Nasal Silicone Splints and Quilting Sutures Using a Septum Stitch Device Following Septoplasty: a Prospective Comparative Study

Overview

Journal Eur Arch Otorhinolaryngol

Specialty Otorhinolaryngology

Date 2018 May 26

PMID 29796742

Citations 3

Authors

Akihito Kuboki

Shun Kikuchi

Daiya Asaka

Nobuto Onda

Tsuguhisa Nakayama

Hiromi Kojima

Nobuyoshi Otori

Affiliations

Soon will be listed here.

Abstract

Purpose: Although nasal splints and trans-septal sutures are preferred for septal closure following septoplasty, quilting sutures, also known as continuous mattress sutures, are technically challenging and thus time consuming. Recently, the utility of a novel stitch device was demonstrated for quilting sutures; however, whether it contributes to the technical solution and time management of septal sutures remains unclear. This study aims to quantify the time and cost of septal closure following septoplasty by comparing nasal splints with quilting sutures using the septum stitch device.

Methods: We prospectively examined 23 patients who underwent septoplasty and assigned them to the following two groups: group 1, underwent the quilting suture for septal closure following septoplasty; group 2 underwent the nasal silicone splint method. We recorded the total operation time and surgical time for septal closure. Furthermore, we evaluated postoperative symptoms with Visual Analogue Scale (VAS) scores and compared the complication rate.

Results: We observed no significant difference in the average of total operating time (P = 0.641) and the surgical time for septal closure (P = 0.886). Among postoperative symptoms, only nasal bleeding was significantly worse in group 1 on postoperative day 1 (P = 0.023). In addition, the occurrence of postoperative complications was insignificant between both groups.

Conclusions: The septum stitch facilitated safe and easy quilting suturing without significant increase of operation time.

Citing Articles

Comparing Nasal Splints and Quilting Sutures in Septoplasty: A Systematic Review and Meta-analysis.

Alhejaily M, Alhejaily A, Alosaimi A, Bogari A, Aldosari B Indian J Otolaryngol Head Neck Surg. 2025; 77(2):1196-1207.

PMID: 40070738 PMC: 11890816. DOI: 10.1007/s12070-024-05310-6.

Quilting Suturing Versus Intranasal Silicone Splinting and Nasal Pack Post-Septoplasty: A Systematic Review and Meta-analysis.

AlBilasi T, Alghamdi F, AlDhawi L, Albalawi D, Alzahrani H Aesthetic Plast Surg. 2025; .

PMID: 40021506 DOI: 10.1007/s00266-024-04642-6.

Sewing: A New Quilting Suture Method for Nasal Septum Repair.

Zhang H, Liu Y, Qiu Z, Fu L, Wang M J Craniofac Surg. 2025; .

PMID: 39808547 PMC: 11556832. DOI: 10.1097/SCS.0000000000010636.

Comparison on the Effectiveness and Safety of Transseptal Suturing Versus Intranasal Splints After Septoplasty: A Systematic Review and Meta-analysis.

Aldhwaihy L, Alhazzani H, Alkarzae M Aesthetic Plast Surg. 2024; 48(21):4323-4332.

PMID: 38767656 DOI: 10.1007/s00266-024-04066-2.

Evaluation of the Effect of Antibiotics and Splints on the Result of Septal Mucosal Culture After Septoplasty.

Sedaghat K, Hosseinpoor M, Nasirai E, Yousefi R, Akbari S, Rasoulian B Indian J Otolaryngol Head Neck Surg. 2023; 75(3):1586-1590.

PMID: 37636722 PMC: 10447870. DOI: 10.1007/s12070-023-03665-w.

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