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Updated: Jun 19, 2026
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
A modified septoplasty with three high tension lines resection
Tong Wang1, Demin Han, Luo Zhang
1Key Laboratory Otolaryngology Head and Neck Surgery, Beijing Institute of Otorhinolaryngology, Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Modified septoplasty with three tension lines resection effectively treats septal deviations, improving both objective and subjective patient outcomes. This surgical approach is well-tolerated and suitable for various septal deformities, particularly caudal deviations.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Innovation
Background:
- Septal deviation can significantly impact nasal function and patient quality of life.
- Traditional septoplasty techniques may have limitations in addressing complex septal deformities.
- Understanding the biomechanics of septal deviation is crucial for refining surgical approaches.
Purpose of the Study:
- To redefine a modified septoplasty technique involving three high tension lines resection based on septal deviation biomechanics.
- To evaluate the surgical technique and its impact on objective and subjective outcomes.
- To assess the applicability of this modified approach for diverse septal deviations.
Main Methods:
- A retrospective review of 54 patients undergoing septoplasty between 2005 and 2006 at Beijing Tongren Hospital.
- Analysis of demographic data, surgical indications, intraoperative techniques, and postoperative outcomes.
- Assessment of objective and subjective results, along with complication rates.
Main Results:
- The modified septoplasty procedure demonstrated significant improvement in both objective and subjective outcomes.
- Nasal obstruction and access were the primary indications for surgery.
- Low complication rates were observed, including transient dental pain and synechiae formation, with no septal perforations or deformities.
Conclusions:
- The modified septoplasty with three tension lines resection is an effective and well-tolerated surgical option.
- This technique offers a valuable approach for managing various septal deviations, especially caudal deviations.
- The procedure leads to improved patient-reported outcomes and functional nasal airflow.
