scholarly journals Chronological events in the surgery of the septum

2020 ◽  
Vol 6 (8) ◽  
pp. 1584
Author(s):  
Manish Munjal ◽  
Pankaj Arora ◽  
Shubham Munjal ◽  
Tulika Saggar
Keyword(s):  
Nasal Obstruction ◽  
Surgical Intervention ◽  
Deviated Septum ◽  
Extracorporeal Septoplasty ◽  
Septal Surgery ◽  
Nasal Trauma ◽  
Submucosal Resection

<p class="abstract">Nasal obstruction unilateral or bilateral, secondary to congenital birth passage or adult, nasal trauma requires surgical intervention of the deviated septum. Intervention ranges from a minimal septal repositioning to submucosal resection, simple septoplasty or the extensive extracorporeal septoplasty. The development of septal surgery with the developments in the field of rhinology has been reviewed.</p><p class="abstract"> </p>

scholarly journals Sphenochoanal Polyp - "The Forgotten Element?"

2021 ◽  
Vol 29 (2) ◽  
pp. 209-212
Author(s):  
Misbahul Haque ◽  
Subhrajit Das ◽  
Subrata Mukhopadhyay
Keyword(s):  
Case Report ◽  
Nasal Obstruction ◽  
Surgical Approach ◽  
Surgical Intervention ◽  
Complete Removal ◽  
Endoscopic Polypectomy ◽  
Complete Excision ◽  
Sphenochoanal Polyp

Introduction The occurrence of isolated spheno-choanal polyps are not very common and can be very well confused with antro-choanal polyps or adenoids in adolescents and children. Appropriate diagnosis and prompt surgical intervention are essential for its removal.   Case Report We report one such case of a 16 year old female who presented with complaints nasal obstruction and reduced hearing. Endoscopic polypectomy was done with complete removal of the polyp.   Discussion Sphenochoanal Polyp is often misdiagnosed and proper investigations are thus essential for its diagnosis. Surgical Approach is the mainstay form of treatment with complete excision of the polyp.

Results of hyperbaric oxygen treatment in an at-risk nasal flap following trauma

2021 ◽  
Vol 51 (2) ◽  
pp. 207-209
Author(s):  
Sinem Kara ◽  
◽  
Ender İnci ◽  
E Deniz Gözen ◽  
K Cenk Gülgün ◽  
...  
Keyword(s):  
Hyperbaric Oxygen ◽  
Surgical Intervention ◽  
Complete Healing ◽  
Wound Management ◽  
Absorbable Suture ◽  
Hyperbaric Oxygen Treatment ◽  
Oxygen Treatment ◽  
Valuable Adjunct ◽  
Nasal Trauma ◽  
Antibiotic Cover

Hyperbaric oxygen treatment (HBOT) is widely used in otorhinolaryngology for various purposes. A 20-year-old male patient was admitted following a traumatic nasal wound which occurred several hours prior. He had a nasal glass cut from the radix to the supratip area which was primarily closed by non-absorbable suture. The following day, there was a haematoma and necrosis of the skin. The haematoma was drained under local anaesthesia. Blood supply to the nasal skin was severely compromised and only the columellar artery remaining intact, by definition designating this a difficult to heal wound with the risk of overall healing failure. Necrosis of the skin had developed within the first 24 hours. Accordingly, the patient underwent 30 HBOT sessions (two hours at 253.3 kPa) twice daily for four days and daily thereafter. Antibiotic cover and conservative wound management were also used. Complete healing was achieved without the need for additional surgical intervention. We conclude that timely use of HBOT may be a valuable adjunct to conservative wound management in a case of sharp nasal trauma.

Management of the Internal Nasal Valve

2013 ◽  
Vol 5 (1) ◽  
pp. 21-23
Author(s):  
Ng Li Shia ◽  
Lo Stephen
Keyword(s):  
Nasal Obstruction ◽  
Previous History ◽  
Graft Material ◽  
Nasal Valve ◽  
Management Planning ◽  
History Of ◽  
Nasal Trauma ◽  
Valve Pathology ◽  
Nasal Valve Collapse ◽  
Underlying Pathology

