Use of Acrylic Splint for the Stabilization of Bony Components After Rhinoplasty: A New Technique
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ORIGINAL PAPER
Use of Acrylic Splint for the Stabilization of Bony Components After Rhinoplasty: A New Technique Vikram Shetty • Sathish M. S. Vasishta
Received: 16 February 2012 / Accepted: 15 July 2012 Ó Association of Oral and Maxillofacial Surgeons of India 2012
Abstract Introduction Adequate stabilization of the osteotomised bony components and/or nasal grafts requires proper post operative care in order to maintain its position till the initial healing phase. An ideal splint should be light, adaptable, easy to remove and inexpensive. Technique This paper presents the author’s experiences with use of self cure acrylic resin (DPI-RR) in fabrication of nasal splint following rhinoplasty. Special care should be taken during the final setting stage to irrigate the splint, especially on its undersurface, to counter the effects of the exothermic reaction. Conclusion The Acrylic nasal splint is easy to fabricate, less time consuming, hygienic and cost effective. Our experience with the acrylic splint in over 250 cleft and aesthetic rhinoplasties shows that the acrylic splint fulfils all the criteria of an ideal splint.
Introduction Adequate stabilization of the osteotomised bony components and/or nasal grafts requires proper post operative care in order to maintain its position till the initial healing phase. An ideal splint should be light, adaptable, inextensible, easy to remove and inexpensive [1]. Three main categories of splints are commercially available: metallic, thermoplastic, and plaster. Metallic splints are difficult to conform owing to their rigid structure. They are moderately expensive and easy to remove. On the other hand, thermoplastic splints are light, adaptable and easy to use, but can be easily deformed by swelling and are very expensive [2]. We describe a technique of fabrication of nasal splint using self cure acrylic resin (DPI-RR).
Technique Keywords Rhinoplasty Acrylic splint Post rhinoplasty care
V. Shetty (&) Nitte Meenakshi Institute of Craniofacial Surgery, Justice K. S. Hegde Charitable Hospital, Nitte University, University Road, Deralakatte, Mangalore 575018, India e-mail: [email protected] S. M. S. Vasishta Cleft Children International (CCI), Nitte Meenakshi Institute of Craniofacial Surgery, Justice K. S. Hegde Charitable Hospital, Nitte University, University Road, Deralakatte, Mangalore 575018, India e-mail: [email protected]
After completion of the rhinoplasty a small piece of vaseline gauze is adapted over the dorsum. The monomer liquid and polymer powder of the self cure acrylic are mixed and, as it reaches ‘dough stage’ (Fig. 1), is adapted over the nasal dorsum and contoured in close contact with the skin without excessive pressure; extending 2 mm onto the cartilaginous portion inferiorly and beyond the osteotomised edge of the nasal bone onto the stable bone laterally and superiorly. The working time of the mixture is around 3–5 min, during which, any excess material may be cut with a sharp pair of scissors (Fig. 2) prior to the onset of the exothermic react
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