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Updated: Apr 4, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Endoscopic septoplasty: Tips and pearls.
Y Pons1, C Champagne1, L Genestier1
1Service d'ORL chirurgie cervicofaciale, hôpital d'instruction des Armées Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France.
This study details an endoscopic septoplasty technique, achieving 97% satisfactory results. It is a viable option unless significant anterior columellar deviation is present.
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
Background:
- Nasal septum deviation impacts breathing and quality of life.
- Traditional septoplasty can be invasive.
Purpose of the Study:
- To describe a detailed endoscopic septoplasty technique.
- To outline technical challenges and tips for endoscopic septoplasty.
Main Methods:
- A 10-step endoscopic septoplasty procedure is described.
- Key steps include mucosal flap dissection, cartilage resection, and maxillary crest management.
- Silastic stents are used for mucosal closure.
Main Results:
- The endoscopic septoplasty technique demonstrated a 97% satisfactory outcome at 3 months post-operation.
- The primary contraindication identified was significant anterior columellar deviation.
Conclusions:
- Endoscopic septoplasty is an effective technique for correcting nasal septum deviation.
- Careful patient selection is crucial, avoiding cases with severe anterior columellar deviation.
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