeal, Nasal deflectionhttp://www.sciencedirect.com/science/article/pii/S2352587819300257 |
| spellingShingle | Navdeep Bhamra Adnan Darr Foteini Neamonitou James Barraclough A novel and cost-effective technique for securing the nasal septum to the anterior nasal spine in septoplasty and/or rhinoplasty surgery JPRAS Open |
| title | A novel and cost-effective technique for securing the nasal septum to the anterior nasal spine in septoplasty and/or rhinoplasty surgery |
| title_full | A novel and cost-effective technique for securing the nasal septum to the anterior nasal spine in septoplasty and/or rhinoplasty surgery |
| title_fullStr | A novel and cost-effective technique for securing the nasal septum to the anterior nasal spine in septoplasty and/or rhinoplasty surgery |
| title_full_unstemmed | A novel and cost-effective technique for securing the nasal septum to the anterior nasal spine in septoplasty and/or rhinoplasty surgery |
| title_short | A novel and cost-effective technique for securing the nasal septum to the anterior nasal spine in septoplasty and/or rhinoplasty surgery |
| title_sort | novel and cost effective technique for securing the nasal septum to the anterior nasal spine in septoplasty and or rhinoplasty surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2352587819300257 |
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