Hostname: page-component-848d4c4894-pjpqr Total loading time: 0 Render date: 2024-07-04T05:30:10.257Z Has data issue: false hasContentIssue false
  • English
  • Français

History of intranasal splints

Published online by Cambridge University Press:  30 January 2018

J Lau ,
H A Elhassan  and
N Singh
J Lau
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital/University of Sydney, Australia
H A Elhassan
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital/University of Sydney, Australia
N Singh*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital/University of Sydney, Australia
*
Address for correspondence: Dr Narinder Singh, Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital/University of Sydney, Hawkesbury Road, Westmead NSW 2145, Australia Fax: +61 9845 9852 E-mail: narinder.singh@sydney.edu.au
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

Intranasal splints have long been utilised as a post-operative adjunct in septoplasty, intended to reduce the risk of adhesions and haematoma formation, and to maintain alignment during healing.

Methods:

A Medline literature review of the history and evolution of intranasal splint materials and designs was performed. Advantages and disadvantages of various splints are discussed.

Results:

Intranasal splints fashioned from X-ray film were first reported in 1955. Since then, a variety of materials have been utilised, including polyethylene coffee cup lids, samarium cobalt magnets and dental utility wax. Most contemporary splints are produced from silicon rubber or polytetrafluoroethylene (Teflon). Designs have varied in thickness, flexibility, shape, absorption and the inclusion of built-in airway tubes. Future directions in splint materials and designs are discussed.

Conclusion:

Intranasal splints have steadily evolved since 1955, with numerous novel innovations. Despite their simplicity, they play an important role in nasal surgery and will continue to evolve over time.

Keywords

PolytetrafluoroethylenePolyethyleneSplints
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 3 , March 2018 , pp. 198 - 201
Copyright
Copyright © JLO (1984) Limited 2018 

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 Jung, YG, Hong, JW, Eun, YG, Kim, MG. Objective usefulness of thin silastic septal splints after septal surgery. Am J Rhinol Allergy 2011;25:182–5CrossRefGoogle ScholarPubMed
2 Wagner, R, Toback, JM. Toxic shock syndrome following septoplasty using plastic septal splints. Laryngoscope 1986;96:609–10Google Scholar
3 Tang, S, Kacker, A. Should intranasal splints be used after nasal septal surgery? Laryngoscope 2012;122:1647–8Google Scholar
4 Goode, RL. Magnetic intranasal splints. Arch Otolaryngol 1982;108:319 Google Scholar
5 Salinger, S, Cohen, BM. Surgery of the difficult septum. AMA Arch Otolaryngol 1955;61:419–21Google Scholar
6 Wright, WK. Principles of nasal septum reconstruction. Trans Am Acad Ophthalmol Otolaryngol 1969;73:252–5Google Scholar
7 Doyle, DE, House, LF, Hall, WP. Description of a new device: an intranasal airway/splint. Laryngoscope 1977;87:608–12Google Scholar
8 Chakrabarty, G, Vashishtha, M, Leeder, D. Polyethylene in knee arthroplasty: a review. J Clin Orthop Trauma 2015;6:108–12CrossRefGoogle ScholarPubMed
9 Johnson, NE. Septal surgery and rhinoplasty. Trans Am Acad Ophthalmol Otolaryngol 1964;68:869–73Google Scholar
10 Reuter, SH. The bivalve teflon nasal septal splint. Trans Am Acad Ophthalmol Otolaryngol 1973;77:ORL146–8 Google ScholarPubMed
11 Aslan, G, Guvenc, MG, Sapci, T, Candan, S. Use of nasal bivalve septal teflon splint for the treatment of recurrent epistaxis in patients undergoing anticoagulant therapy. Rhinology 2009;47:141–3Google Scholar
12 Mundinger, GS, Shanavas, Z, Kontis, TC. Could your patient have swallowed their nasal splint after septoplasty? Seeing is believing. Aesthet Surg J 2016;36:NP68–70 Google Scholar
13 Jonas, NE, Meyer, E. Magnetic foreign body on the nasal septum. S Afr J Surg 2007;45:151 Google Scholar
14 Shermetaro, C, Charnesky, M. Pediatric nasal septal perforation secondary to magnet misuse: a case report. Ear Nose Throat J 2007;86:675–6Google Scholar
15 Nayak, DR, Murty, KD, Balakrishna, R. Septal splint with wax plates. J Postgrad Med 1995;41:70–1Google ScholarPubMed
16 Patterson, MC. Dissolvable Septal Splint and Method of Using the Same. US patent US6186965 B1, 2001Google Scholar
17 Piski, Z, Gerlinger, I, Nepp, N, Revesz, P, Burian, A, Farkas, K et al. Clinical benefits of polyurethane nasal packing in endoscopic sinus surgery. Eur Arch Otorhinolaryngol 2017;274:1449–54CrossRefGoogle ScholarPubMed
18 Boenisch, M, Mink, A. Clinical and histological results of septoplasty with a resorbable implant. Arch Otolaryngol Head Neck Surg 2000;126:1373–7CrossRefGoogle ScholarPubMed
19 Mantovani, M, Guastella, C, Mazzola, RF. The Guastella-Mantovani septal-valve splint: an intranasal biplanar and multivectorial orthopedic device. Plast Reconstr Surg 2000;106:475–8Google Scholar
20 Pringle, MB. The use of intra-nasal splints: a consultant survey. Clin Otolaryngol Allied Sci 1992;17:535–9CrossRefGoogle ScholarPubMed
21 Cook, JA, Murrant, NJ, Evans, KL, Lavelle, RJ. Intranasal splints and their effects on intranasal adhesions and septal stability. Clin Otolaryngol Allied Sci 1992;17:24–7Google Scholar
22 Campbell, JB, Watson, MG, Shenoi, PM. The role of intranasal splints in the prevention of post-operative nasal adhesions. J Laryngol Otol 1987;101:1140–3Google Scholar
23 Ardehali, MM, Bastaninejad, S. Use of nasal packs and intranasal septal splints following septoplasty. Int J Oral Maxillofac Surg 2009;38:1022–4Google Scholar
24 Cayonu, M, Acar, A, Horasanli, E, Altundag, A, Salihoglu, M. Comparison of totally occlusive nasal pack, internal nasal splint, and transseptal suture technique after septoplasty in terms of immediate respiratory distress related to anesthesia and surgical complications. Acta Otolaryngol 2014;134:390–4Google Scholar
25 Kilic, A, Akbas, H. Intranasal splint obtained from x-ray film. Plast Reconstr Surg 2001;107:1080–1Google Scholar
26 Gryskiewicz, JM. Intranasal splint obtained from X-ray film. Plast Reconstr Surg 2001;108:2161 CrossRefGoogle ScholarPubMed