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Updated: Apr 9, 2026
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Posterosuperior extension of caudal septal incision for endoscopic septoplasty
Sang-Wook Kim1,2, Yeon-Hee Joo1, Sea-Yuong Jeon1,2
1Department of Otorhinolaryngology, Gyeongsang National University Hospital, Jinju, Republic of Korea.
Background:
Endoscopic septoplasty provides several advantages over traditional headlight septoplasty in terms of better visualization. However, surgeons may experience frequent soiling of the endoscope lens by blood from the incision site and awkwardness in finding adequate space for the endoscope and dissectors in narrow septal mucosal tunnels. Here, we propose a simple and safe modification for endoscopic septoplasty.
Methods:
A total of 21 patients underwent endoscopic septoplasty using a new modification. Briefly, a posterosuperior extension incision was made along the dorsal septum at the superior end of the caudal septal incision, and a posteroinferior-based septal mucosal flap was developed and placed laterally over the inferior turbinate during surgery.
Results:
The new modification reported here provided clear endoscopic visualization and a comfortable working space from making the incision to closing the wound. In addition, no significant complications related to this modification, such as increased operation time, intraoperative or postoperative bleeding, delayed wound healing, synechia, nasal septal perforation, and reduced olfaction, were observed.
Conclusion:
Adding a posterosuperior extension incision to the caudal septal incision might be a safe and efficient modification for endoscopic septoplasty.
