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Horizontal Dorsal Septal Incision for High Deviation Correction During Septoplasty

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주제분류이비인후과학

초록

When performing septoplasty in patients with a high deviation of the nasal septum, effectivecorrection is difficult and postoperative complications such as a saddle nose may result if thebone or cartilage is removed inordinately. Although several surgical techniques have been introduced,some are difficult to apply easily. Furthermore, the deviation may persist despite theapplication of surgical techniques due to the rebound memory of the remaining cartilage. Thisstudy aimed to describe a simple and safe surgical technique for crooked nasal septa with ahigh deviation. This method using horizontal dorsal septal incision allows easy separation ofthe highly deviated portion from the upper lateral cartilage. Furthermore, it is less traumaticthan other methods, and predictably preserves the keystone area.

Abstract

When performing septoplasty in patients with a high deviation of the nasal septum, effectivecorrection is difficult and postoperative complications such as a saddle nose may result if thebone or cartilage is removed inordinately. Although several surgical techniques have been introduced,some are difficult to apply easily. Furthermore, the deviation may persist despite theapplication of surgical techniques due to the rebound memory of the remaining cartilage. Thisstudy aimed to describe a simple and safe surgical technique for crooked nasal septa with ahigh deviation. This method using horizontal dorsal septal incision allows easy separation ofthe highly deviated portion from the upper lateral cartilage. Furthermore, it is less traumaticthan other methods, and predictably preserves the keystone area.

참고문헌 (9)

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  2. Teixeira J, "Nasal septal deviations : A systematic review of classification systems", Plast Surg Int, 2016, pp.7089123~ (2016)
  3. Cerkes N, "The crooked nose : Principles of treatment", Aesthet Surg J, 31(2), pp.241~257 (2011)
  4. Most SP, "Septoplasty : Basic and advanced techniques", Facial Plast Surg Clin North Am, 25(2), pp.161~169 (2017)
  5. 김민주, "Selection of Surgical Technique and Treatment Outcome of Revision Septoplasty", 대한이비인후-두경부외과학회지, 60(12), pp.640~645 (2017), 대한이비인후과학회[DOI]
  6. Şevik Eliçora S, "Difficult septal deviation cases : Open or closed technique?", Braz J Otorhinolaryngol, 83(3), pp.256~260 (2017)
  7. 한성준, "비폐색 개선을 위한 비중격 수술 시 High Septal Deviation은 반드시 교정되어야 하는가?", Journal of Rhinology, 23(2), pp.85~90 (2016), 대한비과학회
  8. Kang JM, "Modified mattress suturing technique for correcting the septal high dorsal deviation around the keystone area", Am J Rhinol Allergy, 26(3), pp.227~232 (2012)
  9. Özyazgan İ, "Septal deviation treatment using bone or cartilage grafts fixed with cyanoacrylate tissue adhesive", Aesthetic Plast Surg, 41(3), pp.618~627 (2017)

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