Hostname: page-component-77c89778f8-rkxrd Total loading time: 0 Render date: 2024-07-18T08:08:24.275Z Has data issue: false hasContentIssue false
  • English
  • Français

Customised acrylic nasal stents following recanalisation of modified Young's procedure

Published online by Cambridge University Press:  19 April 2010

P Pavithran ,
K Pujary ,
S G Mahesh ,
P Parul  and
B Aziz
P Pavithran
Affiliation:
Department of ENT – Head and Neck Surgery, Kasturba Medical College, Manipal University, Karnataka, India
K Pujary*
Affiliation:
Department of ENT – Head and Neck Surgery, Kasturba Medical College, Manipal University, Karnataka, India
S G Mahesh
Affiliation:
Department of ENT – Head and Neck Surgery, Kasturba Medical College, Manipal University, Karnataka, India
P Parul
Affiliation:
Department of ENT – Head and Neck Surgery, Kasturba Medical College, Manipal University, Karnataka, India
B Aziz
Affiliation:
Department of ENT – Head and Neck Surgery, Kasturba Medical College, Manipal University, Karnataka, India
*
Address for correspondence: Dr Kailesh Pujary, Associate Professor, Department of ENT – Head and Neck Surgery, Kasturba Medical College, Manipal University, Manipal 576104, Karnataka, India. Fax: +91 820 2570061 E-mail: pujarykp@rediffmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction:

Maintaining the patency of the nasal vestibule following recanalisation of a modified Young's procedure can be a difficult task, as restenosis is quite common.

Materials and methods:

Sixteen patients underwent recanalisation of a modified Young's procedure, between January 2005 and December 2007, in the ENT – head and neck surgery department of a tertiary centre. Three different stent types were used following recanalisation: silicone suction tube tips, dental wax plate stents and customised acrylic stents.

Results:

The silicone suction tube stents prevented restenosis. They were visible in the post-operative period, and there appeared to be some blunting of the nasal valve region, with no functional impairment. Dental wax plates had a high rate of restenosis and were uncomfortable and unsightly. The customised acrylic stents were more acceptable in the post-operative period, and enabled nasal valve angulation to be maintained.

Conclusion:

The customised acrylic stent described was a superior alternative to such stenting methods as repeated packing, silicone suction tubes and dental wax plates, following recanalisation of a modified Young's procedure.

Keywords

Atrophic RhinitisNasal CavityStents
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 8 , August 2010 , pp. 864 - 867
Copyright
Copyright © JLO (1984) Limited 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Young, A. Closure of the nostrils in atrophic rhinitis. J Laryngol Otol 1976;81:515–24Google Scholar
2 Gadre, AK, Savant, R, Gadre, KC, Bhargava, KB, Juvekar, RV. Reopening of the closed nostril in atrophic rhinitis. J Laryngol Otol 1988;102:411–13Google Scholar
3 Brandt, MG, Moore, CC, Doyle, PC. Clinical evaluation of a novel intranasal dilation stent for the improvement of nasal breathing. Otolaryngol Head Neck Surg 2008;138:626–32CrossRefGoogle Scholar
4 Salvado, AR, Wang, MB. Treatment of complete nasal vestibule stenosis with vestibular stents and mitomycin C. Otolaryngol Head Neck Surg 2008;138:795–6CrossRefGoogle ScholarPubMed
5 Nayak, DR, Murthy, KD, Balakrishnan, R. Septal splint with wax plates. J Postgrad Med 1995;41:70–1Google ScholarPubMed
6 Lobo, CJ, Hartley, C, Farrington, WT. Closure of the nasal vestibule in atrophic rhinitis – a new non-surgical technique. J Laryngology Otol 1998;112:543–6Google Scholar
7 McKinstry, RE, Johnson, JT. Acrylic nasal septal obturators for nasal septal perforations. Laryngoscope 1989;99:560–3CrossRefGoogle ScholarPubMed