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Updated: Mar 6, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Video-Assisted Septoplasty: The Future in Teaching Septal Surgery-A Technical Note
Akram Rahal1,2, Marie-Pierre Charron3
11 Université de Montréal, Montréal, Québec, Canada.
This study introduces video-assisted septoplasty, using a flexible endoscope on a nasal speculum for improved surgical visualization. This technique enhances resident training and mentor feedback in septal surgery.
Area of Science:
- Otolaryngology
- Surgical Education
- Medical Device Innovation
Background:
- Septoplasty training is hindered by limited surgical site visualization for both residents and mentors.
- Conventional septoplasty techniques offer intermittent views, complicating effective teaching and learning.
- The need for enhanced visualization tools in septal surgery is critical for improving surgical outcomes and training efficiency.
Purpose of the Study:
- To develop and evaluate novel surgical tools for optimal visualization during septal surgery.
- To enable real-time monitoring of the surgical field without altering standard septoplasty procedures.
- To enhance the educational experience for residents and mentors in septoplasty.
Main Methods:
- A flexible high-definition endoscope was mounted onto a modified 50-mm nasal speculum.
- This setup provided real-time visualization of the surgical field on a video monitor.
- The system allowed for recording surgical steps for later educational review.
Main Results:
- The developed system facilitated continuous, real-time visualization of all surgical steps.
- Residents could observe all intranasal procedures on the monitor during live surgery.
- Mentors could effectively guide residents and provide timely, specific feedback.
- The entire septal surgery procedure could be recorded for educational purposes.
Conclusions:
- Video-assisted septoplasty significantly improves visualization during septal surgery.
- This technique enhances the efficiency and effectiveness of teaching and learning septoplasty.
- The system offers a valuable tool for surgical training, feedback, and performance review.
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