1,841 results match your criteria Septoplasty


Extracorporeal Septoplasty-A Well Proven Technique for Treatment of Crooked Noses.

Curr Health Sci J 2020 Jan-Mar;46(1):39-43. Epub 2020 Mar 31.

"Carol Davila" University of Medicine and Pharmacy Bucharest, Romania.

Crooked noses (noses with complex septal and pyramidal deviations) are an important challenge for both plastic surgeons and otolaryngologists. Extracorporeal septoplasty, described by Gubisch constitutes an effective solution to this problem. The article describes a series of 7 cases (5 males and 2 females) in which this method was used during open rhinoseptoplasty. Read More

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http://dx.doi.org/10.12865/CHSJ.46.01.06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323721PMC

The Effect of Surgical Trauma in the Nasal Cavity on the Behavior in the Open Field and the Autonomic Nervous System of Rats.

Dokl Biochem Biophys 2020 May 6;492(1):121-123. Epub 2020 Jul 6.

Peoples' Friendship University of Russia (RUDN University), Moscow, Russia.

In this article, the effect of surgical damage to the nasal mucosa in rats under the action of general anesthesia was investigated. The motor activity and heart rate variability (HRV) of rats were studied before and 2 days after the surgery. After surgical exposure, motor activity decreased, the time of fading and grooming increased, VLF increased, and HF decreased. Read More

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http://dx.doi.org/10.1134/S1607672920030023DOI Listing

Recurrent ascending cholangitis with acute pancreatitis and pancreatic atrophy caused by a juxtapapillary duodenal diverticulum: A case report and literature review.

Medicine (Baltimore) 2020 Jul;99(27):e21111

Rationale: Intermittent combined pancreaticobiliary obstruction may lead to multiple episodes of ascending cholangitis and pancreatitis, usually due to choledocholithiasis or periampullary mass. However, one of the rare causes is periampullary or juxtapapillary duodenal diverticulum. Although duodenal diverticula are relatively common in the general population, the overwhelming majority are asymptomatic. Read More

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http://dx.doi.org/10.1097/MD.0000000000021111DOI Listing

[Bioregulatory drugs in the prevention of complications in the early postoperative period in patients after septoplasty and FESS].

Authors:
I M Kirichenko

Vestn Otorinolaringol 2020 ;85(3):64-67

Peoples' Friendship University of Russia, Moscow, Russia.

Objective: To evaluate the effectiveness of the use of bioregulatory drugs for the prevention of complications in the early postoperative period in patients after septoplasty and FESS.

Patients And Methods: We performed surgical treatment of 25 patients with chronic rhinosinusitis with frequent exacerbations without polyps. The extent of operation was septoplasty and FESS (polysinusotomy). Read More

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http://dx.doi.org/10.17116/otorino20208503164DOI Listing
January 2020

Systematic Review of Negative Pressure Pulmonary Edema in Otolaryngology Procedures.

Ann Otol Rhinol Laryngol 2020 Jul 4:3489420938817. Epub 2020 Jul 4.

Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Objective(s): Negative pressure pulmonary edema (NPPE) is a rare perioperative complication with a potentially fatal outcome. The aim of this study was to perform a systematic review of NPPE in adult otolaryngology procedures with the goal of identifying risk factors, clinical presentation, diagnosis, management and outcomes.

Methods: Systematic review performed using PubMed, Scopus, Web of Science, and Cochrane databases. Read More

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http://dx.doi.org/10.1177/0003489420938817DOI Listing

Medicare Reimbursement Trends for Facility Performed Otolaryngology Procedures: 2000-2019.

Laryngoscope 2020 Jul 3. Epub 2020 Jul 3.

Department of Otolaryngology, Mayo Clinic, Phoenix, Arizona, U.S.A.

Objective: There is a paucity of data regarding financial trends for procedural reimbursements in otolaryngology. The purpose of this study was to evaluate monetary trends in Medicare reimbursement rates for the 20 most commonly billed otolaryngology procedures from 2000 to 2019.

Study Design: Analysis of physician reimbursement. Read More

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http://dx.doi.org/10.1002/lary.28749DOI Listing

Impact of the Angles of the Septal Deviation on the Degree of the Mastoid Pneumatization.

Iran J Otorhinolaryngol 2020 May;32(110):163-168

Sadi Konuk Training and Research Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Istanbul, Turkey.

