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The utility of enlarging symptomatic nasal septal perforations

March 14, 2018  |  Philip G. Chen, MD; Stephen Floreani, MBBS; Peter-John Wormald, MD

Abstract

Nasal septal perforations cause a subset of patients to suffer with significant impairments in quality of life. While smaller perforations can often be surgically repaired, perforations exceeding 2 cm are challenging to close. These repairs are highly technical, and there is a...

A South African first: Congenital absence of the cartilaginous nasal septum

January 14, 2018  |  Yahya Atiya, MBBCh, MMed (ORL), FCORL

Abstract

Congenital absence of the cartilaginous nasal septum has been reported just once in the literature. We present a case of a young child, diagnosed by exclusion, with complete agenesis of the cartilaginous septum. We believe it is only the second case worldwide, and the first in...

Intracranial abscess formation following sphenoid sinus occlusion with nasoseptal flap skull base reconstruction: A cautionary tale

December 12, 2017  |  George S. Tarasidis, MD; Jeremiah A. Alt, MD, PhD; Richard R. Orlandi, MD

Abstract

The formation of an intracranial abscess secondary to sphenoid sinus occlusion after nasoseptal flap skull base reconstruction has not been previously described. We report such a case that occurred at our institution in a 23-year-old man who underwent flap reconstruction for a...

Nasal septum granuloma gravidarum

November 3, 2017  |  Daniel Thomas Ginat, MD, MS; Charles J. Schatz, MD, FACR

G...

Effects of septoplasty on olfactory function evaluated by the Brief Smell Identification Test: A study of 116 patients

November 3, 2017  |  Süheyl Haytoğlu, MD; Ramazan Dengiz, MD; Nuray Bayar Muluk, MD; Gökhan Kuran, MD; Osman Kursat Arikan, MD

Abstract

We conducted a prospective study of 116 patients-61 men and 55 women, aged 17 to 64 years (mean: 26.4)-to investigate the effects of septoplasty on olfactory function in patients with septal deviation (SD). The Mladina classification system was used to define SD types, and...

Neonatal nasal septal deviation: Two cases of successful early surgical intervention

August 24, 2017  |  Claire M. Lawlor, MD; Maria Grant, MD; Joshua Levy, MD, MPH; Ashwin Ananth, MD, MBA; J. Lindhe Guarisco, MD

Abstract

Neonatal nasal septal deviations can occur as a result of trauma in utero or during birth. They are associated with significant clinical implications, including respiratory distress and failure to thrive. The incidence and classification of these deformities are varied in the...

Therapeutic effect of hyaluronic acid in reducing nasal mucosa recovery time after septoplasty

April 30, 2017  |  Francesco Klinger, MD; Fabio Caviggioli, MD; Andrea Vittorio Emanuele Lisa, MD; Luca Maione, MD; Valeriano Vinci, MD; Mattia Siliprandi, MD; Federico Barbera, MD; Marco Klinger, MD; Luca Malvezzi, MD

Abstract

Mucociliary clearance represents a host defense mechanism of airways that can be compromised by various pathologic conditions, such as nasal septal deviation. Although septoplasty can resolve obstruction, it impairs mucociliary clearance in the immediate postoperative period....

Estimation of partitioning of airflow in septal surgery: A prospective study with reference to the NOSE scale

February 20, 2017  |  Indranil Sen, MS; Mainak Dutta, MS; Dibakar Haldar, MD; Ramanuj Sinha, DLO, MS, DNB

Abstract

Improper patient selection for septal surgery often has been found to result in therapeutic failure, and there needs to be an objective assessment of nasal obstruction before the surgery and for postoperative follow-up that can be applied in the routine otolaryngology practice...

Relationships among concha bullosa, nasal septal deviation, and sinusitis: Retrospective analysis of 296 cases

December 7, 2016  |  Hasan H. Balikci, MD; M. Mustafa Gurdal, MD; Saban Celebi, MD; Isa Ozbay, MD; Mustafa Karakas, MD

Abstract

We aimed to investigate the relationships among concha bullosa (CB), nasal septal deviation (NSD), and sinus disease. We retrospectively reviewed paranasal sinus computed tomography scans obtained from 296 patients-132 men and 164 women, aged 17 to 76 years (median: 39)-who had...

Is the location of a septal deviation associated with the degree of postoperative pain after septoplasty?

October 25, 2016  |  Gül Soylu Özler, MD

Abstract

The author conducted a prospective study of patients who underwent septoplasty for nasal obstruction secondary to a septal deviation to determine if the location of the deviation had any association with the degree of postoperative pain. Patients with an anteroposterior...

Impact of nasal septal perforations of varying sizes and locations on the warming function of the nasal cavity: A computational fluid-dynamics analysis of 5 cases

September 19, 2016  |  Lifeng Li, MD; Demin Han, MD, PhD; Luo Zhang, MD, PhD; Yunchuan Li, MD, PhD; Hongrui Zang, MD, PhD; Tong Wang, MD, PhD; Yingxi Liu, PhD

Abstract

Patients with a nasal septal perforation often exhibit symptoms associated with disturbed airflow, which can have an adverse effect on the warming function of the nasal cavity. The impact of this effect is not fully understood. The warming function is an important factor in the...

Ketamine-snorting-induced nasal septum perforation

July 18, 2016  |  Keng-Kuang Tsai, MD; Chih-Hung Wang, MD, PhD

Ketamine causes vasoconstriction, and long-term abuse leads to mucosal ischemia, atrophy and, ultimately, necrosis, followed by underlying cartilage or bone destruction.

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