FUNCTIONAL RESULTS OF ETHMOID BONE PERPENDICULAR LAMINA SPLINT IN CAUDAL SEPTAL FRACTURES
1Rinocenter, Kulak Burun Boğaz Hastalıkları Kliniği, Istanbul, Türkiye2Sağlık Bilimleri Üniversitesi Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Hastalıkları Kliniği, Istanbul, Türkiye Introduction: Septorhinoplasty surgery is the most common facial aesthetic operation aimed at solving both aesthetic and functional problems. In septorhinoplasty, especially the treatment of septal deviations is the most important step affecting functional results. Various surgical techniques such as scoring, cartilage and bone graft splinting have been proposed in the literature for the treatment of septal deviations. In this study, we aimed to reveal the postoperative functional results of patients with caudal septal deviation using ethmoid bone perpendicular lamina splint during septorhinoplasty with NOSE questionnaire.
Material - Method: Twenty-five patients with caudal septal deviation and fracture were included in this retrospective study. The results of the NOSE questionnaire applied one week before and one year after the operation were evaluated statistically.
Results: A statistically significant decrease was observed in all scores on the NOSE scale postoperatively. The mean preoperative total NOSE score was found to be 16.84 ± 2.39 (12-20) in all patients, while the mean postoperative total NOSE score was 3.96 ± 1.81 (1-8) (p <0.001). Conclusion: Ethmoid perpendicular lamina is a good graft alternative in cases where the cartilage graft is insufficient in order to obtain a flat septum or the cartilage grafts cannot show the necessary resistance to deviation, it can be easily obtained from the operation site, provides sufficient resistance to deviation and is easy to process.
Keywords : Septorhinoplasty, Caudal septal deviation, Ethmoid Bone Perpendicular Lamina