Introduction: The aim was to explore the developmental relationships between the angles of septal deviations and the degree of the mastoid pneumatization.

Materials And Methods: In total, 143 patients with a diagnosis of septal deviation who underwent septoplasty were included. The patients were divided into three groups in terms of the angles of the septal deviation. Read More

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http://dx.doi.org/10.22038/ijorl.2019.35284.2162DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302526PMC

Association between septoplasty, Lund-Mackay score and Lund-Kennedy score with endoscopic dacryocystorhinostomy results.

Orbit 2020 Jun 28:1-7. Epub 2020 Jun 28.

Department of Otolaryngology, Head and Neck Surgery, Yozgat City Hospital , Yozgat, Turkey.

Purpose: To compare endoscopic dacryocystorhinostomy (endo-DCR) + septoplasty with endo-DCR alone and determine the relationship between sinusitis and endo-DCR surgery results.

Methods: Our study included 55 patients with nasolacrimal duct obstruction (NLDO) between June 2017 and June 2019. Patients were divided into two groups as endo-DCR alone and endo-DCR + septoplasty. Read More

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http://dx.doi.org/10.1080/01676830.2020.1782441DOI Listing

Letter to the Editor Regarding "Caudal Septal Division and Interposition Batten Graft: A Novel Technique to Correct Caudal Septal Deviation in Septoplasty".

Ann Otol Rhinol Laryngol 2020 Jun 26:3489420934826. Epub 2020 Jun 26.

Department of Otolaryngology, Head and Neck Surgery, Tehran University of Medical Sciences, Tehran, Iran.

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http://dx.doi.org/10.1177/0003489420934826DOI Listing

Association Between Deviated Nasal Septum With Inferior Turbinate Hypertrophy and the Risk of Male Infertility.

Am J Rhinol Allergy 2020 Jun 17:1945892420932485. Epub 2020 Jun 17.

Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

Objectives: Obstructive sleep apnea is associated with an increased risk of male infertility, and one of its causes is deviated nasal septum with inferior turbinate hypertrophy (DNS/ITH). However, the risk of male infertility associated with DNS/ITH remains unclear.

Methods: Using the Taiwan Longitudinal Health Insurance Database, we conducted a retrospective matched cohort study to investigate the risk of infertility in male patients diagnosed with DNS/ITH (N = 61,761) from 2000 to 2015 in comparison with matched controls without DNS/ITH (N = 247,044). Read More

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http://dx.doi.org/10.1177/1945892420932485DOI Listing

Evaluation of the Esthetic and Functional Outcomes of Extracorporeal Septoplasty for Rhinoplasty in Asian Patients.

Clin Exp Otorhinolaryngol 2020 Jun 20. Epub 2020 Jun 20.

Department of Otorhinolaryngology-Head and Neck Surgery, Chungbuk National University College of Medicine, Chungbuk National University Hospital, Cheongju, Korea.

Objectives: In extracorporeal septoplasty (ECS), the entire septal cartilage is harvested, and a neo-L strut is built extracorporeally. Thus, ECS can simultaneously achieve septum straightening and tip projection. This study evaluated the functional and esthetic outcomes of the ECS technique for rhinoplasty in Asian patients. Read More

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http://dx.doi.org/10.21053/ceo.2019.01704DOI Listing

Central Retinal Artery Occlusion After Nasosinal Surgery - an Insight.

Int Med Case Rep J 2020 21;13:211-215. Epub 2020 May 21.

Specialty Retina Centre, Coral Springs, FL, USA.

Objective: To describe a case of central retinal artery occlusion (CRAO) after nasosinal surgery and subject's subsequent response to hyperbaric oxygen therapy (HBOT).

Design: Observational case report.

Results: We describe a subject with diagnosed CRAO after septoplasty, bilateral inferior turbinate reduction and balloon sinuplasty, who was given hyperbaric oxygen treatment after four days of onset of CRAO with an improvement in visual acuity and visual field. Read More

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http://dx.doi.org/10.2147/IMCRJ.S247275DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247723PMC

Endoscopic "Quick" Septoplasty in Preservation Rhinoplasty.

Ann Plast Surg 2020 Jun 12. Epub 2020 Jun 12.

Section of Otorhinolaryngology, Department of Surgery and Biomedical Sciences, University of Perugia, Perugia.

