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A New Technique of Open Septal Reduction Using Polydioxanone Plates for Nasoseptal Fracture: Three-Dimensional Volumetric Analysis

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Author(s)
Kim, KyubeomKim, JaehoonKim, JunhyungYun, InsikJo, TaeheeChoi, JaehoonJeong, Woonhyeok
Keimyung Author(s)
Kim, Jun HyungJo, Tae HeeChoi, Jae HoonJeong, Woon Hyeok
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
J Craniofac Surg
Issued Date
2022
Volume
33
Issue
2
Keyword
Nasal bonenasal obstructionnasal septumopen fracture reductionpolydioxanone
Abstract
Background:
In this study, we designed a new technique for open septal reduction using a polydioxanone (PDS) plate and compared it with closed reduction (CR).

Methods:
This study included 19 consecutive patients with nasoseptal fracture: 10 receiving open reduction with a PDS plate (PDS group) and 9 undergoing CR group. Open septal reduction was performed after CR for nasal bone fracture. A mucoperichondrial flap was unilaterally elevated, and the deviated septal cartilage was reduced. The PDS plate was inserted horizontally above the vomerine suture. Surgical outcome was analyzed with three-dimensional volumetry and with a quality-of-life scale for nasal obstruction (Nasal Obstruction Symptom Evaluation scale).

Results:
Complications included 1 case of septal perforation in the CR group and 1 case of PDS exposure and septal hematoma in the PDS group. In the three-dimensional volumetric analysis of the PDS group, the median value of the nasal cavity change significantly differed between 1.14 mL (interquartile range; 0.46–2.4) at the preoperative computed tomography scan and 0.33 mL (interquartile range; −0.22 to 1.29) at the postoperative computed tomography scan (∗∗P = 0.0039). The Nasal Obstruction Symptom Evaluation scale revealed significant improvement in nasal obstruction postsurgically (median value, 42.5–7.5; ∗P = 0.0139) in the PDS group.

Conclusions:
Polydioxanone plates potentially present a new concept of open septal reduction in terms of septal reinforcement compared with the subtractive approach of open septal reduction.
Keimyung Author(s)(Kor)
김준형
조태희
최재훈
정운혁
Publisher
School of Medicine (의과대학)
Citation
Kim, Kyubeom et al. (2022). A New Technique of Open Septal Reduction Using Polydioxanone Plates for Nasoseptal Fracture: Three-Dimensional Volumetric Analysis. J Craniofac Surg, 33(2), e156–e161. doi: 10.1097/SCS.0000000000008179
Type
Article
ISSN
1536-3732
Source
https://journals.lww.com/jcraniofacialsurgery/Fulltext/2022/04000/A_New_Technique_of_Open_Septal_Reduction_Using.109.aspx
DOI
10.1097/SCS.0000000000008179
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44041
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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