Morphological evidence of nasal septum cartilage preparation for reimplantation in septoplasty

Boiko N.V.

Rostov State Medical University

ORCID: 0000-0002-1316-5061

Stagnieva I.V.

Rostov State Medical University

ORCID: 0000-0002-2894-2062

Zalesskaya I.A.

Semashko City Hospital No. 1

Kirichenko Yu.G.

Semashko City Hospital No. 1

Morphological evidence of nasal septum cartilage preparation for reimplantation in septoplasty

Authors:

Boiko N.V., Stagnieva I.V., Zalesskaya I.A., Kirichenko Yu.G.

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Journal: Russian Rhinology. 2022;30(3): 146‑150

DOI: 10.17116/rosrino202230031146

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To cite this article:

Boiko NV, Stagnieva IV, Zalesskaya IA, Kirichenko YuG. Morphological evidence of nasal septum cartilage preparation for reimplantation in septoplasty. Russian Rhinology. 2022;30(3):146‑150. (In Russ.)
https://doi.org/10.17116/rosrino202230031146

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OBJECTIVE

To study morphological changes in quadrangular cartilage during its mechanical modeling using a press.

MATERIAL AND METHODS

Histological study of human cadaver septal cartilage was carried out in two age groups: 16—40 and 41— 60 years old.

The cartilages of each group were straightened using the special press. Flattening was carried out by one and two thirds of the original thickness of the cartilage and led to an increase in area of the autograft. The control group consisted of 10 intact specimens of quadrangular cartilage (5 in each age group). The preparations were fixed in 10% neutral formalin solution. Paraffin sections were stained with hematoxylin and eosin, according to Van Gieson for collagen fibers, with azure A and according to Hale for glycosaminoglycans, and a PAS reaction was performed for glycoproteins.

RESULTS

Flattening of the cartilage by one third of its original thickness does not lead to significant damage to chondrocytes, despite focal fractures of the interterritorial matrix in both age groups. Flattening by two-thirds causes deeper damage to the cartilage in the form of focal fragmentation into isolated areas while maintaining the macroscopic integrity of the graft. Changes were more severe in the second age group with significant areas of mechanically damaged cells and interterritorial matrix up to the formation of detrital masses.

CONCLUSION

Moderate flattening (by one third of the initial thickness of the cartilage) preserves the morphological structure of the cartilage tissue and ensures its ability to engraft and regenerate, regardless of age factors. Flattening the quadrangular cartilage by two-thirds changes the structure of the cartilage, depending on the age.

Keywords:

septoplasty

cartilage reimplantation

cartilage modeling with a press

histological study

Authors:

Boiko N.V.

Rostov State Medical University

ORCID: 0000-0002-1316-5061

Stagnieva I.V.

Rostov State Medical University

ORCID: 0000-0002-2894-2062

Zalesskaya I.A.

Semashko City Hospital No. 1

Kirichenko Yu.G.

Semashko City Hospital No. 1

Received:

01.01.2022

Accepted:

21.01.2022

List of references:

Tsarapkin GYu, Kunelskaya NL, Tovmasyan AS, Kishinevskiy AE, Musaeva MM, Kochetkova TA, Vershinina EA. Complications of surgical treatment of septal deviation. Rossiyskaya rinologiya. 2021;29(2):90-96. (In Russ.). https://doi.org/10.17116/rosrino20212902190
Liu J-F, Yan Z-F, Zhang Z-J, Wang N-Y. Septoplasty alone is not suitable for most structural nasal obstructions. The World Journal of Otorhinolaryngology — Head & Neck Surgery. 2021;7:322-327. https://doi.org/10.1016/j.wjorl.2020.05.007
Lopatin AS. Surgery of the septum: septoplasty or submucosal re-section? Rossiyskaya rinologiya. 1996;2:89-92. (In Russ.).
Rusetsky YuYu, Spiranskaya OA, Makhambetova EA, Sergeeva NV. Endoscopic septoplasty and prospects for its use in children (literature review). Rossiyskaya Rinologiya. 2019;27(3):134-140. (In Russ.). https://doi.org/10.17116/rosrino201927031134
Sergeeva NV, Rusetsky YuYu, Svistushkin VM, Reshetov IV, Spiranskaya OA, Makhambetova EA, Lipsky KB, Sadikov IS. Replacement methods of the septal framework of the septoplasty. Vestnik otorinolaringologii. 2019;84(5):93-97. (In Russ.). https://doi.org/10.17116/otorino20198405193
Tsarapkin GYu, Kryukov AI, Tovmasyan AS, Gorovaya EV, Usacheva NV, Panasov SA. Septoplasty for deviation of the perpendicular plate of the ethmoid bone. Rossiyskaya rinologiya. 2017;25(1):25-30. (In Russ.). https://doi.org/10.17116/rosrino201725125-30
Rasulev SD, Shilenkova VV, Kramnoĭ AI, Kozlov VS. Mucociliary transport and motion activity of the ciliary apparatus of the mucous tunic of the nasal cavity before and after septoplastyc of the nasal septum. Rossiyskaya rinologiya. 2011;19(1):17-20. (In Russ.).
Apostolidi K, Kraynik IV, Balin VN, Epifanov SA, Mikhaylov VV, Beksha IS, Kraynik AI. The use of protein-platelet membranes in reconstructive surgery of the external nose. Vestnik Natsionalnogo mediko-khirurgicheskogo tsentra im. N.I. Pirogova. 2011;4(2):41-45. (In Russ.).
Bhamra N, Darr A, Neamonitou F, Barraclough J. A novel and cost-effective technique for securing the nasal septum to the anterior nasal spine in septoplasty and/or rhinoplasty surgery. JPRAS Open. 2019;21:43-47. https://doi.org/10.1016/j.jpra.2019.06.001
Sariush-Zalesskii YuF, Zalesskii AYu. Method for treating of the nasal septum deviation. RF patent for invention No. 2136230/09, 1999.10.09. Bul. №35. Accessed November 30, 2021. (In Russ.). https://www.ntpo.com/patents_medicine/medicine_11/medicine_43.shtml
Boiko NV, Zalesskaia IA, Panchenko SN. Experimental justification of septum nasi cartilage reimplantation in corrective surgery. Rossiyskaya rinologiya. 2012;20(3):14-17. (In Russ.).
Boiko NV, Zalesskaia IA, Panchenko SN. Age-specific differences of the septal cartilage. Rossiyskaya rinologiya. 2012;20(1):18-20. (In Russ.).

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