Polydioxanone plates are safe and effective for L‐strut support in functional septorhinoplasty

Objectives/Hypothesis To evaluate the safety, efficacy, and result stability of polydioxanone (PDS) plate use for L‐strut stabilization. Study Design Retrospective analysis of a prospective cohort. Methods Patients who underwent functional septorhinoplasty with the use of PDS plates between January...

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Bibliographic Details
Published in:The Laryngoscope 2017-12, Vol.127 (12), p.2725-2730
Main Authors: Fuller, Jennifer C., Levesque, Patricia A., Lindsay, Robin W.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Bone Plates - adverse effects
Child
Female
Humans
Male
Middle Aged
Nasal Obstruction - surgery
Nasal Septum - surgery
nasal valve
Polydioxanone
Retrospective Studies
Rhinoplasty - instrumentation
Rhinoplasty - methods
Septorhinoplasty
Treatment Outcome
Young Adult
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Summary:Objectives/Hypothesis To evaluate the safety, efficacy, and result stability of polydioxanone (PDS) plate use for L‐strut stabilization. Study Design Retrospective analysis of a prospective cohort. Methods Patients who underwent functional septorhinoplasty with the use of PDS plates between January 2013 and January 2017 were administered the Nasal Obstruction Symptom Evaluation (NOSE) scale pre‐ and postoperatively at 2, 4, 6, and 12 months. Patient demographics, reason for PDS use, graft type, complications, and outcomes were analyzed. Results Eighty‐eight patients aged 34.3 years (standard deviation [SD] = 15.7 years; range, 7.5–71.5 years) were included. All patients were found to have a fracture and/or severe deviation of the L‐strut for which the PDS plate was used for rigid support. Mean preoperative NOSE score 65.2 (SD = 22.1) significantly decreased to 19.6 (SD = 21.6) at 7.2 months (SD = 5.5 months) postoperatively. There were no significant differences in NOSE scores between follow‐up time points. There was one complication, a septal abscess, and one revision. Conclusions A PDS plate is a safe and effective material to be utilized in functional septorhinoplasty for patients with a fracture or iatrogenic injury to the septal L‐strut or poor quality septal cartilage that requires stability without additional width. Outcomes are stable at 6 and 12 months, after the plate has dissolved. The use of a PDS plate may decrease the need for rib grafting in patients with a history of previous septoplasty and persistent nasal obstruction with a dorsal or caudal C‐shaped septal deformity or fracture of the L‐strut. Level of Evidence 2c. Laryngoscope, 127:2725–2730, 2017
ISSN:0023-852X
1531-4995
DOI:10.1002/lary.26592