A New Perspective for Spreader Graft Use in Severely Deviated Septum: Is Septal Continuity an Obligation for a Stable and Straight Nasal Septum?

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dc.authorid0000-0001-8054-7740en_US
dc.contributor.authorSirinoglu, Hakan
dc.contributor.authorYesiloglu, Nebil
dc.contributor.authorErsoy, Burak
dc.date.accessioned2024-07-12T21:46:58Z
dc.date.available2024-07-12T21:46:58Z
dc.date.issued2016en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractSevere septal deviation is a challenging deformity usually treated using aggressive surgical methods, and extracorporeal septoplasty (ECS) is a commonly used method for this issue. However, this method has severe risks and complications such as the recurrent deformity or nasal saddling. In this article, we present an alternative solution to ECS procedure for the correction of severe septal deviation. Sixteen patients with severe c- or s-shaped septal deviation with a mean age of 26.5 years were included in the study. The entire deviated part of the septal cartilage was resected as a vertical block creating a full-thickness defect between the most cranial and caudal parts of the septal cartilage. After that, two spreader grafts were placed bilaterally facilitating the septal integrity and leaving the full-thickness septal defect unchanged. The surgical results were evaluated using the preoperative and postoperative facial photographs and patient satisfaction was determined using nine relevant questions of DAS-59 scale. The only complication observed in the follow-up period of 19 months was hanging columella deformity which was corrected at the postoperative first year. The mean length of the resected septal segment was 12.4 mm. The mean length of the resultant septal cartilage defect after the vertical resection was 5.9 mm. The mean length of the placed spreader grafts was 25.6 mm. The comparison of the preoperative and postoperative photographs showed significant improvement of the nasal contour and considerable correction of the septal deviation. The statistical evaluation of the answers given to the questions of the DAS-59 scale clearly demonstrates that a significant degree of patient satisfaction was achieved. Severe septal deviation may be successfully corrected by full-thickness resection of the deviated part and reconstruction with bilateral spreader grafts with a low risk of postoperative complications.en_US
dc.identifier.doi10.1055/s-0036-1584553
dc.identifier.endpage468en_US
dc.identifier.issn0736-6825
dc.identifier.issn1098-8793
dc.identifier.issue4en_US
dc.identifier.pmid27494592en_US
dc.identifier.scopus2-s2.0-84981203293en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage460en_US
dc.identifier.urihttps://dx.doi.org/10.1055/s-0036-1584553
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7978
dc.identifier.volume32en_US
dc.identifier.wosWOS:000382542900018en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTHIEME MEDICAL PUBL INCen_US
dc.relation.ispartofFACIAL PLASTIC SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY00908
dc.subjectspreader graften_US
dc.subjectsevere septal deviationen_US
dc.subjectextracorporeal septoplastyen_US
dc.subjectseptal integrityen_US
dc.titleA New Perspective for Spreader Graft Use in Severely Deviated Septum: Is Septal Continuity an Obligation for a Stable and Straight Nasal Septum?en_US
dc.typeArticle
dspace.entity.typePublication

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