Zubiaur GFM, Sanjurjo MJL, Moscoso JB, Montes BJJ, López UF

Language: Spanish
References: 8
Page: 174-177
PDF size: 268.11 Kb.

ABSTRACT

Objective: To describe The Fausto López Infante (FLI) Suture, a useful and practical technique used for reparation of septal mucosa defects and tears occurring during surgery in patients who underwent nasal surgical procedures with septal manipulation.
Materials and methods: A prospective and observational case-series study was conducted, in which 19 consecutive patients who underwent nasal surgery with septal manipulation were evaluated. These patients had accidental transoperative septal mucosa tears which were predominantly linear. Mucosa tears where repaired using The FLI Suture while postoperative results and patient evaluation was analyzed by taping follow-up nasal endoscopies, averaging a 3 to 12 period.
Results: Postoperative analysis showed an intact septal mucosa, with the absence of additional mucosal tears or septal hematomas. The main complaint was nasal obstruction presenting during the first 12 hours after surgery, characterizing the typical postoperative symptom of patients with intranasal surgical procedures.
Conclusions: The FLI Suture turns out to be a simplified technique to reproduce for successful transoperative repair of linear septal mucosa tears in patients who undergo the large number of different rhinoseptal procedures.

REFERENCES

1. Azuara E, García Palmer R. Rinología ciencia y arte. Barcelona: Masson Salvat, 1996;pp:219-29.

2. Clínicas otorrinológicas de Norteamérica. Rinoplastía. México: Nueva Editorial Interamericana McGraw-Hill, 1987;p:4.

3. Hinderer KH. Fundamentos de anatomía y cirugía de la nariz. 3th ed. Birghingham; Aesculapius Publishing, 1978;pp:20-25.

4. Holt R, Garner E, McLarey D. Secuelas y complicaciones postoperatorias de la rinoplastía. Clinicas Otorrinológicas de Norteamérica 1987:895-916.

5. Rees TD. Postoperative considerations and complications. Aesthetic plastic surgery. Philadelphia: W.B. Saunders, 1980;pp:337-8.

6. Sofferman RA. Technique of intranasal suturing. Laryngoscope 1985;95:475-7.

7. Genc E, Ergin NT, Bilezikci B. Comparison of suture and nasal packing in rabbit noses. Laryngoscope 2004;114:639-45.

8. Mladina R, Heinzel B. Cross-Stealing technique for septal perforation closure. Rhinology 1995;33:174-6.