Endoscopic septoplasty: indications, technique, and results

Area of Science:

• Otolaryngology
• Minimally Invasive Surgery
• Endoscopic Techniques

Background:

• Traditional septoplasty approaches can lead to significant morbidity and postoperative swelling.
• Isolated septal deviations often require extensive dissection, increasing patient discomfort.
• Prior septal cartilage resection presents unique challenges in revision septoplasty.

Purpose of the Study:

• To evaluate the efficacy and benefits of endoscopic septoplasty compared to traditional methods.
• To assess the reduction in morbidity and postoperative swelling using the endoscopic approach.
• To explore the advantages of endoscopic septoplasty in specific patient populations, including those with prior surgery.

Main Methods:

• A retrospective review of 111 patients undergoing endoscopic septoplasty.
• Detailed description of the endoscopic septoplasty technique, focusing on limited subperichondrial dissection.
• Analysis of surgical indications, procedural steps, and complication rates.

Main Results:

• Endoscopic septoplasty demonstrated reduced postoperative swelling and morbidity in isolated septal deviations.
• The technique allowed for limited dissection, proving beneficial in patients with previous septal surgery.
• Improved visualization of posterior septal deformities and seamless transition to concurrent sinus surgery were noted.

Conclusions:

• Endoscopic septoplasty is a valuable alternative to traditional approaches, offering decreased morbidity.
• The minimally invasive nature of endoscopic septoplasty enhances patient outcomes, particularly in revision cases.
• Improved visualization and surgical integration make it an effective tool for teaching and complex septal corrections.