European Archives of Oto-Rhino-Laryngology

, Volume 275, Issue 7, pp 1803–1809 | Cite as

Nasal silicone splints and quilting sutures using a septum stitch device following septoplasty: a prospective comparative study

  • Akihito KubokiEmail author
  • Shun Kikuchi
  • Daiya Asaka
  • Nobuto Onda
  • Tsuguhisa Nakayama
  • Hiromi Kojima
  • Nobuyoshi Otori



Although nasal splints and trans-septal sutures are preferred for septal closure following septoplasty, quilting sutures, also known as continuous mattress sutures, are technically challenging and thus time consuming. Recently, the utility of a novel stitch device was demonstrated for quilting sutures; however, whether it contributes to the technical solution and time management of septal sutures remains unclear. This study aims to quantify the time and cost of septal closure following septoplasty by comparing nasal splints with quilting sutures using the septum stitch device.


We prospectively examined 23 patients who underwent septoplasty and assigned them to the following two groups: group 1, underwent the quilting suture for septal closure following septoplasty; group 2 underwent the nasal silicone splint method. We recorded the total operation time and surgical time for septal closure. Furthermore, we evaluated postoperative symptoms with Visual Analogue Scale (VAS) scores and compared the complication rate.


We observed no significant difference in the average of total operating time (P = 0.641) and the surgical time for septal closure (P = 0.886). Among postoperative symptoms, only nasal bleeding was significantly worse in group 1 on postoperative day 1 (P = 0.023). In addition, the occurrence of postoperative complications was insignificant between both groups.


The septum stitch facilitated safe and easy quilting suturing without significant increase of operation time.


Septoplasty Quilting suture Trans-septal suture Nasal splint Operative time Complications 



There are no financial interests to disclose. The picture used in Fig. 1 in this article was offered by Mani, Inc. Tochigi, Japan.

Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest and sources of funding to declare.

Ethical approval

This study was approved by the University Hospital Ethics Committee (The Jikei University School of Medicine, Reference number 25-320 7455).

Informed consent

Informed consent was obtained from all participants before enrollment of this study.

Supplementary material

Supplementary material 1 (WMV 74068 KB)


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of OtorhinolaryngologyThe Jikei University School of MedicineTokyoJapan

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