0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Letters to the Editor |

Nonopposing Suture Lines in Nasal Septal Perforation Repairs—Reply

Nikhila Raol, MD; Krista Olson, MD
JAMA Otolaryngol Head Neck Surg. 2013;139(6):657. doi:10.1001/jamaoto.2013.3384.
Text Size: A A A
Published online

Extract

In reply

We thank Dr Pribitkin for his comments regarding our article “A Novel Technique to Repair Moderate-sized Nasoseptal Perforations.” In response to his remarks about this technique only being a modification of those described by other authors, we must point out that there are differences that make this a useful and novel technique. First, this technique has been performed only via an endonasal or endoscopic approach, sparing the patient an external incision as well as disruption of the soft-tissue envelope of the nose. In contrast, those described in the cited articles by Kridel et al,1 Arnstein and Berke,2 and Ambro et al3 used an external rhinoplasty approach to repair the perforations. Second, the fact that the technique does not include bipedicled flaps bilaterally is a significant difference from the other described techniques, including that described by Fairbanks.4 In addition, although Fairbanks describes nonopposing suture lines, the sutures lines he depicts are overlying the perforation, whereas those in our technique are at the edge of the perforation superiorly or inferiorly, bridged by a cartilaginous interposition graft. Finally, our illustration is meant to show the nonopposing suture lines created by elevating 1 flap that is superiorly based and a contralateral flap that is inferiorly based, as well as to demonstrate the extent of advancement of mucoperichondrium. The flaps are indeed sutured at the edge of the mucoperichondrium as described.

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

June 1, 2013
Edmund A. Pribitkin, MD
JAMA Otolaryngol Head Neck Surg. 2013;139(6):657. doi:10.1001/jamaoto.2013.3380.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

81 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();