BONE SPUR DRILLING, A NEW TECHNIQUE TO CORRECT DEVIATED MAXILLARY CREST
Basrah Journal of Surgery,
2018, Volume 24, Issue 1, Pages 15-19
AbstractBONE SPUR DRILLING, A NEW TECHNIQUE TO CORRECT DEVIATED MAXILLARY CREST
Sajjad Halboos Mohammed Almansoori MB, ChB, FICMS, CABS ENT. Consultant ENT Surgeon, Alsadr Teaching Hospital, Basrah, IRAQ.
Abstract The nasal septum consists of both bony and cartilaginous components which could be deviated resulting in different types of deformities that lead to unilateral or bilateral nasal obstruction in addition to dryness, crustation, and bleeding from the nose. Headache and facial pain may be other presenting features and sinusitis is a possible complication. ENT surgeons tried different surgical techniques to correct these types of septal deviations to ensure the best results and least complications. Forty eight patients (32 males and 16 females) were admitted to Al-Sadr Teaching Hospital with septal deviation in the form of bony spur alone or associated with other nasal septal deflections. Correction of the deviated crest was performed following good exposure by elevating mucoperichondrial flap, and using high speed drill with cutting bur to remove the deviated part or fracturing and repositioning. Patients were monitored for intraoperative bleeding and followed for at least four weeks regarding the development of upper incisors numbness. The results of this study showed that bleeding was much reduced during surgery and only one patient (2.1%) developed upper incisors anesthesia who have sever maxillary crest deviation that necessitated total excision of the spur. This study gives another option for bony spur correction by providing more controlled excision with less intraoperative hemorrhage and postoperative numbness, this improves patients health and relieves discomfort after surgery.
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