Customised acrylic nasal stents following recanalisation of modified Young's procedure.
BACKGROUND
Maintaining the patency of the nasal vestibule following recanalisation of a modified Young's procedure can be a difficult task, as restenosis is quite common.


METHODS
Sixteen patients underwent recanalisation of a modified Young's procedure, between January 2005 and December 2007, in the ENT--head and neck surgery department of a tertiary centre. Three different stent types were used following recanalisation: silicone suction tube tips, dental wax plate stents and customised acrylic stents.


RESULTS
The silicone suction tube stents prevented restenosis. They were visible in the post-operative period, and there appeared to be some blunting of the nasal valve region, with no functional impairment. Dental wax plates had a high rate of restenosis and were uncomfortable and unsightly. The customised acrylic stents were more acceptable in the post-operative period, and enabled nasal valve angulation to be maintained.


CONCLUSIONS
The customised acrylic stent described was a superior alternative to such stenting methods as repeated packing, silicone suction tubes and dental wax plates, following recanalisation of a modified Young's procedure.
Pavithran
P
P
Department of ENT - Head and Neck Surgery, Kasturba Medical College, Manipal University, Karnataka, India.
Pujary
K
K
Mahesh
S G
SG
Parul
P
P
Aziz
B
B
D000180:Acrylic Resins / Q000627:therapeutic use; D006801:Humans; D009296:Nasal Cavity / Q000601:surgery; D009297:Nasal Mucosa / Q000503:physiopathology / Q000601:surgery*; D015508:Nasal Obstruction / Q000517:prevention & control / Q000601:surgery; D017060:Patient Satisfaction; D011474:Prosthesis Design / Q000592:standards*; D012086:Reoperation; D012222:Rhinitis, Atrophic / Q000601:surgery*; D055502:Secondary Prevention; D015607:Stents; D016896:Treatment Outcome
D000180:Acrylic Resins