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History of intranasal splints

  • J Lau (a1), H A Elhassan (a1) and N Singh (a1)

Intranasal splints have long been utilised as a post-operative adjunct in septoplasty, intended to reduce the risk of adhesions and haematoma formation, and to maintain alignment during healing.


A Medline literature review of the history and evolution of intranasal splint materials and designs was performed. Advantages and disadvantages of various splints are discussed.


Intranasal splints fashioned from X-ray film were first reported in 1955. Since then, a variety of materials have been utilised, including polyethylene coffee cup lids, samarium cobalt magnets and dental utility wax. Most contemporary splints are produced from silicon rubber or polytetrafluoroethylene (Teflon). Designs have varied in thickness, flexibility, shape, absorption and the inclusion of built-in airway tubes. Future directions in splint materials and designs are discussed.


Intranasal splints have steadily evolved since 1955, with numerous novel innovations. Despite their simplicity, they play an important role in nasal surgery and will continue to evolve over time.

Corresponding author
Address for correspondence: Dr Narinder Singh, Department of Otolaryngology, Head and Neck Surgery, Westmead Hospital/University of Sydney, Hawkesbury Road, Westmead NSW 2145, Australia Fax: +61 9845 9852 E-mail:
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1 Jung, YG, Hong, JW, Eun, YG, Kim, MG. Objective usefulness of thin silastic septal splints after septal surgery. Am J Rhinol Allergy 2011;25:182–5
2 Wagner, R, Toback, JM. Toxic shock syndrome following septoplasty using plastic septal splints. Laryngoscope 1986;96:609–10
3 Tang, S, Kacker, A. Should intranasal splints be used after nasal septal surgery? Laryngoscope 2012;122:1647–8
4 Goode, RL. Magnetic intranasal splints. Arch Otolaryngol 1982;108:319
5 Salinger, S, Cohen, BM. Surgery of the difficult septum. AMA Arch Otolaryngol 1955;61:419–21
6 Wright, WK. Principles of nasal septum reconstruction. Trans Am Acad Ophthalmol Otolaryngol 1969;73:252–5
7 Doyle, DE, House, LF, Hall, WP. Description of a new device: an intranasal airway/splint. Laryngoscope 1977;87:608–12
8 Chakrabarty, G, Vashishtha, M, Leeder, D. Polyethylene in knee arthroplasty: a review. J Clin Orthop Trauma 2015;6:108–12
9 Johnson, NE. Septal surgery and rhinoplasty. Trans Am Acad Ophthalmol Otolaryngol 1964;68:869–73
10 Reuter, SH. The bivalve teflon nasal septal splint. Trans Am Acad Ophthalmol Otolaryngol 1973;77:ORL1468
11 Aslan, G, Guvenc, MG, Sapci, T, Candan, S. Use of nasal bivalve septal teflon splint for the treatment of recurrent epistaxis in patients undergoing anticoagulant therapy. Rhinology 2009;47:141–3
12 Mundinger, GS, Shanavas, Z, Kontis, TC. Could your patient have swallowed their nasal splint after septoplasty? Seeing is believing. Aesthet Surg J 2016;36:NP6870
13 Jonas, NE, Meyer, E. Magnetic foreign body on the nasal septum. S Afr J Surg 2007;45:151
14 Shermetaro, C, Charnesky, M. Pediatric nasal septal perforation secondary to magnet misuse: a case report. Ear Nose Throat J 2007;86:675–6
15 Nayak, DR, Murty, KD, Balakrishna, R. Septal splint with wax plates. J Postgrad Med 1995;41:70–1
16 Patterson, MC. Dissolvable Septal Splint and Method of Using the Same. US patent US6186965 B1, 2001
17 Piski, Z, Gerlinger, I, Nepp, N, Revesz, P, Burian, A, Farkas, K et al. Clinical benefits of polyurethane nasal packing in endoscopic sinus surgery. Eur Arch Otorhinolaryngol 2017;274:1449–54
18 Boenisch, M, Mink, A. Clinical and histological results of septoplasty with a resorbable implant. Arch Otolaryngol Head Neck Surg 2000;126:1373–7
19 Mantovani, M, Guastella, C, Mazzola, RF. The Guastella-Mantovani septal-valve splint: an intranasal biplanar and multivectorial orthopedic device. Plast Reconstr Surg 2000;106:475–8
20 Pringle, MB. The use of intra-nasal splints: a consultant survey. Clin Otolaryngol Allied Sci 1992;17:535–9
21 Cook, JA, Murrant, NJ, Evans, KL, Lavelle, RJ. Intranasal splints and their effects on intranasal adhesions and septal stability. Clin Otolaryngol Allied Sci 1992;17:24–7
22 Campbell, JB, Watson, MG, Shenoi, PM. The role of intranasal splints in the prevention of post-operative nasal adhesions. J Laryngol Otol 1987;101:1140–3
23 Ardehali, MM, Bastaninejad, S. Use of nasal packs and intranasal septal splints following septoplasty. Int J Oral Maxillofac Surg 2009;38:1022–4
24 Cayonu, M, Acar, A, Horasanli, E, Altundag, A, Salihoglu, M. Comparison of totally occlusive nasal pack, internal nasal splint, and transseptal suture technique after septoplasty in terms of immediate respiratory distress related to anesthesia and surgical complications. Acta Otolaryngol 2014;134:390–4
25 Kilic, A, Akbas, H. Intranasal splint obtained from x-ray film. Plast Reconstr Surg 2001;107:1080–1
26 Gryskiewicz, JM. Intranasal splint obtained from X-ray film. Plast Reconstr Surg 2001;108:2161
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
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