Extracorporeal Septoplasty For Heavily Deviated Septums
The shape and severity of deviated septums vary greatly. From mild and asymptomatic, to serious anatomical alterations that produce obstruction and physical deviation of the nose. It is in these more complicated cases in which extracorporeal septoplasty is used.
The nasal septum is a thin sheet of cartilage and bone that separates the two nostrils. Its central position and lack of deviations are essential for air to properly flow to the nasopharynx. When this partition is curved or deviated it can produce a physical obstruction to the passage of air through the nostrils. Septoplasties are used for the treatment of nasal septum irregularities. When the problem is deviation, the septoplasties are based on two basic corrections.
First, the deviated segment of the nasal septum can be “straightened” by carving the cartilage directly at its location. The portion of the deviated cartilage can be removed if it is not possible to straighten, or when it is going to be used as a graft. Deviations of the septum are not the only cause of nasal obstruction, but they are the most frequent.
What is an extracorporeal septoplasty?
Usually, extracorporeal septoplasties are performed using an open rhinoplasty technique and under general anesthesia. They are typically performed by rhinoplasty michigan surgeons as well. This is the best way to extract the entire nasal septum as it gives the surgeon a lot of access.
Once extracted, it is carefully carved on the operating table to make it completely straight. Because the cartilage naturally tends to recover its original state (similar to a rubber band), it is essential to eliminate this “muscle memory”. To achieve this, permanent sutures or support structures are often necessary to “splint” the repair so that it heals in the proper position in a lasting manner. Once the septum has been straightened and reinforced it is reintroduced in its position, fixing it properly to avoid displacements.
The usefulness of extracorporeal septoplasty
Severe cases that involve deviations of the entire nasal septum and nose axis cannot be treated by removing the entire affected septum (this would be a dangerous procedure). On the other hand, it is not easy to carve, in an effective way, heavily deviated partitions directly inside the nose.
Extracorporeal septoplasty is a type of septoplasty which removes the entire cartilaginous portion of the nasal septum so that it can be carved on the operating table and then placed back in its original position. Extracorporeal septoplasty is a matter of debate and has been, and continues to be, questioned by many of the best rhinoplasty surgeons in michigan. The truth, however, is that it is a very useful and effective tool if it is executed carefully.
Postoperative and complications of extracorporeal septoplasty.
The postoperative period of extracorporeal septoplasty does not vary too much with respect to other types of septoplasty. For safety reasons, after surgery, a ventilated tamponade is placed, which is usually maintained for four to seven days to control the internal inflammation and allow the mucosa of the septum to adhere correctly to the reconstructed septum. Because it helps the patient breathe through their nose, it can be left in longer if necessary.
The complications do not differ much from any other type of septoplasty if it is well performed. The loss of support in the nose is prevented by fixing the reconstructed partition solidly. Perforations of the septum, the sacred or the reappearance of the deviation are infrequent complications.
Is it possible to reroute the nasal septum after an extracorporeal rhinoplasty?
To prevent the cartilage from recovering its memory, it is necessary to take the time to provide the reconstructed partition with corrective measures and powerful anchors. Despite the fact that the repair is thorough, the intensity of the postoperative inflammation can weaken part of the repair and facilitate the cartilage to curl again. Although very rare, it can occur if the patient does not comply with the postoperative recommendations given by their surgeon.
In summary, extracorporeal septoplasty is a technique aimed to treat the most severe cases of nasal obstruction caused by extreme deviation of the nasal septum. It is a technique practiced for years and that has very satisfactory and lasting functional results if it is carried out properly.
If you are suffering from a deviated septum and you are looking for a specialist in Michigan who can help restore your breathing, contact SurgeonGate today and we will place you with an experienced specialist in your area.