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Updated: Jun 13, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Functional endoscopic sinus surgery chopstick technique.

Jaiganesh Manickavasagam¹, Sangeeth Segaram, Paul Harkness

¹Department of Otorhinolaryngology, Head & Neck surgery, Doncaster Royal Infirmary Hospital, Doncaster, United Kingdom. jaiganeshkalpana@yahoo.co.uk

The Laryngoscope

|April 28, 2010

Summary

A novel functional endoscopic sinus surgery (FESS) technique uses a chopstick-like motion for simultaneous endoscopic and suction control. This method enhances surgical field visualization and reduces operative time for sinus procedures.

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Published on: May 23, 2021

Area of Science:

Otolaryngology
Surgical Innovation

Background:

Functional endoscopic sinus surgery (FESS) is a common procedure for sinonasal diseases.
Improving operative field visualization and efficiency are key goals in FESS.

Purpose of the Study:

To introduce and describe a novel FESS technique.
To evaluate the impact of this technique on operative efficiency and visualization.

Main Methods:

A new FESS technique is detailed, utilizing simultaneous endoscope and suction control with the nondominant hand.
This technique mimics the use of chopsticks for instrument manipulation.

Main Results:

The described FESS chopstick technique streamlines suctioning.
It significantly improves the clarity of the operative field during FESS.

Conclusions:

The FESS chopstick technique offers a practical improvement for endoscopic sinus surgery.
This method has the potential to enhance surgical outcomes and reduce procedure duration.