Background: Preservation rhinoplasty (PR) is revolutionizing rhinoplasty surgery, based on new anatomical studies, advanced tip suture techniques, and refinement of surgical techniques. Septal surgery is a fundamental preparatory stage during PR, especially for the dorsal preservation let/push-down procedure. To increase the predictability of the septoplasty aesthetic effects on the nasal dorsum and further extend the principles of PR to septal surgery, we applied the endoscopic technology to the "quick" septoplasty technique we had already developed in the past decades. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002461DOI Listing

Evaluation of the Impact of Body Position on Primary Central Sleep Apnea Syndrome.

Arch Bronconeumol 2020 Jun 8. Epub 2020 Jun 8.

University of Health Science, Dr. Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Department of Neurology, Izmir, Turkey.

Objective: To evaluate the impact of the body position on primary central sleep apnea syndrome.

Methods: Fifty-five subjects diagnosed with central sleep apnea (CSA) through polysomnographic examinations were prospectively enrolled in the study. All patients underwent cardiologic and neurologic examinations. Read More

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http://dx.doi.org/10.1016/j.arbres.2020.03.004DOI Listing

Does Nasal Surgery Affect Voice Outcomes? A Systematic Review with Meta-Analyses.

Ann Otol Rhinol Laryngol 2020 Jun 11:3489420933290. Epub 2020 Jun 11.

Head and Neck Surgery Department, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA.

Objectives: Changes in airflow dynamics after nasal surgery may have implications on voice quality. Multiple studies have evaluated the impact of nasal surgery on voice using heterogeneous outcome measures. We aim to systematically review the impact of nasal surgery on voice quality. Read More

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http://dx.doi.org/10.1177/0003489420933290DOI Listing

Using Ultrasound to Evaluate Nasal Septal Cartilage.

Facial Plast Surg Aesthet Med 2020 Jun 10. Epub 2020 Jun 10.

Department of Otolaryngology/Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA.

Having a noninvasive tool that quantifies the amount of remaining septal cartilage in the setting of prior septoplasty would be useful for surgical planning and patient counseling. The objective of this pilot study is to determine if endocavitary ultrasound can be used to evaluate the presence and thickness of septal cartilage in vivo. A small prospective observational study was designed to assess the feasibility of using intranasal ultrasound to verify the presence and measure the thickness of septal cartilage. Read More

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http://dx.doi.org/10.1089/fpsam.2020.0053DOI Listing

North American survey and systematic review on caudal Septoplasty.

J Otolaryngol Head Neck Surg 2020 Jun 8;49(1):38. Epub 2020 Jun 8.

Department of Surgery, Division of Otolaryngology - Head and Neck Surgery, Université de Montréal, 5400 Gouin Ouest Montreal, Quebec, Canada.

Background: Surgical correction of caudal septal deviation is a technically challenging step of functional rhinoplasty. Multiple surgical techniques have been described in the literature but comparing the efficacy of each in relieving obstruction presents a challenge. Outcome measures are necessary to adequately compare techniques. Read More

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http://dx.doi.org/10.1186/s40463-020-00435-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282171PMC

Trigeminal endonasal perception - an outcome predictor for septoplasty.

Rhinology 2020 Jun 3. Epub 2020 Jun 3.

Department of Otorhinolaryngology Head and Neck Surgery, University of Zurich and University Hospital Zurich, Zurich, Switzerland.

Background: No adequate test exists to predict outcome after septoplasty. Despite adequate surgery, patients still might experience nasal breathing impairment. The aim of this study was to determine if pre-operative trigeminal sensitivity can predict satisfaction after septoplasty. Read More

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http://dx.doi.org/10.4193/Rhin19.292DOI Listing

Simultaneous Septal Perforation and Deviation Repair with a Chondromucosal Transposition Flap.

OTO Open 2020 Apr-Jun;4(2):2473974X20924332. Epub 2020 May 21.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.

Nasal septal perforations can cause issues of epistaxis, whistling, crusting, saddle deformity, and obstruction, which motivate patients to seek surgical repair. Numerous methods of septal perforation repair have been described, with surgical success rates ranging from 52% to 100%, but few studies address situations with concomitant septal deviation. In treating patients with septal perforation and deviation, both issues should be addressed for optimal outcomes. Read More

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http://dx.doi.org/10.1177/2473974X20924332DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243391PMC

The Potential Esthetic Effect of Endonasal Septoplasty on the Cartilaginous Dorsum in Asian Population.

Facial Plast Surg Aesthet Med 2020 Jun 4. Epub 2020 Jun 4.

Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Septoplasty is used to correct nasal obstructions caused by a deviated septum. In some patients, septal deviation is also associated with external nasal deformity, which suggests that proper septoplasty can improve external deformities as well. However, objective studies of the esthetic outcome of septoplasty are limited. Read More

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http://dx.doi.org/10.1089/fpsam.2020.0039DOI Listing

A randomised trial comparing the subjective outcomes following septoplasty with or without inferior turbinoplasty.

Eur Ann Otorhinolaryngol Head Neck Dis 2020 May 29. Epub 2020 May 29.

Department of Otolaryngology, Urmia University of Medical Sciences, Urmia, Iran.

Aims: The surgical management of contralateral inferior turbinate hypertrophy in patients with deviated nasal septum is controversial. In this randomised clinical trial, we aimed to investigate the subjective improvement of nasal symptoms postoperatively in patients undergoing septoplasty with or without inferior turbinoplasty.

Material And Methods: One hundred and thirty-seven patients with nasal obstruction, who had unilateral septal deviation and compensatory contralateral inferior turbinate enlargement, were randomised into either septoplasty alone arm (n=66) or septoplasty combined with turbinoplasty arm (n=71). Read More

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http://dx.doi.org/10.1016/j.anorl.2020.01.024DOI Listing

Prior smoking and nasoseptal flap usage adversely impact quality of life and healing after endoscopic pituitary surgery.

Neurosurg Focus 2020 Jun;48(6):E17

3Rush Center for Skull Base and Pituitary Surgery, and.

Objective: Endoscopic pituitary surgery (EPS) via the endonasal transsphenoidal approach is well established as an effective treatment modality for sellar masses. The objective of this study was to determine the relationship between key patient and operative variables and rhinological outcomes as determined by the 22-item Sino-Nasal Outcome Test (SNOT-22) and endoscopic scores following EPS.

Methods: Prospectively collected SNOT-22 scores and objective endoscopic data were analyzed from a cohort of 109 patients who underwent EPS and had at least 90 days of postoperative follow-up. Read More

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http://dx.doi.org/10.3171/2020.3.FOCUS2050DOI Listing

[Modification of the method for closing the defect of the medial wall of the maxillary sinus].

Vestn Otorinolaringol 2020 ;85(2):37-40

Sverzhevsky Research Clinical Institute of Otorhinolaryngology of the Moscow Healthcare Department, Moscow, Russia.

Pathological ventilation of the maxillary sinus (MS) is one of the risk factors for the formation of chronic maxillary sinusitis.

Purpose Of Study: Is to evaluate the effectiveness of the method of restoring the medial wall of the MS with an autograft - a quadrangular cartilage of the nasal septum using the butterfly technique (Patent Application No. 2018140468, priority of 11/19/2018). Read More

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http://dx.doi.org/10.17116/otorino20208502137DOI Listing
January 2020

Narrowed Posterior Nasal Airway Limits Efficacy of Anterior Septoplasty.

Facial Plast Surg Aesthet Med 2020 May 29. Epub 2020 May 29.

Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Predicting symptomatic relief after septoplasty has been difficult. Minimal cross-sectional area (mCSA) measured by acoustic rhinometry and airflow resistance () measured by rhinomanometry have been used to select surgical candidates with mixed success. An important assumption is that mCSA and resistance are tightly coupled, but studies have reported weak or no correlation. Read More

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http://dx.doi.org/10.1089/fpsam.2020.0081DOI Listing

Opioid prescribing patterns and usage after rhinologic surgery: A systematic review.

Am J Otolaryngol 2020 Jul - Aug;41(4):102539. Epub 2020 May 11.

Department of Otolaryngology - Head and Neck Surgery, New York Presbyterian Hospital - Weill Cornell Medicine, New York, NY, USA. Electronic address:

Objective: Judicious management of analgesics following rhinologic surgery is important for curtailing over-prescription of opioids. Limited data exists defining expected pain levels and appropriate opioid requirements after rhinologic surgery.

Methods: A systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102539DOI Listing

Is septal deviation associated with headache?: A nationwide 10-year follow-up cohort study.

Medicine (Baltimore) 2020 May;99(20):e20337

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Jeonbuk National University.

