[Replacement methods of the septal framework of the septoplasty]. / Metody reimplantatsii autotkanei pri septoplastike.

In modern rhinosurgery it is generally accepted that the framework of the nasal septum dyring septoplasty should be preserved or, if it is possible, restored. The article presents a literature review of various techniques of reinforcement and replacement of septal framework. Each of them has its own advantages and disadvantages, while universal, common technology is lacking. Analysis of the literature shows that the improvement of the replacement technique is still relevant.

[Endoscopic closure of septal perforation in children with a vascularized flap on the ethmoidal artery]. / Éndoskopicheskoe zakrytie perforatsii peregorodki nosa u detei vozvratnym transseptal'nym loskutom na vetviakh reshetchatykh arterii.

In the article, a new method of septal perforation closing in children with a flap on the ethmoid artery under endoscopic control is described. Unlike conventional endoscopic procedures described technique allows to close the perforation bilaterally. Using the author's technique, 6 children with septal perforation aged from 13 to 17 years (mean age 15.2±2.1) were operated on. In all patients, the perforation was completely closed. Thus, the method has shown high efficiency and safety, which allows it to be widely used in pediatric practice.

[The relationship between the post-rhinoplastic functional disorders, the surgical approach and techniques, the magnitude and extent of the intervention]. / Sviaz' postrinoplasticheskikh funktsional'nykh narushenii s khirurgicheskim dostupom, tekhnikoi i ob''emom operatsii.

The objective of the present study was to investigate the functional consequences of aesthetic rhinoplasty. The authors compared the results of corrective surgery depending on the surgical approach, the extent of the intervention, and the operative techniques employed based on large enough set of clinical observations obtained during the treatment of 253 patients. It was shown that the post-rhinoplastic difficulties in nasal breathing experienced by some patients occurred significantly more frequently after the use of the «endonasal¼ surgical approach than following «open¼ rhinoplasty (75% vs 68%). The functional outcome of the intervention was much better in the case of single-step rhinoseptoplasty than after the intranasal intervention (turbinoplasty, sinusotomy) based on the results of objective assessment (the total volumetric flow (TVF) 629±98 cub. cm/s and 397±65 cub. cm/s respectively; p<0.05). It is concluded that the application of the structure-sparing tools during primary rhinoplasty, such as expandable grafts, extending flaps, and restorative transplants, can reduce the severity and the frequency of the functional disorders likely to develop during the long-term follow-up (TVF 550±85 cub. cm/s vs 303±50 cub. cm/s; p<0.05).