The efficacy of bioabsorbable mesh as an internal splint in primary septoplasty

Abstract

Nasal bone fractures are often accompanied by septal fractures or deformity. Posttraumatic nasal deformity is usually caused by septal fractures. Submucosal resection and septoplasty are commonly used surgical techniques for the correction of septal deviation. However, septal perforation or saddle nose deformity is a known complication of submucosal resection. Hence, we chose to perform septoplasty, which is a less invasive procedure, as the primary treatment for nasal bone fractures accompanied by septal fractures. During septoplasty, we used a bioabsorbable mesh as an internal splint. We used the endonasal approach and inserted the mesh bilaterally between the mucoperichondrial flap and the septal cartilage. The treatment outcomes were evaluated by computed tomography (CT) and the nasal obstruction symptom evaluation (NOSE) scale. The CT scans demonstrated a significant improvement in the septal deviation postoperatively. The symptomatic improvement rated by the NOSE scale was greater at 1 month and 6 months after surgery compared to the preoperative status. There were no cases of extrusion or infection of the implant. In cases of moderate or severe septal deviation without dislocation from the vomerine groove on the CT scan, our technique should be considered one of the treatments of choice.

Keywords: Bioabsorbable implants; Nasal bone; Nasal septum.

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1

Intraoperative photograph of bioabsorbable mesh 2×3 cm pentagonal piece of bioabsorbable mesh.

Fig. 2

Intraoperative photograph The bioabsorbable mesh works as an internal splint.

Fig. 3

Computed tomography scan Case of a 30-year-old man with nasal bone and septal fracture. (A, C) Preoperative computed tomography (CT) scan. (B, D) CT scan taken at 6 months postoperatively.