The advent of endoscopes has revolutionized rhinology and the traditional headlight based surgeries have largely been replaced by endoscopes. A comparative study of endoscopic versus conventional. Functional endoscopic sinus surgery fess fess is a minimally invasive procedure to unblock the sinus openings into the nose resulting in a decrease of discharges, pain and pressure. This may however also reduce other symptoms such as nasal discharge, postnasal drip, sinus pressure, recurrent sinus infections, or impaired sense of smell. Figure 1 shows a cadaver dissection specimen of the septum. Listing a study does not mean it has been evaluated by the u.
The septum is the divider between the right side of the nose and the left side of the nose. Salama otorhinolaryngology, head and neck surgery department, faculty of medicine, menofia university, egypt abstract. The primary goal of septoplasty surgery is to improve breathing through nose. Sinusitis is a nasal condition that makes sinuses clogged and swollen and causes intense pain, discomfort and uneasy breathing to a sinusitis patient. Most patients will have minimal external swelling and it may take up to 6 months for the full airway passage to realize its new potential. These 3 vessels converge at the anterior septum to form kiessel bachs plexus, a common origin of epista xis. He discusses technical aspects of septoplasty and turbinate surgery, which address common causes of nasal obstruction, emphasizing traditional and endoscopic septoplasty, septoplasty techniques to address the caudal septum, and a graduated stepwise approach to the inferior turbinates. Naficy does not use any nasal packing after septoplasty or rhinoplasty which greatly reduces the discomfort related to this procedure. Endoscopic aided septoplasty versus conventional septoplasty magdy a. Traditional septoplasty vs endoscopic septoplasty for. Endoscopic sinus surgery at the johns hopkins sinus center. Your doctor will remove tissue that is blocking your sinuses. Thus, an endoscopic open book septoplasty technique 18 is a useful adjunct to the various endoscopic technique to address the deformed septal area.
Conventional septoplasty verses endoscopic septoplasty. Pdf endoscopic septoplasty is a minimally invasive technique that helps us to correct defornity of septum under excellent visualization. A mucosal flap elevated the bone of the spur was detached using an osteotome with removal of the contents and good coaptation of flaps. Postop for septoplasty andor endoscopic sinus surgery. Abstract first proposed in 1991 lanza et al stammberger, endoscopic septoplasty is an alternative to conventional andor microsurgical approaches that permits the correction of septal deviations under excellent visualization and optimal control with minimal trauma. Also endoscopic septoplasty is an excellent teaching tool when used in conjunction with video monitors. This approach provides a directtargeted route to the anatomic deformity, improved visualization, and magnification of the surgical field. Septoplasty can have a variable amount of recovery depending on what type of changes were made to the septum. In endoscopic septoplasty group, along with septoplasty functional endoscopic sinus surgery was carried out in 4 patients, lateralization of inferior turbinate in one patient, partial inferior turbinectomy in one patient, partial middle turbinectomy in one patient and conchotomy in one patient. Surgical technique septoplasty must achieve separation of the left and right nasal cavities, adequate nasal anterior ethmoidal artery posterior ethmoidal artery sphenopalatine artery post septal branch kiesselbachs. Endoscopic septoplasty is a relatively recent and important technique.
Since freer and kilian in the early 20th century, followed by cottle et al. Septoplasty endoscopic removal septal spur general. Nasal obstruction due to deviated nasal septum is a common problem encountered by otolaryngologists. A study of comparison between the efficacy of endoscopic septoplasty and traditional septoplasty pramod kumar yadav1, s. A variety of surgical procedures have been tried in the treatment of the same. A cottle elevator was used to elevate the mucosa over the spur. If you require septoplasty, there are additional risks associated with. Septoplasty does not involve cutting through the skin, as it is performed entirely through the nostrils.
This response is based on the best information available as of 102716. The natural sinus openings are enlarged by carefully breaking down the thin bony walls that separate the sinuses. Endoscopic septoplasty is increasingly becoming more common as an adjunct to ess, endoscopic septoplasty offers an alternative to traditional headlight technique with superior visualization. This procedure is performed through a small hidden incision and involves dissolvable stitches that are hidden in the nostril area. This is achieved with compassionate care, the most advanced and innovative minimally. This is corrected at the time of surgery through a short procedure called septoplasty. Naficy uses advanced endoscopic septoplasty techniques which improve results and reduce risks of surgery. Endoscopic aided septoplasty versus conventional septoplasty. The procedure was performed under local or general anaesthesia.
Alfords experience performing many endoscopic sinus surgeries. Endoscopic sinus surgery your care at home what is endoscopic sinus surgery. A comparative study between endoscopic septoplasty with. Septoplasty surgery is usually performed under general anesthesia. Your doctor will use a tool called an endoscope to look into your sinuses through your nose. The surgery is performed using a slender telescope and specialized instruments that are passed through the nostrils. These blockages can cause sinusitis, in which the sinus mucous membranes swell and become blocked, causing pain, drainage and impaired breathing. This surgery is also referred as sinoscopy or endoscopy. The surgical follow up is extremely important for the sinus surgery so be sure your doctor has a specific follow up plan that involves multiple visits to remove crusts and minimize scarring.
