The Efficacy of Bioabsorbable Mesh as an Internal Splint in Primary Septoplasty.
10.5999/aps.2012.39.5.561
- Author:
Jee Nam KIM
1
;
Hyun Gon CHOI
;
Soon Heum KIM
;
Hyung Jun PARK
;
Dong Hyeok SHIN
;
Dong In JO
;
Cheol Keun KIM
;
Ki Il UHM
Author Information
1. Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, Korea. md58596@hanmail.net
- Publication Type:Brief Communication
- Keywords:
Nasal septum;
Nasal bone;
Bioabsorbable implants
- MeSH:
Absorbable Implants;
Cartilage;
Congenital Abnormalities;
Dislocations;
Nasal Bone;
Nasal Obstruction;
Nasal Septum;
Nose;
Splints;
Symptom Assessment
- From:Archives of Plastic Surgery
2012;39(5):561-564
- CountryRepublic of Korea
- Language:English
-
Abstract:
Nasal bone fractures are often accompanied by septal fractures or deformity. Posttraumatic nasal deformity is usually caused by septal fractures. Submucosal resection and septoplasty are commonly used surgical techniques for the correction of septal deviation. However, septal perforation or saddle nose deformity is a known complication of submucosal resection. Hence, we chose to perform septoplasty, which is a less invasive procedure, as the primary treatment for nasal bone fractures accompanied by septal fractures. During septoplasty, we used a bioabsorbable mesh as an internal splint. We used the endonasal approach and inserted the mesh bilaterally between the mucoperichondrial flap and the septal cartilage. The treatment outcomes were evaluated by computed tomography (CT) and the nasal obstruction symptom evaluation (NOSE) scale. The CT scans demonstrated a significant improvement in the septal deviation postoperatively. The symptomatic improvement rated by the NOSE scale was greater at 1 month and 6 months after surgery compared to the preoperative status. There were no cases of extrusion or infection of the implant. In cases of moderate or severe septal deviation without dislocation from the vomerine groove on the CT scan, our technique should be considered one of the treatments of choice.
