Kim Kyung Soo, Min Hyun Jin
Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
Ear Nose Throat J. 2025 Jan;104(1):18-21. doi: 10.1177/01455613221092209. Epub 2022 Apr 10.
Septoplasty is among the most frequently performed procedures in the field of otorhinolaryngology. Adhesion is known to be the most common complication occurring after septoplasty. Post-surgical insertion of silicone splints is a widely used measure for the prevention of postoperative complications. Recently, we encountered a case where the silicone splint was dislocated and further displaced to the level of the upper esophageal sphincter. Although it was safely removed using fiberoptic gastroendoscopy, delayed removal could have induced other serious sequelae. Since no similar cases have been previously reported, we believe that this may be a very rare complication induced by a loose absorbable suture. Therefore, we suggest that otorhinolaryngologists should pay attention to the fixation of a silicone splint with sutures under appropriate tension to prevent the dislocation of the silicone splint and its subsequent sequelae.
鼻中隔成形术是耳鼻咽喉科最常开展的手术之一。粘连是鼻中隔成形术后最常见的并发症。术后插入硅胶夹板是预防术后并发症的一种广泛应用的措施。最近，我们遇到一例硅胶夹板脱位并进一步移位至上食管括约肌水平的病例。尽管通过纤维光学胃镜检查安全地取出了夹板，但延迟取出可能会引发其他严重后遗症。由于此前未见类似病例报道，我们认为这可能是由一根松动的可吸收缝线引起的非常罕见的并发症。因此，我们建议耳鼻咽喉科医生应注意在适当张力下用缝线固定硅胶夹板，以防止硅胶夹板脱位及其后续后遗症。
