Comparative Characteristics Of Surgical Treatment Methods For Patients With Nasal Septum Deviation

Ulugbek Saidakramovich Khasanov,Otabek Rustamovich Khayitov,Jamolbek Abdukakharovich Djuraev

doi:10.37547/tajmspr/volume03issue02-03

Ulugbek Saidakramovich Khasanov, Otabek Rustamovich Khayitov + Show 1 more

Open Access

https://doi.org/10.37547/tajmspr/volume03issue02-03

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Abstract

The methodological recommendation presents a comparative characteristic of surgical methods of treatment of deviation of the nasal septum. Deviation of the nasal septum occurs in the cartilaginous and bone regions, both separately and in both simultaneously. Deformations can be of different nature (bend, crest, spike) and localization. They are one and two-sided. Spines and ridges are more often localized at the junction of the quadrangular cartilage and the perpendicular plate, ploughshare, and the crest of the upper jaw (“growth zone”). Less often, the upper sections of the perpendicular plate and the rear section of the ploughshare are deformed. For traumatic deformities, characteristic bends with acute angles. Often, after injury, there is a displacement of the anterior edge of the quadrangular cartilage in the form of its subluxation. The deformation of the cartilaginous part of the external nose in patients under our supervision was caused by the deviation of the nasal septum. There were no patients with deformity of the nose who would have been indicated for surgical intervention on the cartilage of the external nose. When correcting the deformity of the external nose in patients, we used an exclusively closed technique of intervention with a transseptal access, and, if necessary, access under the upper lip, which allowed us to obtain a good cosmetic effect and minimize traumatic complications after surgery.

Highlights

Despite a number of reports on the curvature of the nasal septum in newborns, it should be noted that in early childhood, its deformity, as a rule, is absent [1,2,3,4]
Spines and ridges are more often localized at the junction of the quadrangular cartilage and the perpendicular plate, ploughshare, and the crest of the upper jaw (“growth zone”)
After injury, there is a displacement of the anterior edge of the quadrangular cartilage in the form of its subluxation

Summary

INTRODUCTION

Despite a number of reports on the curvature of the nasal septum in newborns, it should be noted that in early childhood, its deformity, as a rule, is absent [1,2,3,4]. I.A. Voyachek and M.G. Dangulov developed a number of economical techniques for operations on the nasal septum: "mobilization", "partial submucosal resection", "circular resection", "redressing", "disc method". The technique for performing conservative septoplasty is as follows: an autopsy is performed on the left, stepping back 1–2 mm from the caudal edge of the cartilage, the perichondrium dilator exfoliates along the entire length of the septum to the anterior wall of the sphenoid sinus, without going down below the wing of premaxili (this is how the anteroposterior left upper tunnel is formed). Only curved parts are removed with minimal resection

MATERIAL AND METHODS

RESULTS AND DISCUSSION

CONCLUSION