Use of Barbed Sutures in Endoscopic-Assisted Septal Surgery: A Technical Report of a Knot-Free Technique.

Nasal septal surgery is routinely undertaken in patients who have septal deviation causing nasal obstruction. This manuscript describes our use of absorbable, knotless, looped, unidirectional barbed suture materials in patients undergoing endoscope-assisted septal surgery. Barbed sutures do not require sutures to be tied within the nasal cavity, which saves time intra-operatively and prevents the loosening of sutures post-operatively. Our experiences demonstrate the benefits of this novel technique over traditional septal quilting suture methods, and it has become standard practice within our unit for endoscope-assisted septoplasty.