To investigate the potential relationship between septal deviation (SD) and headache using nationwide representative cohort sample data.This study used a nationwide cohort sample from the Korean National Health Insurance Service database. The cohort sample was composed of 1 million patients, which is obtained by propensity score matching from 2002 to 2013. Read More

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http://dx.doi.org/10.1097/MD.0000000000020337DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253539PMC

Comparison of visual analogue scale (VAS) and the Nasal Obstruction Symptom Evaluation (NOSE) score in evaluation of post septoplasty patients.

World J Otorhinolaryngol Head Neck Surg 2020 Mar 6;6(1):53-58. Epub 2020 Apr 6.

Department of ENT, Smt. Kashibai Navale Medical College and General Hospital, Off. Sinhgad Road, Narhe, Pune, 411041, Maharashtra, India.

Objective: To compare and correlate the efficacy of the NOSE score & the VAS score in determining the symptomatic benefit in patients undergoing septoplasty.

Materials And Methods: Eighty patients with deviated nasal septum undergoing septoplasty were included in the study. NOSE score & VAS score (out of 100) was documented before and after surgery. Read More

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http://dx.doi.org/10.1016/j.wjorl.2019.06.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221206PMC

Counter Autografting of Dorsal Septum in Crooked Nose.

Aesthetic Plast Surg 2020 May 18. Epub 2020 May 18.

Department of Plastic, Reconstructive, and Aesthetic Surgery, Faculty of Medicine, Ondokuz Mayıs University, Samsun, Turkey.

Introduction: The nasal septum plays an important role in nasal form and function. In this study, we describe a novel, alternative septoplasty approach that results in an aesthetically acceptable dorsal profile and improves airway function in patients with a crooked nose.

Patients And Methods: This study enrolled 26 patients who presented with crooked noses between 2012 and 2017. Read More

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http://dx.doi.org/10.1007/s00266-020-01756-5DOI Listing

Cadaveric Simulation of Endoscopic Endonasal Procedures: Analysis of Droplet Splatter Patterns During the COVID-19 Pandemic.

Otolaryngol Head Neck Surg 2020 07 19;163(1):145-150. Epub 2020 May 19.

Department of Otolaryngology-Head & Neck Surgery, Indiana University, Indianapolis, Indiana, USA.

Objective: The primary mode of viral transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is thought to occur through the spread of respiratory droplets. The objective of this study was to investigate droplet and splatter patterns resulting from common endoscopic endonasal procedures.

Study Design: Cadaver simulation series. Read More

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http://dx.doi.org/10.1177/0194599820929274DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240308PMC
July 2020
1.721 Impact Factor

Changes in Nasal Colonization and Infection Rates After Nasal Surgery.

Facial Plast Surg Aesthet Med 2020 May 11. Epub 2020 May 11.

Department of Otolaryngology Head and Neck Surgery, Henry Ford Hospital, Detroit, Michigan, USA.

The relationship between nasal flora and infection rates in patients undergoing nasal surgery is of interest. This relationship has been studied though changes that may take place due to surgery have never been elucidated. To assess colonization rates and changes in colonization patterns of methicillin-resistant or methicillin-sensitive (MRSA/MSSA) in nasal flora in patients undergoing nasal surgery and to determine whether colonization is a risk factor for postoperative infection. Read More

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http://dx.doi.org/10.1089/fpsam.2020.0115DOI Listing

Rhinological Consequences of Microsurgical Endonasal-Transsphenoidal Surgery for Pituitary Tumors.

Exp Clin Endocrinol Diabetes 2020 May 7. Epub 2020 May 7.

Department of Neurosurgery, Johannes Wesling Klinikum, Universitätsklinikum der Ruhruniversität Bochum, Minden, Germany.

Background: Transsphenoidal surgery for sellar lesions may affect patency and function of the nasal airways, smell and sinonasal quality of life. Below is our report on otorhinolaryngological data garnered from patients undergoing endonasal transsphenoidal pituitary microsurgery.

Methods: In a prospective study, 68 patients scheduled for transsphenoidal operations (32 female, 36 male, age 17-72 years) underwent otorhinolaryngological evaluation of their nasal morphology, a standardized smell test (sniffin' sticks) and rhinomanometry to analyse nasal breathing function preoperatively, 3-5 days postoperatively (without rhinomanometry), after 3-4 months and after 9 months. Read More

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http://dx.doi.org/10.1055/a-1155-6269DOI Listing

Septoplasty versus non-surgical management for nasal obstruction in adults with a deviated septum: economic evaluation alongside a randomized controlled trial.

BMC Med 2020 May 1;18(1):101. Epub 2020 May 1.

