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

## TL;DR

This paper introduces a new surgical technique using barbed sutures in nasal septal surgery, which eliminates the need for knots and improves efficiency and outcomes.

## Contribution

The novel use of absorbable, knotless barbed sutures in endoscopic septal surgery is presented as a standard practice.

## Key findings

- Barbed sutures eliminate the need for intra-operative knot tying in nasal surgery.
- The technique prevents post-operative suture loosening and saves surgical time.
- The method has become standard practice in endoscope-assisted septoplasty at the authors' institution.

## Abstract

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.