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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

Nasal surgery in patients with systemic disorders.

Florian Sachse¹, Wolfgang Stoll

¹University of Münster, Department of Otorhinolaryngology Head and Neck Surgery, Münster, Germany.

GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery

|November 11, 2011

Summary

Rhinologists manage multisystemic disorders affecting the nose and sinuses. Rhinosurgery, including septorhinoplasty and sinus surgery, can be effective when systemic disease is in remission, though revision rates may be higher.

Keywords:

nasal septal perforation rhinoplasty saddle nose sinusitis systemic disorder

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Published on: October 13, 2017

Area of Science:

Otolaryngology
Systemic Diseases
Surgical Reconstruction

Background:

Multisystemic disorders can affect the nose and paranasal sinuses, requiring specialized management by rhinologists.
While systemic therapy is primary, rhinosurgery may be necessary for nasal deformities and complications.
Limited patient data necessitates reliance on case reports and series for treatment recommendations.

Purpose of the Study:

To review the role of rhinosurgery in managing multisystemic disorders affecting the nasal and paranasal sinus regions.
To evaluate the efficacy and considerations of various surgical procedures in these complex cases.

Main Methods:

Analysis of published case reports and case series concerning multisystemic disorders with sinonasal manifestations.
Review of surgical techniques including sinus surgery, septorhinoplasty, orbital and lacrimal duct surgery, and nasal septal perforation repair.

Main Results:

Autologous cartilage or bone grafts are viable for nasal reconstruction in conditions like tuberculosis, leprosy, Wegener's granulomatosis, sarcoidosis, and relapsing polychondritis.
Septorhinoplasty techniques are applicable to systemic diseases, provided the patient is in remission; higher revision rates should be anticipated.
Sinus surgery can alleviate nasal symptoms and improve quality of life, particularly in patients refractory to systemic treatment.

Conclusions:

Rhinosurgery can be a valuable adjunct in managing sinonasal manifestations of multisystemic disorders, especially when systemic disease is controlled.
Careful patient selection, with a focus on disease remission, is crucial for successful surgical outcomes.
Further research with larger patient cohorts is needed to refine treatment guidelines for these rare conditions.