Department of Operating Rooms, Radboud Institute for Health Sciences, Radboud University Medical Center, Route 715, P.O. Box 9101, 6500 HB, Nijmegen, the Netherlands.

Background: For years, the benefits of septoplasty have been questioned. Due to the scarce and inconclusive literature, several National Health Service (NHS) Clinical Commissioning Groups in England decided to add septal surgery to their list of restricted procedures with low clinical value. Recently, evidence was obtained that septoplasty is actually more effective than non-surgical management for nasal obstruction in adults with a deviated septum. Read More

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http://dx.doi.org/10.1186/s12916-020-01562-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193380PMC

Endoscopic Septoplasty Versus Traditional Septoplasty for Treating Deviated Nasal Septum: A Prospective, Randomized Controlled Trial.

Ear Nose Throat J 2020 Apr 27:145561320918982. Epub 2020 Apr 27.

Department of Otolaryngology-Head and Neck Surgery, the Head and Neck Center, Rambam Healthcare Campus, Clinical Research Institute at Rambam, Rappaport Institute of Medicine and Research, The Technion, Israel Institute of Technology, Haifa, Israel.

Importance: This is the first randomized study to compare the quality of life of patients undergoing endoscopic septoplasty compared to traditional trans-nasal trans-speculum (TNTS) septoplasty.

Objective: To assess the clinical outcomes and quality of life results of endoscopic versus TNTS septoplasty in patients with septal deviation and nasal obstruction.

Design: A prospective, randomized controlled trial comparing 2 approaches of septoplasty: endoscopic and TNTS septoplasty performed in a single institution during the years 2016 to2017. Read More

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http://dx.doi.org/10.1177/0145561320918982DOI Listing

Nasal Obstruction and Rhinoplasty: A Focused Literature Review.

Aesthetic Plast Surg 2020 Apr 23. Epub 2020 Apr 23.

MetroHealth System, Case Western Reserve University, Cleveland, OH, 44113, USA.

Background: There is a significant variation in the assessment, treatment, and outcomes of nasal airway obstruction and management in the published literature. This study aimed to: (1) define key components of the nasal airway, (2) identify frequent causes of nasal obstruction, and (3) review existing treatment methods.

Methods: A systematic review of the literature was performed, and 135 studies were included via the following criteria: English, human subjects, and a primary endpoint of nasal airway improvement. Read More

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http://dx.doi.org/10.1007/s00266-020-01710-5DOI Listing

Knowledge and confidence in managing obstructive sleep apnea patients in Canadian otolaryngology - head and neck surgery residents: a cross sectional survey.

J Otolaryngol Head Neck Surg 2020 Apr 23;49(1):21. Epub 2020 Apr 23.

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of British Columbia, 2775 Laurel Street, 4th floor, Vancouver, BC, V5Z 1M9, Canada.

Background: Obstructive sleep apnea is an expected competency for Otolaryngology - Head and Neck surgery residents and tested on the Royal College of Physicians and Surgeons examination. Our objective was to evaluate the knowledge, attitudes and confidence of Canadian Otolaryngology - Head and Neck surgery residents in managing Obstructive Sleep Apnea (OSA) patients.

Methods: An anonymous, online, cross-sectional survey was distributed to all current Canadian Otolaryngology-Head and Neck surgery residents according to the Dillman Tailored Design Method in English and French. Read More

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http://dx.doi.org/10.1186/s40463-020-00417-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7178747PMC

Reproductive outcomes of patients with T-Shaped and septate uterus following metroplasty: an observational study.

Facts Views Vis Obgyn 2020 Mar 27;11(4):317-321. Epub 2020 Mar 27.

University of British Columbia, Department of Obstetrics and Gynecology, Vancouver, Canada.

Introduction: Uterine malformations are common and may contribute to infertility and adverse pregnancy outcomes. After an accurate diagnosis, correcting the abnormal uterine morphology is the main goal to optimize reproductive outcomes. The principal objective of this study was to assess the impact of metroplasty for T-shaped (U1a) and septate uteri (U2) on live birth rates in infertile patients. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162664PMC

Wide field swept source OCT angiography of multifocal retinal and choroidal occlusions from embolic triamcinolone acetonide.

Am J Ophthalmol Case Rep 2020 Jun 14;18:100704. Epub 2020 Apr 14.

Bascom Palmer Eye Institute, Miami, FL, USA.