The endoscopic sinus surgery is not painful but you will be sore after the septoplasty. Septoplasty endoscopic removal septal spur marilyn posted thu 17th of november, 2011 17. Endoscopic septoplasty is an effective technique that can be performed safely alone or in combination with endoscopic sinus surgery with minimal additional morbidity. It enhances the surgical procedure and steps as the surgical assistant is able to visualise and anticipate the next surgical step and thus provide the required assistance, thus saving overall surgical time. The literature reports numerous advantages to endoscopic septoplasty, including better visualization and a wider, unobstructed visual field, reduced operation times, more accurate identification of the septal area to be corrected with limited extent of the excision, the possibility of using combined approaches, control of bleeding, more. Following your surgery, consult our postoperative instructions. Endoscopic sinus surgery is designed to improve the drainage of the sinuses and to improve airflow through the. This is very important for you surgery to be completely successful.
Traditional septoplasty vs endoscopic septoplasty for treating deviated nasal septum the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Septoplasty for deviated nasal septum or sluders neuralgia have been conventionally performed with the aid of headlight. Introduction nasal obstruction is one of the most common complaint that otorhinolaryngologists face in their day to day practice. Furthermore, advances in endoscopic nasal surgery, have led to the development of endoscopic septoplasty, septoplasty is a wellestablished procedure in nasal obstruction caused by septal deviation resistant to medical management. Elevate the head of your bed 45 degrees when sleeping or napping for seven to ten days. This is reported to be especially valuable for patients who have had previous septal surgery. I cannot find a code for a septoplasty performed endoscopically.
Take medicine as prescribed after leaving the hospital. Endoscopic septoplasty and turbinate reduction postoperative care postoperative care now that your endoscopic sinus surgery is done, you will need to begin the postoperative care phase of your treatment. Comparative evaluation of conventional versus endoscopic. The video presents endoscopic repair of deviated nasal septum. Septoplasty basics septoplasty is performed to straighten a deviated, or crooked, nasal septum. The surgery is performed using small cameras, about the size of a pencil, that go through your nostrils and show the inside of. Endoscopic sinus surgery with or without a septoplasty our goal is for you to have the most successful surgical outcome. This study was conducted to evaluate the outcomes and complications of endoscopic and conventional septoplasty. The three major principles in endoscopic septoplasty, which the author follows, are, first, good and clean elevation of the mucoperichondrium. The advances in endoscopic techniques have facilitated endoscopic septoplasty es. Septoplasty and turbinate surgery becker rhinoplasty center. Endoscopic sinus surgery with or without a septoplasty. A comparative study of endoscopic septoplasty versus. Endoscopic sinus surgery endoscopic sinus surgery is a process that is used for removing sinus blockages by which sinusitis occurs.
If you require septoplasty, there are additional risks. It is composed of bone and cartilage, and is lined on both sides by soft tissue called mucosa. The nasal septum is the part of the nose that separates the two nostrils and nasal cavities. General instruction for septoplasty andor endoscopic sinus after surgery. A small camera is placed into the nose and with specialised surgical instruments, the sinus openings are enlarged to facilitate drainage. Mehryar ray taban is the only surgeon in the world who performs combined tear duct surgery dcr and cosmetic rhinoplasty plus functional nose surgery, septoplasty, etc at the same time rhinodcr or rdcr operation. Septoplasty is a commonly performed surgical procedure aimed at relieving nasal airway obstruction. To describe our clinical experience in 218 consecutive patients undergoing endoscopic backandforth septoplasty ebfs, examining surgical indications, technique, and followup. Complications of endoscopic sinus surgery stanford. Surgical septoplasty at the johns hopkins sinus center. Combined dcr and rhinoplasty with septoplasty september 1, 2011 dr. Conventional septoplasty, deviated nasal septum dns, endoscopic septoplasty, nasal blockage. Endoscopic septoplasty has an obvious edge over the conventional approach due to better illumination which enables to identify the pathology accurately, excise the deviated part of septum precisely and realignment of the cartilage for best results. A study of comparison between the efficacy of endoscopic.
Bleeding after functional endoscopic sinus surgery fess. Pt was scheduled for a septoplasty and according to the op note the septal spur was endoscopically visualized. There is not a separate code for an endoscopic septoplasty nor is there an addon code for the endoscope. It can be significantly bent or crooked causing obstruction of either the left or right side. Unless your surgeon tells you otherwise, no incisions or cuts will be made on your face.
Septoplasty, turbinate reduction, and endoscopic sinus surgery are often combined together. Josephson, md, explains when its appropriate to opt for sinus surgery. The septum is the cartilage and bone wall that divides the nose into two separate passages. Learn more about how to prepare for endoscopic sinus surgery.
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