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Nasal Dermoplasty for Recurrent Polyposis (NDRP)
Proposed technique for reducing the tendency for recurrence of nasal polyps (G Anastasopoulos, G Grigoriadis and S Papoutsi. Modified nasal dermoplasty technique for treatment of recurrent polyposis: preliminary results. The Journal of Laryngology & Otology, Published online by Cambridge University Press: 26 April 2013)
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| 1. Starting sphenoethmoidectomy on the left. | 2. Removal of polyps and cells from the middle nasal meatus. | |
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| 3. Removal of a maxillary sinus cyst. | 4. Entering the posterior ethmoids. | |
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| 5. Locating the superior nasal concha. | 6. Posterior to anterior ethmoidectomy. | |
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| 7. Correction of septal deviation. | 8. Right ethmoidectomy. | |
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| 9. The right superior nasal concha. | 10. Entering agger nasi. | |
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| 11. Starting the process of flattening the fovea ethmoidalis and lamina papyracea. | 12. Removal of the polypoid mucosa with Weil Blakesley forceps…. | |
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| 13. … or with a Cottle elevator. | 14. Trying to remove mucosa around the anterior ethmoid artery. | |
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| 15. Removal of bony septa with a diamond burr. | 16. Flattening the lamina papyracea. | |
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| 17. The removal of the mucosa probably implies the removal of the periosteum also. | 18. A bleeding point behind the posterior ethmoid artery. | |
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| 19. General view of the left nasal cavity. | 20. Right nasal cavity. Starting flattening process. | |
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| 21. Elevation of the mucosa with a curette. | 22. Removal of bony septa with a diamond burr. | |
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| 23. Tissue removal with a Weil Blakesley forceps | 24. Flattening the lamina papyracea. | |
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| 25. A bleeding point in front of the sphenoid sinus. | 26. Haemostasis with surgicel. | |
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| 27. Continue smoothing the bone projections. | 28. Covering the cavity until the graft insertion. | |
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| 29. Suture to fixate the middle turbinates. | 30. Passing the suture through the right concha. | |
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| 31. Tying the suture in the left nasal cavity. | 32. Preparing the area to take the graft. | |
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| 33. Taking the graft. | 34. Split-thickness skin grafts. | |
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| 35. Preparation to insert the graft into the left nasal cavity. | 36. Removing tamponade and surgicel. | |
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| 37. Insertion of the graft with the paper. | 38. Trying to apply the graft into the surgical cavity and …. | |
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| 39. … detach it from the paper. | 40. The process is almost complete. | |
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| 41. Removing the paper. | 42. Final view. No packing is needed. | |
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| 43. Removing the packing from the right nasal cavity. | 44. Insertion of the graft with the paper. | |
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| 45. Pressing the graft for application on the surgical cavity. | 46. Detaching the paper (middle concha). | |
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| 47. Detaching the paper (lamina papyracea). | 48. Detaching the paper (sphenoid sinus). | |
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| 49. Almost complete detachment of the paper. | 50. Removing air between the graft and the bone. | |
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| 51. Final view. No packing is needed. | 52. The skin graft one month after the operation. |
