Scribd Logo
Upload

Welcome to Scribd!

  • Revisionseptoplastyreview

    Uploaded by

    Ayesha Hussain
    3 views5 pages
    Revision septoplasty

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    Revision septoplasty

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    3 views5 pages

    Revisionseptoplastyreview

    Uploaded by

    Ayesha Hussain
    Revision septoplasty

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 5
    a ee Revision septoplasty: Review of sources of persistent nasal obstruction Samuel S. Becker, M.D, Eric J. Dobratz, M.D, Nicolas Stowell, M.D., Daniel Barker, BS, and Stephen S. Park, M.D ‘ABSTRACT. Patents with nal bstracin from spa deviation commonly under spoplty Yo improve nial sire, Some patients fe fom persistent strution afer Ut primary spay and my underge 4 ran impo hi nal Psgeony. Our ejective ws 1 ent ans who undeentreinseptpaty ad o ety thers of pren!rsel (Methods: Patios who anders! seplplty st cur inetation been 195 and 2005 were reviewed, te is elt ot demographics, comers ae esp, asactel end onan procures, url patch, and estos of traction, Results Fie unre forty-seven patos met Incsion ere ncn 477 ho smdroen! primary spoplty nd 70 to ndencnt eon surgery. Nine percent of romeo pln underent nal ae erry lng el Se promry epopiy ers 4 of patents te rason group Fyne pret freon patent ha nual a suerye sn sugery. Paes ld tndence! sas surgery log with rir seplplnty eres iyo wdago eon opp. tory ofa ama, trie ‘ep apes, of eotion end prormance of fer aria srgry dl afer te tod of rlaen spot. {Concision: A signfcnt number of patients oho undergo resin staples als hase nasal oe cle We rece tht akon tsp deviation and Infrae hypertrapy, nasal funtion bly exeluatd bore performing spot Ts Tal helo ensues compete estanding of «pte naa iy ahtaction ad, comely, appropri and eee eg (am J Rhinol 2, 40-444, 008; do: 102500/- 200825200) ‘Key words: Natl obructon, nasal valve revision, seploplat, sep, surgery, urinal tant devon can obra rae lay and pet pe ‘nr vera hand uty oe Pan who fal ‘Bapenen of hr nal obeucton ay ues supe pops remove he ceracing par oh pte ‘pop one fe met ei permed Oye spl ted and Neck Surgey proces the Und Soca The mat onmon nda fr epopiasy olve ert ua sway Scion fom spa ean A cel inamechton hss peyote pt con sancy harpey cpy oapat Cf wumapioi apron ot pay tase tay io be pro coma wih er fat mem — Success oes or sepoplasty range inthe erature rom 42 to 6510 and depend greatly on the tool used fo mesure Fone Daemon dH dk TG Vis ah pe Pe Care Ve ‘tr he iy oa cg oe ‘ey nny Cas eae esr” Exams mics arg ONO Ce Pin he SA success. These tol include pte! satisfaction question ‘aires phys eamdnston, cowie Porno ad Change in quay of mesons ised tele maa > Stucon Of te peters with prt! sl eatcton {nd continued spl devon, Some pure en Sa Ter thn patents who do deg vison eptolay, 0 ane Bet ndeaton for apr see em 2 incompletely teed sepia deviton, evetreton of he ‘Septum, iatrogenic weakening fit nasal suppor oF masking of sch nas pathology ae nie bey ervophy, nal valve cberction and allergen da ‘San Ale undeined in these pect ree physel Gu Steric of thr persistent septal pecblen, well es any redpsing factor that might have increased tha sk or {ere of primary septopany. The purpose of eat was to review our itu experience th patents undergo. Ingrersionsptoplaty and ty ode the sure of ter erst asl stay cetrucion METHODS ‘Alter approval by the Human Investigation Comite, ll patens with a Carent Procedural Tesminslogy code fr Sepoplsty performed atthe Univers of Vig (UVAY, Deparment of taryngology-Heed an Neck Surgery, be Sura eprech forthe seploplany (sed, open ened dot) tod wheter ay sia process wer fe fered irs surgery or pity land aurpey) Agnes ‘Jly-Aucust 2008, Vol. 22, No. 