Reconstruction of caudal end of septum. A case for transplantation

Archives of Otolaryngology--head & Neck Surgery
D H SlavitE B Kern

Abstract

To examine the results of complete removal and reconstruction of the caudal end of the septum with emphasis on long term success. A case series reviewing the surgical outcome of 45 consecutive cases of transplantations for severely deformed of absent caudal ends of the septum. After at least 18 months, all 45 patients were given a postoperative evaluation. All procedures were performed at Mayo Clinic, Rochester, Minn. Forty-five patients (36 male and nine females) ranged in age from 7 to 78 years, with a mean age of 38 years. Twenty-seven patients had severe caudal end deformities, and 18 patients had absent or flaccid caudal end. Subjective assessment included the opinion of the patient, rhinologic examination, and photographic analysis. Anterior mask rhinomanometry was performed to measure nasal resistance. Clinically noted complications were documented when present. Subjectively, 36 (80%) of the 45 patients reported "normal" nasal breathing, and seven patients (15.6%) reported improved nasal breathing. Objective preoperative and postoperative rhinomanometry data, available in 28 cases, was related to the subjective findings. The longevity of the caudal end transplant was confirmed by reviewing the data from the 33 patients w...Continue Reading

Citations

Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Alexis B OlssonSanjay P Reddi
Aug 10, 2013·Brazilian Journal of Otorhinolaryngology·Denise Barreiro CostaFabiana Cardoso Pereira Valera
Apr 6, 2004·The Laryngoscope·Wolfgang PirsigThomas Verse
Sep 4, 2014·Auris, Nasus, Larynx·Gurkan KayabasogluMehmet Guven
Apr 21, 1999·The Journal of Laryngology and Otology·D Nuñez-FernándezV Chrobok
May 21, 2008·Archives of Facial Plastic Surgery·Hossam M T Foda
Dec 23, 2016·The Journal of Craniofacial Surgery·Mi-Sun HurIn-Beom Kim
Jan 23, 1998·American Journal of Rhinology·D A Sherris

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