Preliminary results of the new individual made magnet-based nasal septal button.

The surgical care of large nasal septal defects is often not feasible. As an alternative method, these defects may be closed by nasal septal buttons. Although these buttons should be replaced on a regular basis for cleaning purposes, this procedure is usually painful and causes discomfort to the patient. Moreover, it could cause the nasal septal defects to become enlarged. In a retrospective observational study we analyzed a new method, which combines the advantages of an individually made nasal septal button with a magnet-based technique. After casts of the nasal septal defects were taken under general anaesthesia and magnet-based nasal septal buttons were custom-made, patients were fitted with these devices. The results were evaluated using a questionnaire developed specifically for this purpose. All patients reported that the replacement procedure was being less uncomfortable. The insertion or removal of the magnet-based nasal septal button was not reported as causing particular discomfort in these patients. A precise, tight fit was documented in all cases. The general characteristics of nasal septal buttons are, however, also present in this procedure. Individually made magnet-based nasal septal buttons are practicable and a less uncomfortable alternative method in the treatment of large inoperable nasal septal defects.