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The Role of Extracorporeal Septoplasty in Severely Deviated Nasal Septum

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Abstract

Extracorporeal septoplasty is a valuable tool in the armamentarium of the nasal surgeon for the reconstruction of the severely deviated septum. Extracorporeal septoplasty offers the surgeon the opportunity to correct the septum under direct visualization, shape the nasal vault and address the nasal dorsum with the ultimate goal of providing both form and function for the patient with a complex septal deviation. The study was conducted with the aim to measure the outcomes of extracorporeal septoplasty in severely deviated nasal septum, relief of symptoms (nasal obstruction), surgical complications, if any, revision, if any with objective to evaluate the functional outcome and aesthetic aspects of extracorporeal septoplasty. This was a prospective observational study of 35 patients with severe deviated nasal septum with or without external deformity of nose attending the ENT OPD between Jan 2015 and Jan 2016 at Sri Aurobindo Medical College and Post Graduate Institute, Indore (M.P.). In this study, 17 patients (48.57%) shows excellent improvement on VAS scale, out of which 13 patients shows excellent improvement and 4 patients shows good improvement on photographic assessment. 11 patients (31.43%) show good improvement on VAS as well as photographic assessment and 7 patients (20%) show moderate improvement on VAS scale and fair improvement on photographic assessment. Extracorporeal septal reconstruction is an important surgical option for the correction of the markedly deviated nasal septum. Fixation of the straightened and replanted septum at the nasal spine and dorsal septum border with the upper lateral cartilages is essential. Spreader grafts for stabilization of the internal nasal valve and dorsal onlay grafts to prevent dorsal irregularity are strongly encouraged.

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Acknowledgements

We heartfully thank all the teachers of the department who helped in collection of data. We also thank colleagues and juniors and seniors for their help.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Head and Neck Surgery, Sri Aurobindo Medical College and Post Graduate Institute, NH3 Manorama Ganj, Indore, MP, 452 001, India

    Brajendra Baser, D. K. Patel & A. Mishra

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  1. Brajendra Baser
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  2. D. K. Patel
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  3. A. Mishra
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Correspondence to Brajendra Baser.

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The authors declare that they have no conflict of interest.

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Informed consent was obtained from all individual participants included in the study.

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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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Baser, B., Patel, D.K. & Mishra, A. The Role of Extracorporeal Septoplasty in Severely Deviated Nasal Septum. Indian J Otolaryngol Head Neck Surg 71, 271–277 (2019). https://doi.org/10.1007/s12070-017-1237-8

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  • DOI: https://doi.org/10.1007/s12070-017-1237-8

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