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Erschienen in: Wiener klinische Wochenschrift 7-8/2022

09.01.2021 | original article

Septoplasties are unlikely to cause postoperative numbness of the anterior palate

verfasst von: Alexandros Andrianakis, Magdalena Bachlechner, Josef Kainz, Valentin Herber, Michael Payer, Peter Valentin Tomazic

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 7-8/2022

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Summary

Background

Septoplasties and septorhinoplasties are very commonly performed surgical procedures in modern aesthetic and functional medicine. Throughout the surgery, close manipulation to the incisive nerves’ course is being executed. This retrospective analysis followed up on potential sensitivity disorders of the anterior palate due to nerve damage.

Methods

This retrospective review of 2000 patients’ charts, who had undergone the procedure of a septoplasty or septorhinoplasty between June 2013 and January 2019 was conducted at the Department of General Otorhinolaryngology, Medical University of Graz. Medical records of all included patients were reviewed with special attention to postoperative numbness of the anterior palate.

Results

Among the 2000 included patients, a septoplasty was performed in 48% (n = 955), a septorhinoplasty in 35% (n = 703) and a septoplasty in combination with a functional endoscopic sinus surgery in 17% (n = 342). In total, 86% (n = 1721) showed no complications at all during the follow-up period. In 0.25% (n = 5) a sensitivity disorder of the anterior palate occurred. Of the five cases with a postoperative numbness of the anterior palate four occurred after a septoplasty and the fifth occurred following a septorhinoplasty.

Conclusion

At this current time, this is the largest study investigating postoperative numbness of the anterior palate retracing septoplasty or septorhinoplasty. As a result, the currently used techniques for the operations do not pose a risk for the incisive nerve despite close surgical manipulation to the nerves’ course. Nevertheless, patients should be informed and educated about the possibility of an occurring sensitivity disorder regarding the anterior palate during informed consent.
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Metadaten
Titel
Septoplasties are unlikely to cause postoperative numbness of the anterior palate
verfasst von
Alexandros Andrianakis
Magdalena Bachlechner
Josef Kainz
Valentin Herber
Michael Payer
Peter Valentin Tomazic
Publikationsdatum
09.01.2021
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 7-8/2022
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-020-01800-z