Purpose: Multifocal retinal arterial occlusions and choroidal infarctions due to embolic triamcinolone acetonide (TA) administered during a septoplasty were imaged using swept source OCT angiography (SS-OCTA) to demonstrate the utility of this imaging modality for the diagnosis and longitudinal follow-up of retinal and choroidal vascular diseases.

Observations: A 37-year-old man presented with vision loss in his left eye upon awakening from a left-sided septoplasty during which TA was injected. Examination of the left eye demonstrated retinal whitening in the macula, white material in the distal lumen of retinal arterioles, and multifocal hypopigmented choroidal lesions. Read More

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http://dx.doi.org/10.1016/j.ajoc.2020.100704DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170946PMC

The Impact of Olfactory Dysfunction on the Psychological Status and Quality of Life of Patients with Nasal Obstruction and Septal Deviation.

Int Arch Otorhinolaryngol 2020 Apr 27;24(2):e237-e246. Epub 2020 Feb 27.

1st Otolaryngology Department, Medical school, Aristotle University of Thessaloniki, AHEPA Hospital, 54124, Thessaloniki, Greece.

 Olfactory dysfunction may be present in patients with nasal obstruction and septal deviation. The impact of olfactory dysfunction on the psychological profile and quality of life (QoL) of these patients remains unexplored.  The present study aimed to investigate the emotional status and QoL of patients with olfactory dysfunction and septal deviation and to identify predictors associated with clinically significant improvement of psychological status and QoL, focusing mainly on the role of olfactory recovery after septoplasty. Read More

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http://dx.doi.org/10.1055/s-0040-1701269DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153923PMC

Patterns in Pain and Opiate Use after Endoscopic Sinus Surgery.

Otolaryngol Head Neck Surg 2020 Jun 14;162(6):969-978. Epub 2020 Apr 14.

Section of Otolaryngology, Department of Surgery, Yale School of Medicine, New Haven, Connecticut, USA.

Objective: To evaluate postoperative opiate use and patients' opinions regarding pain management after endoscopic sinus surgery (ESS).

Study Design: Case series with planned data collection.

Setting: Tertiary referral medical center. Read More

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http://dx.doi.org/10.1177/0194599820915472DOI Listing

[Prevention of frontal pocket stenosis after endoscopic transnazal surgery on the frontal sinus and endoscopic septoplasty in acute and chronic pathology of frontal sinuses].

Vestn Otorinolaringol 2020 ;85(1):54-59

Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russia, 197022.

The main idea of our manuscript is prevention of frontal recess stenosis after endoscopic endonasal frontal sinus surgery and septoplasty during to acute and chronic frontal sinuses pathology.

Purpose: To offer an effective method to prevent postoperative frontal recess stenosis after endoscopic endonasal frontal sinus surgery and surgical correction of intra-nasal structures.

Material And Methods: In our manuscript we analyzed 274 cases of endoscopic endonasal frontal sinus surgery: postoperative treatment (local and systemic). Read More

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http://dx.doi.org/10.17116/otorino20208501154DOI Listing
January 2020

Effect of Deviated Nasal Septum on Choriodal Thickness.

J Craniofac Surg 2020 Jul-Aug;31(5):e439-e442

Department of Otolaryngology.

Introduction: Nasal septal deviation (NSD) is one of the major causes of upper airway obstruction. Chronic hypoxia and hypercapnia due to NSD may affect the choroidal blood flow and may change the choroidal thickness (CT). In this study, the authors aimed to research the assessment of CT before and after septoplasty in patients with NSD. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006374DOI Listing
April 2020
0.676 Impact Factor

Future Direction in Rhinoplasty: Functional Improvements for a Better Outcome.

J Craniofac Surg 2020 May/Jun;31(3):750-754

University of Miami, Division of Plastic Surgery, Department of Surgery.

The nose plays both an aesthetic and functional role in the human body. Physiologically, the nose is an important part of the upper airway. Aesthetically, it is the central focal point of the face. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006444DOI Listing

Does pediatric septoplasty compromise midfacial growth? A systematic review.

Eur Arch Otorhinolaryngol 2020 Jun 21;277(6):1565-1574. Epub 2020 Mar 21.

Service of Otolaryngology, Travesía de Choupana, Hospital Complex of Santiago de Compostela, s/n. 15706, Santiago de Compostela, Spain.

