XML Feed for RxPG News   Add RxPG News Headlines to My Yahoo!   Javascript Syndication for RxPG News

Research Health World General
 
  Home
 
 Latest Research
 Cancer
 Psychiatry
 Genetics
 Surgery
 Aging
 Ophthalmology
 Gynaecology
 Neurosciences
 Pharmacology
 Cardiology
 Obstetrics
 Infectious Diseases
 Respiratory Medicine
 Pathology
 Endocrinology
 Immunology
 Nephrology
 Gastroenterology
 Biotechnology
 Radiology
 Dermatology
 Microbiology
 Haematology
 Dental
 ENT
  Hearing Imapirment
 Environment
 Embryology
 Orthopedics
 Metabolism
 Anaethesia
 Paediatrics
 Public Health
 Urology
 Musculoskeletal
 Clinical Trials
 Physiology
 Biochemistry
 Cytology
 Traumatology
 Rheumatology
 
 Medical News
 Health
 Opinion
 Healthcare
 Professionals
 Launch
 Awards & Prizes
 
 Careers
 Medical
 Nursing
 Dental
 
 Special Topics
 Euthanasia
 Ethics
 Evolution
 Odd Medical News
 Feature
 
 World News
 Tsunami
 Epidemics
 Climate
 Business
Search

Last Updated: Nov 17th, 2006 - 22:35:04

ENT Channel
subscribe to ENT newsletter

Latest Research : ENT

   DISCUSS   |   EMAIL   |   PRINT
Extracorporeal septoplasty for difficult nasal reconstructive surgery
Jul 19, 2005, 03:05, Reviewed by: Dr.

"Based on the subjective opinion of the surgeon and patients and the findings of the clinical examinations, a good to excellent functional result was obtained in 96 percent," the author writes. "Despite the complex deformity and complicated operative procedure, postoperative complications were rare and only 20 patients (four percent) elected to have revision septoplasty. Fifty-seven complications (12 percent) occurred, with the most common complaint being irregular contour of the dorsum [the bridge of the nose] (32 patients, seven percent)."

 
A surgical technique that requires the removal, restructure and re-implantation of the nasal septum (the partition of the nose between the nostrils) appears to be a useful option for repairing the hard-to-treat severely deviated septum, according to an article in the July/August issue of the Archives of Facial Plastic Surgery, one of the JAMA/Archives journals.

Severe nasal septal deviations, usually the result of trauma, previous surgery or congenital malformations such as cleft palate, pose a particular challenge to plastic surgeons, according to background information in the article. The nasal septum affects both the appearance and the airway passages of the nose. Usual plastic surgical techniques often prove insufficient for reliably correcting severe septal deformities, the author suggests, necessitating the complete removal and correction of the septum to achieve good functional and aesthetic results.

Wolfgang Gubisch, M.D., of Marienhospital, Stuttgart, Germany, reviewed the medical charts of patients undergoing septoplasty (surgery of the nasal septum), either performed by him or under his supervision, at a facial plastic surgery center. Of the 2,119 patients from 1981 to 2004 with severe nasal septal deviations undergoing the surgery developed and refined by Dr. Gubisch, the charts of two groups were reviewed: 459 procedures performed by Dr. Gubisch from January 1, 1981 through July 31, 1987 and 108 patients whose procedures were supervised by Dr. Gubisch in 1996.

In the first group of patients, "Based on the subjective opinion of the surgeon and patients and the findings of the clinical examinations, a good to excellent functional result was obtained in 96 percent," the author writes. "Despite the complex deformity and complicated operative procedure, postoperative complications were rare and only 20 patients (four percent) elected to have revision septoplasty. Fifty-seven complications (12 percent) occurred, with the most common complaint being irregular contour of the dorsum [the bridge of the nose] (32 patients, seven percent)." In the supervised procedures, there were 14 postoperative complications (13 percent) and 12 dorsal (bridge of the nose) irregularities (11 percent). Eight patients (7 percent) chose to redo surgery.

"This vast experience of extracorporeal septoplasty [removal of the septum from the nose for repair] in 2,119 patients spanning 20 years demonstrates that it is an important technique in the armamentariam (armory of techniques) of surgeons for correcting of extensive nasal septal deviations that result from trauma, previous surgery, or congenital anomalies," the author concludes. "During the study period, the technique was improved to make it safe and practical for all surgeons dealing with this difficult problem."
 

- July/August issue of the Archives of Facial Plastic Surgery
 

Arch Facial Plast Surg. 2005;7:218-226

 
Subscribe to ENT Newsletter
E-mail Address:

 



Related ENT News

UK researcher identifies brain region responsible for spatial hearing
Boosting local immunity in nose can help treat chronic sinusitis
Acidic mammalian chitinase gene linked to recurrent sinusitis
Beta-actin mutations linked to deafness and dystonia
Role of Folic Acid in Treatment of Laryngeal Leucoplakia
Hyperactivity, attention deficit, sleepiness, and ADHD often improves after tonsillectomy - Study
New vaccine against ear infection
Middle cranial fossa approach preserves hearing in acoustic neuroma patients
Aldosterone linked to good hearing as we age
Antibiotic telithromycin linked to liver damage


For any corrections of factual information, to contact the editors or to send any medical news or health news press releases, use feedback form

Top of Page

 

© Copyright 2004 onwards by RxPG Medical Solutions Private Limited
Contact Us