Ramírez OFJ, Mondragón ÁME, Galarza LD, Heras GD

Language: Spanish
References: 13
Page: 63-66
PDF size: 520.69 Kb.

ABSTRACT

Background: In patients with caudal septal deviation it is observed the caudal septal border in one nare pushing beside the nasal spine, its etiology could be traumatic or congenital. The correction of the caudal septal deviation is a great challenge; these defects can cause obstruction or aesthetical problems to the nasal base. No matter the technique we use, it must be aimed to the reposition of the cartilage in the midline, preserve the function, nasal tip support and the septo-collumnelar aspect.
Objectives: To describe the technique and to evaluate the effectiveness of the pulley suture for the correction of the caudal septal deviations.
Patients and methods: The caudal septoplasty was practiced in 13 patients previously documented in a clinic and photographic way. The procedures were made by the same surgeon with the technique of the pulley suture and the evaluated at two weeks, one and six months after surgery by three different physicians.
Results: The caudal septal deviation was corrected in the 100% of the cases; all the patients refused nasal obstruction 6 months after the procedure.
Conclusions: The pulley suture is a useful and simple method to correct the caudal septal deviations.

REFERENCES

1. Kramer FM, Churukian M. High septal hemitransfixion for the correction of caudal septal deformities. Laryngoscope 1984;94:391-4.

2. Berhbohm H, Tardy ME. Essentials of septorhinoplasty. Philosophy, approaches, techniques. 1st ed. New York: Thieme Medical Publisher, 1986;pp:108-15.

3. Toriumi DM, Becker DG. Rhinoplasty dissection manual. 1st ed. Philadelphia: Lippincott, Williams and Wilkins, 1999.

4. Sedwick JD, Bustillo A, Gajewski P, Simons R. Caudal septoplasty for treatment of septal deviation. Arch Facial Plast Surg 2005;7:158-62.

5. Ramírez OF, Bañuelos AA, Espinosa CM. Eficacia y seguridad de la septumplastía en tres hojas. An Orl Mex 2007;52(1):3-9.

6. Ramirez FJ, Saynes F. Sutura continua en rinoseptoplastía. An Orl Mex 2004;1:24-30.

7. Freer OT. The correction of the def lections of the nasal septum with a minimum of traumatism. JAMA 1902;38:636.

8. Metzenbaum M. Dislocation of the lower en of the nasal septum cartilage. Arch Otolaryngol 1936;24:78.

9. Ellis MS. Suture technique for caudal septal deviations. Laryngoscope 1980;90:1510-2.

10. Anderson JR. Ethmoid bone sandwich grafting for caudal septal defects. Arch Otolaryngol Head Neck Surg 1994;120:1121-5.

11. Pastorek NJ. Treating the caudal septal deflection. Arch Facial Plast Surg 2000;2:217-20.

12. Kridel RW. The tongue-in-groove technique in septorhinoplasty. Arch Facial Plast Surg 1999;1:246-56.

13. Toriumi DM. Subtotal reconstruction of the nasal septum: a preliminary report. Laryngoscope 1994;104:906-13.