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DOI: 10.5999/aps.2012.39.5.561
The Efficacy of Bioabsorbable Mesh as an Internal Splint in Primary Septoplasty
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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.
This article was presented at the the 69th Annual Conference of the Korean Society of Plastic and Reconstructive Surgeons on November 11-13, 2011 in Seoul, Korea.
Publication History
Received: 09 March 2012
Accepted: 11 June 2012
Article published online:
01 May 2022
© 2012. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
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REFERENCES
- 1 Ha JS, Lee KC, Kim SK. et al. Classification of nasal bone fracture; types and secondary deformities. J Korean Soc Plast Reconstr Surg 2003; 30: 287-292
- 2 Yoo YS, Jung SH, Yoon ES. et al. Primary septoplasty in the treatment of nasal bone fractures. J Korean Soc Plast Reconstr Surg 2009; 36: 61-65
- 3 Park WY, Kim YH. A clinical study of the nasal bone fracture according to stranc classification. J Korean Soc Plast Reconstr Surg 2008; 35: 289-294
- 4 Losken HW, van Aalst JA, Mooney MP. et al. Biodegradation of Inion fast-absorbing biodegradable plates and screws. J Craniofac Surg 2008; 19: 748-756
- 5 Kim JH, Shin DW, Choi TH. et al. The importance of septoplasty in the treatment of nasal bone and grade I septal fracture: estimation with acoustic rhinometry. J Korean Soc Plast Reconstr Surg 2010; 37: 626-632
- 6 Rhee SC, Kim YK, Cha JH. et al. Septal fracture in simple nasal bone fracture. Plast Reconstr Surg 2004; 113: 45-52
- 7 Shin DH, Kim DJ, Kim SY. et al. Rigid fixation using bioabsorbable mesh and screws in facial bone fracture. J Korean Soc Plast Reconstr Surg 2010; 37: 717-720