Endoscopic septoplasty: Tips and pearls

Pons, Y.; Champagne, C.; Genestier, L.; Régloix, S Ballivet de

doi:10.1016/j.anorl.2015.08.032

Cited by 9 publications

(5 citation statements)

References 9 publications

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“…This is because the skin over which the incision is placed helps in protecting damage to the flap by instrumentation. It has also been mentioned that a good septal surgery (confirmed by DNE for complications) can absolutely help in improvement in the quality of life of all the patients 17,18 .…”

Section: Discussionmentioning

confidence: 99%

Role of hydrodissection in septoplasty: a modern outlook

Thejas

Rajamohan

2020

Romanian Journal of Rhinology

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BACKGROUND. Septoplasty is an age-old surgery performed mainly for a deviated nasal septum. Various methods have been described and the surgery is left to the choice of the surgeon. Traditional septoplasty has taken a back seat in the modern era because of various complications. Newer techniques are being practiced owing to better outcomes. Hydrodissection for septal flap elevation has been both criticized and appreciated because of multiple reasons. In this study, we have used this technique in practice and evaluated its outcome.MATERIAL AND METHODS. 184 patients with Deviated Nasal Septum (DNS) were evaluated. 82 in Group 1 underwent conventional septoplasty with Freer’s elevator and 102 in Group 2 underwent septoplasty with hydrodissection using Normal Saline (NS). Time taken to perform flap elevation, status of the mucoperichondrial flap intra-operatively and scoring of adhesions 4 weeks postoperatively were the parameters of study.RESULTS. 19 out of 82 cases had tears in the mucoperichondrium in Group 1, amounting to 23.17%. 11 patients out of 102 had tears in Group 2, amounting to 10.78%. The average time taken to perform the flap elevation was 11 minutes in Group 1 and 5 minutes in Group 2. Average score in crusting/adhesions was 0.66 in Group 1 and 0.53 in Group 2, out of a possible 4.CONCLUSION. Hydrodissection in septoplasty for the elevation of the mucoperichondrium and mucoperiosteum is a useful step in surgery provided that it is performed using Normal Saline. It is easy to perform, inexpensive and completely safe to perform without any serious complications.

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Section: Discussionmentioning

confidence: 99%

Role of hydrodissection in septoplasty: a modern outlook

Thejas

Rajamohan

2020

Romanian Journal of Rhinology

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“…Standard Killian incisions are used for the majority of septal deviations. The incision is made along the least deviated site; however, some surgeons prefer using a same side approach for each patient 3 , 12 , 16 . In cases of an isolated posterior deformity, the incision can be placed immediately anterior to the deviation to prevent unnecessary flap dissection.…”

Section: Discussionmentioning

confidence: 99%

“…In the technique described by Pons et al ., 16 a large arc-shaped incision is placed very anteriorly. This allows the creation of a large operative cavity, facilitating endoscopic navigation.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic septoplasty: literature review, surgical techniques and retrospective analysis at the University Hospitals Leuven

Vandenbroeck

Jorissen

2019

J. Laryngol. Otol.

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BackgroundEndoscopic septoplasty is an alternative approach for a deviated nasal septum. Since its introduction, numerous techniques have been developed, each with its own advantages and limitations. A literature review is presented, along with our experience with endoscopic spur resection.MethodsThe Medline and Google Scholar databases were searched for relevant literature, and the records of all patients undergoing endoscopic spur resection at the University Hospitals Leuven between 2001 and 2015 were reviewed.Results and conclusionEndoscopic septoplasty offers improved visualisation and the option of limited flap dissection, which are particularly helpful when dealing with isolated spurs, posterior deviations and revision septoplasty. It enhances teaching and improves surgical transition to endoscopic sinus surgery. Reported success and complication rates are comparable to those seen in traditional approaches. Endoscopic spur resection, as conducted at the University Hospitals Leuven, was shown to be a quick, safe and efficient technique when dealing with isolated septal spurs, especially when combined with endoscopic sinus surgery.

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“…In the past 20 years, the functional and aesthetic results have been evaluated constantly and the technique has been advocated for correcting a severely deviated septum. 7,8 In the current study extracorporeal septoplasty surgery several technical options were used to create a straight septal plate and/or even a septal framework which needs usually the dimensions of 30 mm. in horizontal and 18-20 mm.…”

Section: Discussionmentioning

confidence: 99%

Endonasal endoscopic assisted extracorporeal septoplasty in aesthetic reconstruction of crooked nose

El-Banhawy¹,

Elshafy²,

Atala³

et al. 2018

JOENTR

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Submit Manuscript | http://medcraveonline.com Exclusion criteriai. Patients aged less than 18 years and greater than 50 years.ii. Patients with coexisting debilitating diseases, major systemic disease or facial asymmetry. AbstractObjectives: To describe the technique of endonasal endoscopic assisted extracorporeal septoplasty (ECS)/septorhinoplasty and its comparison to ECS/septorhinoplasty via open approach in crooked nose.Methods: This is a prospective comparative study was conducted on 60 patients suffering from crooked nose and septal deviation of different etiologies between November 2015 and January 2018. Patients were randomly equally divided in 2 groups A and B. Group A underwent endonasal endoscopic assisted ECS/septorhinoplasty and Group B subjected to ECS/septorhinoplasty with open approach. Patient satisfaction was assessed using subjective evaluation of the nasal patency by Nasal Obstruction Symptom Evaluation (NOSE) scale. Anthropometric changes were assessed from preoperative and postoperative facial photographs. Results:The ECS through endonasal endoscopic assisted approach and in open septorhinoplasty techniques proved to be functionally effective and obtained reasonable straight nasal septum and aesthetic outcome at follow-up in all cases included in the current study. In group A: 24 patients (89%) were satisfied with the cosmetic outcome, and all 23 patients with moderate to severe nasal obstruction were satisfied with the postoperative improved nasal breathing. Conclusion:The technique of ECS through endonasal endoscopic assisted approach provided the structural support without destabilizing the keystone area. Sutures the replanted quadrangular cartilage to the fibrous tissue in the area of the nasal spine under direct endoscopic visualization was easy to perform and effective fixation technique. The present study had some limitations. The study involved a relatively small number of patients, a relatively short follow-up period and an ambiguous indication for ECS. Citation: El-Banhawy MO, Elshafy IAA, Atala AT, et al. Endonasal endoscopic assisted extracorporeal septoplasty in aesthetic reconstruction of crooked nose. J Otolaryngol ENT Res. 2018;10(2):92-99.

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Endoscopic septoplasty: Tips and pearls

Cited by 9 publications

References 9 publications

Role of hydrodissection in septoplasty: a modern outlook

Role of hydrodissection in septoplasty: a modern outlook

Endoscopic septoplasty: literature review, surgical techniques and retrospective analysis at the University Hospitals Leuven

Endonasal endoscopic assisted extracorporeal septoplasty in aesthetic reconstruction of crooked nose

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