Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?
Yıl: 2023 Cilt: 61 Sayı: 1 Sayfa Aralığı: 56 - 63 Metin Dili: İngilizce İndeks Tarihi: 07-06-2023
Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?
Öz: Objective: Nasal septum surgery is a common surgical procedure to relieve nasal obstruction. The aim of this study is to evaluate the frequency of complications in patients who underwent nasal septal surgery such as closed or open technical septoplasty and septorhinoplasty performed in our clinic. In addition, it is to evaluate whether shaping and reimplanting the cartilage removed during septum surgery increases the risk in terms of septal hematoma or whether not reimplanting the cartilage increases the risk in terms of septum perforation. Also, the difference between preoperative and postoperative routine hemogram parameters was also investigated. Materials and Methods: 98 surgical operations of 94 patients who underwent septoplasty with Cottle technique, external septoplasty or external septorhinoplasty in our hospital were included. Complication rates were evaluated. Preoperative and postoperative hemogram results of the patients were compared. Results: Septal hematoma was observed in 3 of 25 surgeries in which the deviated septal cartilage was reshaped to correct the curvature and reimplanted back, and septal perforation was not observed in them. Septal perforation was observed in 2 of 73 surgeries in which the removed deviated septal cartilage was not reshaped and reimplanted, and septal hematoma was not observed in them. The risk of septal hematoma was found to be statistically increased by reimplanting the deviated septal cartilage. There was no statistically significant difference in terms of septum perforation between the techniques in which the deviated cartilage septum was reimplanted back in its place and not placed. Hemogram values of 31 patients with postoperative 3rd-12th mounth control were compared with their preoperative values. Statistically significant decrease was observed in hemoglobin and erythrocyte count. There was no statistical difference in mean platelet volume. Conclusion: Correcting and reimplanting of the deviated septum cartilage removed in nasal septum surgery may increase the development of septal hematoma or decrease the possibility of septal perforation. The risks should be evaluated and decided according to the patient and the situation.
Anahtar Kelime: Nazal Septum Cerrahisinde Nazal Kıkırdağın Geri Yerine Yerleştirilmesi Septal Hematom Veya Septal Perforasyon Gibi Komplikasyonları Etkiler Mi?
Öz: Amaç: Nazal septum ameliyatı, burun tıkanıklığını gidermek için yaygın bir cerrahi prosedürdür. Bu çalışmanın amacı kliniğimizde kapalı veya açık teknik septoplasti ve septorinoplasti gibi nazal septal cerrahi uygulanan hastalarda komplikasyon sıklığını değerlendirmektir. Ayrıca septum cerrahisi sırasında çıkarılan kıkırdaklara şekil verip yerine koymanın septal hematom açısından riski artırıp artırmadığı veya kıkırdağın değiştirilmemesinin septum perforasyonu açısından riski artırıp artırmadığının değerlendirilmesidir. Ayrıca preoperatif ve postoperatif rutin hemogram parametreleri arasındaki fark da araştırıldı. Gereç Ve Yöntemler: Hastanemizde Cottle tekniğinde septoplasti, eksternal septoplasti ve eksternal septorinoplasti operasyonu yapılan 94 hastanın 98 cerrahi operasyonu dahil edildi. Komplikasyon oranları değerlendirildi. Hastaların preoperatif ve postoperatif hemogram sonuçları karşılaştırıldı. Bulgular: Çıkarılan deviye septal kartilajdaki eğriliğin giderilecek şekilde yeniden şekillendirildiği ve geri yerine yerleştirildiği 25 cerrahinin 3’ünde septal hematom görüldü, septum perforasyonu görülmedi. Çıkarılan deviye septal kartilajın şekillendirilerek geri yerine yerleştirilmediği 73 cerrahinin 2 tanesinde septum perforasyonu görüldü, septal hematom görülmedi. Deviye septal kartilajın şekillendirilerek geri yerine yerleştirilmesi ile istatistiksel olarak septal hematom riski artmış görüldü. Deviye kartilaj septumun düzleştirilerek geri yerine yerleştirildiği ve yerleştirilmediği teknikler arasında septum perforasyonu açısından istatistiksel anlamlı fark bulunmadı. Postoperatif 3. - 12. aylarda hemogram kontrolü olan 31 hastanın hemogram değerleri preoperatif değerleri ile karşılaştırıldı. Preopratif ve postoperatif 3. - 12. aylardaki hemoglobin ve eritrosit sayılarında istatistiksel olarak anlamlı azalma görüldü. Ortalama trombosit hacminde istatistiksel fark görülmedi. Sonuç: Nazal septum cerrahisinde çıkarılan deviye septum kartilajının düzleştirilerek geri yerine yerleştirilmesi septal hematom gelişimini artırıyor veya septum perforasyonu oluşması ihtimalini azaltıyor olabilir. Hastaya ve duruma göre riskler değerlendirilip karar verilmelidir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | YAVUZ R, BOZKURT YAVUZ H, Cobanoglu B (2023). Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?. , 56 - 63. |
| Chicago | YAVUZ Ramazan,BOZKURT YAVUZ Hatice,Cobanoglu Bengu Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?. (2023): 56 - 63. |
| MLA | YAVUZ Ramazan,BOZKURT YAVUZ Hatice,Cobanoglu Bengu Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?. , 2023, ss.56 - 63. |
| AMA | YAVUZ R,BOZKURT YAVUZ H,Cobanoglu B Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?. . 2023; 56 - 63. |
| Vancouver | YAVUZ R,BOZKURT YAVUZ H,Cobanoglu B Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?. . 2023; 56 - 63. |
| IEEE | YAVUZ R,BOZKURT YAVUZ H,Cobanoglu B "Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?." , ss.56 - 63, 2023. |
| ISNAD | YAVUZ, Ramazan vd. "Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?". (2023), 56-63. |
| APA | YAVUZ R, BOZKURT YAVUZ H, Cobanoglu B (2023). Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?. Ege Klinikleri Tıp Dergisi, 61(1), 56 - 63. |
| Chicago | YAVUZ Ramazan,BOZKURT YAVUZ Hatice,Cobanoglu Bengu Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?. Ege Klinikleri Tıp Dergisi 61, no.1 (2023): 56 - 63. |
| MLA | YAVUZ Ramazan,BOZKURT YAVUZ Hatice,Cobanoglu Bengu Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?. Ege Klinikleri Tıp Dergisi, vol.61, no.1, 2023, ss.56 - 63. |
| AMA | YAVUZ R,BOZKURT YAVUZ H,Cobanoglu B Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?. Ege Klinikleri Tıp Dergisi. 2023; 61(1): 56 - 63. |
| Vancouver | YAVUZ R,BOZKURT YAVUZ H,Cobanoglu B Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?. Ege Klinikleri Tıp Dergisi. 2023; 61(1): 56 - 63. |
| IEEE | YAVUZ R,BOZKURT YAVUZ H,Cobanoglu B "Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?." Ege Klinikleri Tıp Dergisi, 61, ss.56 - 63, 2023. |
| ISNAD | YAVUZ, Ramazan vd. "Does The Reimplantation Of Nasal Cartilage in Nasal Septum Surgery Affect Complications Such As Septal Hematoma Or Septal Perforation?". Ege Klinikleri Tıp Dergisi 61/1 (2023), 56-63. |
