Shimane Journal of Medical Science

Shimane University Faculty of Medicine
ISSN :0386-5959(in print)
ISSN :2433-2410(online)

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Shimane Journal of Medical Science 34 2
2017-12-31 発行

Surgical Correction of Unilateral Nasal Bony Deformity Using Nasal Septum Cartilage Following Treatment for Naso-orbitalethmoid Fractures: A Case Report

Ide, Taichi Department of Oral and Maxillofacial Surgery
Kanno, Takahiro Department of Oral and Maxillofacial Surgery
Aoi, Noriaki Department of Otorhinolaryngology
Kawauchi, Hideyuki Department of Otorhinol
Sekine, Joji Department of Oral and Maxillofacial Surgery
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Description
Naso-orbital-ethmoid (NOE) fracture is relatively
common in midfacial regions, but management remains
challenging. Here we report a novel technique
using nasal septal cartilage to correct para-nasal soft
tissue asymmetry in a 17-year-old Japanese male 6
months after surgical treatment of fractures in the
NOE complex. An otorhinolaryngologist harvested
the septal cartilage during nasal septoplasty to correct
a deviated septum that was planned to coincide
with removal of the plates 6 months after the
primary surgery. The maxillofacial surgeons then
grafted the septal cartilage into the concave area in
the right para-nasal region and fixed it with a bioresorbable
screw after removal of the right plate via a
transconjunctival approach. The postoperative course
was uneventful and the patient was satisfied with
the cosmetic outcome after 9 months postoperatively.
Septal cartilage could be an effective grafting material
for correction of postoperative midfacial concave
deformity following repair of an NOE fracture.
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Faculty of Medicine, Shimane University