A novel splint and splinting technique have demonstrated utility in straightening septa that require full extracorporeal technique.
The design allows the splint to sit extremely caudally along the septum and be left in place for 2 to 3 weeks following the procedure, according to the findings. They may have the capacity to replace other methods of posterior septal angle fixation to the spine of the nose, the author added. They may also keep the septum at a midline point above the nasal spine and maxillary crest by serving as both an interior and an exterior fixator.
The technique calls for patties of crushed cartilage to be placed around the nasal spine and used to attach the caudal septum.
A 4-0 nylon suture can be used to achieve midline fixation. The suture may be passed through the splint. Four or five sutures may be necessary to achieve stability.
The design of the splint allows for the inferior edge to contour the nasal floor.
The splints should stay in place for 2 or 3 weeks in most cases, which allows scar tissue to stabilize the septum. – by Rob Volansky
Disclosure: Mobley holds the US patent for these splints but to date no commercial vendor has been contracted. Therefore, this article is more to share a new intellectual idea rather than promote the sale of a commercial product.