ABSTRACT Nasal obstruction is one of the most common nose complaints. Internal nasal valve dysfunction is an important cause of nasal obstruction, particularly in patients who have a previous history of nasal trauma or reduction rhinoplasty. Correct assessment is crucial for accurate diagnosis and appropriate management planning. Various surgical and nonsurgical modalities for addressing the problem of internal nasal valve collapse are being reviewed in this paper. Each technique have their own advantages and disadvantage, and the choice depends on the underlying pathology, patient preference, availability of graft material. The rhinoplasty surgeon should have a thorough understanding of the available options as part of his/her armamentarium in dealing with internal nasal valve pathology.

scholarly journals An Asymptomatic Foreign Body in the Nose in an Eighteen-Year-Old Patient: Button Battery

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Merih Onal ◽  
Gultekin Ovet ◽  
Necat Alatas
Keyword(s):  
Foreign Body ◽  
Nasal Obstruction ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Chronic Sinusitis ◽  
Upper Airway ◽  
Common Occurrence ◽  
Button Battery ◽  
Button Batteries ◽  
Early Surgical Intervention

Foreign bodies lodged in the upper airway are a common occurrence in children. Many unusual foreign bodies in the nose have been reported as foreign bodies like nuts, plastic toy parts, beads, and so forth. Most of these produce minimal morbidity but button batteries due to their early chemical disintegration require early surgical intervention. Here, we report a case of button battery lodged in the nose for several years with a symptom of nasal obstruction and chronic sinusitis.

scholarly journals Extracorporeal Septoplasty for anterior septal deviation and deviated nose

2020 ◽  
Vol 13 (2) ◽  
pp. 144-148
Author(s):  
Brihaspati Sigdel
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Septal Deviation ◽  
P Value ◽  
Deviated Nasal Septum ◽  
Deviated Nose ◽  
Extracorporeal Septoplasty ◽  
Airway Function ◽  
The Aesthetic ◽  
The Right

Background: Deviated nose and septum is challenging, which results in functional and cosmetic problems. It blocks the nose and makes person ugly. The classical septoplasty approach becomes unsuitable for such severe deviations. Extracorporeal septoplasty is a surgical technique for correcting a severely deviated nasal septum, which also corrects the aesthetic part of the nose. The objective of this study was to describe extracorporeal septoplasty for Deviated nose and anterior septal deviation. Methods: A prospective observational outcome study was done in patients with Deviated nose and anterior septal deviation who underwent extracorporeal septorhinoplasty. Preoperative and postoperative evaluation was performed using a photographs, computerized tomography (CT) scan, and Nasal obstruction symptoms evaluation scale. Results: A total of 38 consecutive patients were enrolled, out of which majority were male (24, 63.2%) with only 14 (36.8%) female. The ratio of male female was 1.7:1. All the subjects had deviated nasal septum. Among these, nose deviation was externally noticeable in 20 (52.6%) cases, whereas in remaining cases it was inconspicuous. There were 21(55.3%) patients where Nasal Septum was deviated to the right side followed by 17(44.7%) with left side deviation. There was a significant improvement in mean nasal obstruction symptoms evaluation postoperatively (71.2 versus 22.7 with p value equal to 0.01). According to the pre and postoperative photographs 17(44.7%) patients had good improvement, nine (23.6%) showed excellent improvement and the result was fair in six (15.7%) patients. Conclusions: Extracorporeal septoplasty is effective in improving both nasal airway function and aesthetics in patients with severe Nasal Septal deviation.  

scholarly journals Superior Adenoidectomy in Children with Palatal Abnormalities

2000 ◽  
Vol 79 (4) ◽  
pp. 300-305 ◽  
Author(s):  
Rajesh S. Kakani ◽  
Noreen D. Callan ◽  
Max M. April
Keyword(s):  
Retrospective Study ◽  
Otitis Media ◽  
Nasal Obstruction ◽  
Complete Resolution ◽  
Surgical Intervention ◽  
Treatment Options ◽  
Effective Procedure ◽  
Velopharyngeal Insufficiency

When treating a child with a palatal abnormality for otitis media or a nasal obstruction, otolaryngologists often face the question of whether the benefits of adenoidectomy are worth the risk of the development of velopharyngeal insufficiency. Treatment options for these patients include a complete adenoidectomy, a partial adenoidectomy, or no surgical intervention. In this retrospective study, we describe the outcomes of 22 such patients who were treated with a superior adenoidectomy performed with a St. Clair adenoid forceps under indirect vision with a laryngeal mirror. All patients experienced a complete or near-complete resolution of their nasal obstruction, and none developed permanent velopharyngeal insufficiency. Only three patients experienced a recurrence of otitis media. Our experience suggests that superior adenoidectomy is a safe and effective procedure.

