Endoscopic Limited Septoplasty in Combination with Sinonasal Surgery

Castelnuovo, Paolo; Pagella, Fabio; Cerniglia, M.; Emanuelli, Enzo

doi:10.1055/s-2008-1064331

Cited by 21 publications

(16 citation statements)

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“…Castelnuovo et al 3 and Cantrell 4 preferred incision on the convex side for small spurs and limited septal deviations, whereas Hwang et al 5 incised the concave side. We incised the convex side in adult cases undergoing endoscopic septoplasty.…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur

Bothra

Mathur

2008

J. Laryngol. Otol.

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Section: Discussionmentioning

confidence: 99%

Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur

Bothra

Mathur

2008

J. Laryngol. Otol.

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“…1174 Most authors describe techniques for endoscopic septoplasty (ES) and report limited outcomes data in these case series. [1175][1176][1177][1178] Giles et al 1179 compared cohorts of patients undergoing ESS alone, ESS and CS, and ESS and ES and noted good outcomes in the ESS/ES group. Bothra and Mathur 1180 performed a similar comparison of ES and CS in patients undergoing ESS and noted no differences between groups.…”

Section: Xd2 Surgical Principles/techniques: Concurrent Septoplastymentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

559

888

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Background:The body of knowledge regarding rhinosinusitis (RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). Methods:Evidence-based reviews with recommendations (EBRRs) were developed for scores of topics, using previously reported methodology. Where existing evidence was insufficient for an EBRR, an evidence-based review (EBR) was produced. The sections were then synthesized and the entire manuscript was then reviewed by all authors for consensus. Results:The resulting ICAR:RS document addresses multiple topics in RS, including acute RS (ARS), chronic RS (CRS) with and without nasal polyps (CRSwNP and CRSsNP), recurrent acute RS (RARS), acute exacerbation of CRS (AE-CRS), and pediatric RS. Conclusion:As a critical review of the RS literature, ICAR:RS provides a thorough review of pathophysiology and evidence-based recommendations for medical and surgical treatment. It also demonstrates the significant gaps in our understanding of the pathophysiology and optimal management of RS. Too o en the foundation upon which these recommendations are based is comprised of lowerlevel evidence. It is our hope that this summary of the evidence in RS will point out where additional research efforts may be directed. C 2016 ARS-AAOA, LLC. Key Words:rhinosinusitis; chronic rhinosinusitis; acute rhinosinusitis; recurrent acute rhinosinusitis; evidence-based medicine; systematic review; endoscopic sinus surgery List of Abbreviations Used

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“… 6 , 7) When a small septal spur protrudes, local submucosal dissection of only the spur would resolve the problem. 8) However, a prominent deviation of the nasal septum would require removal of the deviated septum in some cases.…”

Section: Discussionmentioning

confidence: 99%

A Modified Combined Transseptal/Transnasal Binostril Approach for Pituitary Lesions in Patients with a Narrow Nasal Space: Technical Note

Takemura

Fujimoto

Kobayashi

et al. 2014

Neurol. Med. Chir.(Tokyo)

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We describe a modification of the combined transseptal/transnasal binostril approach using a two-surgeon, four-handed technique (modified Stamm's approach) for pituitary lesions in patients with narrow nasal spaces. This approach comprises of a transseptal route through one nostril and a transnasal route without harvesting a pedicled nasoseptal flap (NSF) through the other. On the transseptal side, the nasal septum was removed using an endoscopic septoplasty technique. On the transnasal side, the mucosa containing the septal branch of the sphenopalatine artery over the face of the sphenoid and nasal septum was preserved for harvesting the NSF if an intraoperative cerebrospinal fluid leak was encountered. This approach was performed in six patients with pituitary lesions, including four nonfunctioning macroadenomas, one growth hormone-producing macroadenoma, and one Rathke's cleft cyst, all of which were associated with a severe deviation of the nasal septum and/or narrow nasal space. The meticulous and comfortable manipulation of an endoscope and instruments were achieved in all six patients without surgical complications. Our findings, although obtained in a limited number of cases, suggest that the modified Stamm's approach may be useful for selected patients, particularly those with a severe deviation of the nasal septum, without considerable damage to the nasal passages.

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Endoscopic Limited Septoplasty in Combination with Sinonasal Surgery

Cited by 21 publications

References 1 publication

Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur

Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

A Modified Combined Transseptal/Transnasal Binostril Approach for Pituitary Lesions in Patients with a Narrow Nasal Space: Technical Note

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