Nasal Septal Buttons - Frequently Asked Questions

Nasal Septal Button - Indication, Contraindication, Risks

What Is A Nasal Septal Button?

Septal button application - Silicone septal button - What is a nasal septal button? - Negative health effects of nasal septum perforation - Nasal septal button application for hole in the nasal septum - Patients with septum perforation - Perforation of nasal septum - Septal button indications - Septal button contraindications - How to insert septal buttons - What to do after septal button application - Patient care after nasal septal button application - When should the septal button be removed?

Nasal septal buttons are made of silicon "buttons" shaped prosthesis which used for temporary non-surgical treatment purpose in patients with nasal septum perforation (hole in the nasal septum), which

Septal Button Application Details

Improper seating of the nasal septal buttons can lead to crusting, obstruction, foreign body sensation and button dislocation. Special fit button prostheses can provide a more comfortable and more reliable fit in some patients. These techniques are particularly useful for large (> 3 cm) holes where the adjacent soft tissue is limited to secure the button in place. In order to prevent the button from moving, a precise fit is required, which can increase the perforation and allow the button to disengage. After 5 years, the button loss is caused by the deterioration of the button, but this exceeds Silastic's normal depletion period. Recently described techniques that produce a specially adapted septal button prosthesis described in the past include a silicon septal buttonprotection as well as a magnet-based, molded form using alginate mold and plaster cast. a 2-part button prosthesis. The presence of these buttons includes ease of insertion and removal, including patient comfort and the ability to do on their own.

How To The Septal Button Be Placed?

The local anesthetic is sprayed into the nose. Measure the upper and lower limit of the septum with a septum defect by placing a piece of paper in the nostril. The size of the holes can be marked using the marking pen from the other nostril. The flanges of the button are cut so as to be equal to the perforation and between the upper and lower limits of the septum. Smooth the edges of the button. The button is placed.

All tissue edges of the hole shell should cover enough to minimize crusting and bleeding. If the flanges remain too large, they may touch the region where the lower side cartilages are placed in the septum. This may cause pain and discomfort.

Who is Not Suitable for Septal Button Application (Septal Button Contraindications)?

The Septal button application is not suitable for patients with the following features:

• Patients with septum deviation are relatively contraindicated for button placement because they may cause poor seizures to the septum.

• Patients who are planning to septal perforation repairing surgery

• Patients with active infection in the nasal cavity

• Patients who use intranasal drugs actively

• Patients with active hemorrhagic septum. In these patients, autoimmune, infectious and malignant processes should be investigated.

The Septal Button May Cause Enlargement of the Septum Hole in Patients With Septal Perforation!

Surgical procedures and septum perforation of the patients with nasal septum perforation smaller than 2 cm are more appropriate. However, if these patients do not accept surgery and prefer to use septal buttons, there is a risk of perforation. If there is no surgical treatment, there is a chance for the hole to grow as a result of the increase in current nasal air and chronic mucosal dryness. In patients with septum perforation surgery, when the septum hole is completely closed, the effect is permanent. It should be noted, however, that the septal button is a foreign body and that secretions within the nose can accumulate and cause chronic infection at the edges of the holes. Perforations larger than 2 cm decrease the chance of complete closure of the hole with a single operation. For doctors performing septum perforation surgery, there is no standardized standardized method for surgical closure of 4 cm and wider perforations.

Care Recommendations After Septal Button Application

What to do about patient care after septal button application can be summarized as follows:

• The patient should clean the nasal secretions by applying intranasal saline at least 3 times a day.

• Nasal moisturizer or your doctor's recommended eye pomade

• Regular steam inhalations are recommended for 2 weeks (I have written that some clinics suggest overseas).

When Should The Septal Button Be Taken Off?

After the placing of silicon septal buttons, there are no strict rules about keeping a single septal button in place. This depends on the patient's ability to perform regular nasal hygiene. Some authors argue that the button will be removed and changed at regular intervals, while others will be able to stay in place for more than a year.

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Risks of Septal Button Application

The risks associated with septal buttons can be summarized as follows:

• A few cases have been reported that displacement of the prosthesis towards the nasopharynx.

• Other long-term complications include increased nasal bleeding, increased crusting, intranasal pain, foreign body sensation, and increased wear of the perforation margins, extending the septum hole.

In the treatment of nasal septum perforation, if possible, prefer surgical repair. Nasal septal button application is more suitable in large holes and in cases where surgery is not appropriate.

Please contact medical companies for septal button price or septal button supply!

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