The Upper Airway Nasal Complex: Structural Contribution to Persistent Nasal Obstruction

2019 ◽  
Vol 161 (1) ◽  
pp. 171-177 ◽  
Author(s):  
Ryan Williams ◽  
Vishal Patel ◽  
Yu-Feng Chen ◽  
Navarat Tangbumrungtham ◽  
Andrew Thamboo ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Hard Palate ◽  
Surgical Intervention ◽  
Upper Airway ◽  
Sinus Surgery ◽  
Control Group ◽  
Maxillary Expansion ◽  
Retrospective Case ◽  
Nasal Floor

Objective To determine the contribution of the nasal floor and hard palate morphology to nasal obstruction for nonresponders to prior intranasal surgery. Study Design Retrospective case-control study. Setting Tertiary academic center. Methods Institutional review board–approved, retrospective institutional database analysis was obtained of a cohort of 575 patients who presented with nasal obstruction over a 21-year period. Of the patients, 89 met inclusion criteria: 52 were placed into the experimental group, defined as having persistent nasal obstruction following endoscopic sinus surgery (ESS), septoplasty, nasal valve repair, and/or turbinoplasty using validated subjective questionnaires, and 37 were placed into the control group, defined as having resolution of subjective nasal obstruction. Computed tomography imaging was presented to 3 blinded experts, who measured numerous nasal airway and hard palate morphology parameters, including anterior nasal floor width, anterior maxillary angle, maxilla width, anterior nasal floor width, and palatal vault height. Standard demographic information, comorbidities, perioperative 22-item Sinonasal Outcome Test (SNOT-22), and follow-up time were also assessed. Wilcox rank sum analysis or t test was performed where appropriate. Results Follow-up ranged from 2 to 36 months following surgical intervention. Several skeletal characteristics within the upper airway were significantly associated with persistent nasal obstruction, including acute maxillary angle ( P = .035), narrow maxillary width ( P = .006), and high arched palate ( P = .004). Conclusion Persistent nasal obstruction may be seen in patients with narrow, high arched hard palate despite prior nasal surgical intervention and may benefit from additional skeletal remodeling procedures such as maxillary expansion.

scholarly journals Long-Term Evaluation of Nasal Septoplasty Followed by Inferior Turbinate Cauterization for the Treatment of Nasal Obstruction using Objective and Subjective Methods

2018 ◽  
Vol 22 (03) ◽  
pp. 284-290 ◽  
Author(s):  
Konstantinos Valsamidis ◽  
Konstantinos Titelis ◽  
Dimitrios Rachovitsas ◽  
Iordanis Konstantinidis ◽  
Konstantinos Markou ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Symptom Relief ◽  
Subjective Improvement ◽  
Nasal Patency ◽  
Objective Measurements ◽  
Septal Surgery ◽  
Glasgow Benefit Inventory ◽  
Short And Long Term ◽  
Nasal Septoplasty

Introduction Nasal septoplasty is considered the treatment of choice for nasal obstruction due to septal deviation. An ongoing discussion among rhinologists is whether it is reasonable to perform objective measurements of nasal patency pre or postoperatively routinely. Objective The primary aim of this study was to identify the short- and long-term functional benefits for patients undergoing septal surgery, as assessed by acoustic rhinometry (AR). The secondary goal was to evaluate the short- and long-term perception of symptom relief and disease-specific quality of life (QoL) outcomes on the part of the patients. Methods This was a prospective observational study in which AR was utilized for the assessment of nasal patency preoperatively and 1, 6 and 36 months after septoplasty. Total 40 patients who underwent septoplasty filled out the Nasal Obstruction Septoplasty Effectiveness (NOSE) questionnaire and the Glasgow Benefit Inventory (GBI) to assess their subjective improvement in nasal obstruction symptoms and the changes in their QoL. Results There were statistically significant improvements in nasal patency, mean postoperative NOSE and GBI scores postoperatively. However, there was no correlation between the mean NOSE and GBI scores and the AR measurements. Furthermore, the GBI scores tended to decrease as the postoperative period increased. Conclusion The present study confirms that septoplasty significantly increases nasal patency and causes a significant subjective improvement in nasal obstruction symptoms. The absence of a statistically significant correlation among the objective measurements, the symptom scores, and the patients' low GBI scores indicates that factors other than the anatomical findings may also contribute to the patients' perception of QoL.

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