4 asl sicway procedures (inferior trbnate and rasa valve ) were aio documented. Operative notes were “iewed forthe side sod eof anatomic deviation. Patients ng evsonsepopany were dented and dats on the ape at andthe Une between pinay and revision Suey tre called. A simi set of anatomic and surgical data Inet collec fo vison procedures, a had been collected [or primary sepoplstien Statist analysis was performed ‘using chraguaed tet compare the percentages between the fo groupe Patent age and time to revision was com- ising Sets est. Logic repression analysis was {eed for motivate analysis. RESULTS Five hundred forty-seven patents were identified, com- prised of 214 (9%) female and 35 (61's) male paints. OF ‘hese 517 patents, 477 underwent primary septoplasty and 70 “underwent revision septoplasty. Forty-five (6%) patents Nad 1Tlagnoss of ebetructive ep apne, including 36) in the primary group and 9 (198) inthe revision group. One Funded nay G04) patents hada istry of acl tama beloce ther Bt septoplasty, ncoding 158 (33%) inthe p= Ihary group and 28 (4) nthe evision group (able 1). The ‘overall nen age for al 57 pants at septoplsty was 37 ets (9, 1s). The mean age of he 477 patient inthe non- Tevison group was 58 (5D, 18) In the feviaion group, the ean aga tel primary septoplasty was avallable for 5 of {he 70 pent and was years (9D 13). The mean age ofthe orevson patient athe tne of heir revision procedure wa {years GD, 10, Fox patents who underwent revision sep- toplty, the average ime between thee primary and revson procedures was 65 yours (SD 9; Tale) ‘One handred seventy-four (30%) patents in the nonrevi= sion group underwent endoscope Sinus surgery (ES) at the fine of her septoplasty, compared with and 9 (17%) patents Inthe revision group who underwent BS atthe tne oftheir Primary septoplasty. Eighty-seven (18%) ofthe 47 pets in Fee nonsevision group underwent slnoplsy atthe tine of ‘heir septoplarty compared with T4 QO) ofthe revision ‘Table 1 Demographics @ = 547) Nevaf patients Primary Revision Taal Primary a7 seplopasy Revision n septoplasty Tota al su septoplasty) Gender (0. / percent) Female primary 15.08) Female revision 3148) Female otal 2469) comorbidities Osa 366) 90) 5) Facaltauma 1586) _82(46) 190035 5A = esate slay one. Ameren Joural of Rhinology 9) Tabled Age a surgery Mean age at surgery forall 57601) SAF patients Mean age at surgery for 38(6D,14) 477 ‘onrevsion patients ‘Mean age at surgery for revision patients Primary sepioplasty 2601) 6 Revision septoplasty 39(8D,14) 7 ‘Time (ye) between primary 65(SD, 9) 6 tnd revision procedures patents who underwent shinoplsy tthe ne of thes pri- ‘hay septoplasty, Seven (1%) af he 47 patients in the nor ‘evan group underwent surgery ofthe pitry land at the tne of tele septopaay compared wit none of the revision patients a the ine of te piary septoplasty. On “iva analy pens who were >29 years old at the tne of thar primary septoplasty were signfiantly (p< Dn) les ly to underge revision surgery. Patients Who Tunderyent ESS athe ie of hl pary surgery wer als ‘Sprcanty eee Wey to undergo revision surgery @ < ‘bts. Paes who Ind sulfered facial eauma before thelr primary surgery were more Hkly to undergo revision sur Bey = 0608) on univariate analysis Gender, obstructive ip apne, thinopasy, and ptr surgery were not sig- ‘tat farsi patients who underwent Feision epio- plasty. On multivariate analysis, age >29 years = O14; ‘dd rao [OR] = 0486) and 55 (p= 02: OR = 0725) emained eign factors, whe trauma st ts significance (p= 0512; OR = 138) Table3) Because 25 ofthe 70 ptints who underwent revision septoplasty had thee plnary septoplasty performed at the Tabled Univariate analysis of factow ‘Primary Revision Value No.0) __No. (Ct Agesso ase) 20am

    You might also like