Objective: Septal deviation is an important cause of impaired nasal breathing among pediatric patients. A widespread solution to septal deviation is septoplasty. However, there are certain controversies surrounding the effect of this technique on pediatric patients and its influence on the growth centers of the nose. Read More

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http://dx.doi.org/10.1007/s00405-020-05919-7DOI Listing

Costal Cartilage and Costal Perichondrium Sandwich Graft in Septal Perforation Repair.

J Craniofac Surg 2020 Jul-Aug;31(5):1327-1329

Department of Otorhinolaryngology, Okmeydani Training and Research Hospital.

Background: Repair of the septal perforation is a challenging procedure and there are many different surgical techniques. In this study, the authors present a novel method which the authors use costal cartilage and costal perichondrium sandwich graft as an interposition graft with bilateral opposing mucoperichondrial flaps.

Patients And Methods: Fourteen patients (5 females, 9 males) underwent septal perforation repair. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006320DOI Listing

The Nose and Nasal Breathing in Sleep Apnea.

Otolaryngol Clin North Am 2020 Jun 17;53(3):385-395. Epub 2020 Mar 17.

Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, 2233 Post Street, Box 1225, San Francisco, CA 94115, USA. Electronic address:

Assessment of the nose is critical in evaluating obstructive sleep apnea (OSA) because the nose plays an important role in the physiology of sleep by regulating nasal airway resistance and stimulating ventilation. Nasal obstruction is common in sleep apnea, contributes to OSA, and interferes with tolerance of OSA treatment with continuous positive airway pressure (CPAP) or oral appliances. Medical treatment of nasal obstruction and rhinitis with nasal corticosteroid sprays is associated with improved OSA severity and sleep symptoms. Read More

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http://dx.doi.org/10.1016/j.otc.2020.02.002DOI Listing

The relationship between the Ottawa Valve Collapse Scale (OVCS) and clinical outcomes in septoplasty patients.

J Otolaryngol Head Neck Surg 2020 Mar 16;49(1):14. Epub 2020 Mar 16.

Department of Otolaryngology-Head & Neck Surgery, University of Ottawa, 105A - 460 West Hunt Club Road, Ottawa, ON, K2E 0B8, Canada.

The Ottawa Valve Collapse scale (OVCS) was developed to classify the severity of nasal valve collapse (NVC) in patients with nasal obstruction. The goal of this study was to determine, in patients who have nasal obstruction due to a septal deviation, whether those with a higher OVCS grade will have a reduced improvement in patient-centered clinical outcomes at one-year following septoplasty with inferior turbinate diathermy compared to those with a normal or lower OVCS grade. This study was a prospective study of 78 patients who completed an assessment using the NOSE questionnaire before and at one-year following the surgical intervention. Read More

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http://dx.doi.org/10.1186/s40463-020-00407-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7074994PMC

Lack of impact of radiologic septal measurements upon patient symptoms and performance of septoplasty during endoscopic sinus surgery.

Rhinology 2020 Mar 16. Epub 2020 Mar 16.

Division of Rhinology and Sinus Surgery, Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.

Background: Recent literature suggests that concurrent septoplasty during endoscopic sinus surgery (ESS) improves patient outcomes, however, the underlying indications for performing concurrent septoplasty are unknown. The objective of this study was to investigate the relationship between objective radiologic measures of nasal septal deviation with preoperative patient symptomatology and measures of CRS disease severity. We also sought to understand the association of objective radiologic measurements with surgeon performance of concurrent septoplasty during ESS. Read More

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http://dx.doi.org/10.4193/Rhin19.412DOI Listing

Short- and mid-term results of limited approach septoplasty.

Eur Arch Otorhinolaryngol 2020 Jul 13;277(7):1961-1967. Epub 2020 Mar 13.

Department of Neuroscience DNS, Otolaryngology Section, University of Padova, Via Niccolò Giustiniani 2, 35128, Padova, Italy.

Purpose: Limited approach septoplasty (LAS) follows the principle of respecting nasal structures and aims to minimize complications while ensuring proper nasal respiratory function. LAS is only applicable to selected cases of septal deviation. The present study aimed to: (1) compare short- and mid-term complications in two consecutive series of patients with the same type of septal deviation treated with LAS or classical septoplasty; and (2) examine postoperative respiratory function with active anterior rhinomanometry in the two series, and in a group of healthy, non-surgical volunteers. Read More

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http://dx.doi.org/10.1007/s00405-020-05910-2DOI Listing