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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[Endoscopic closure of septal perforation in children with a vascularized flap on the ethmoidal artery]
Yu Yu Rusetsky1, O A Spiranskaya1, N S Sergeeva2
1National Medical Research Center for Children's Health, Moscow, Russia, 119991.
Insights
A novel endoscopic technique effectively closes septal perforations in children using an ethmoid artery flap. This safe and efficient method allows for bilateral closure, offering a promising solution for pediatric practice.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Endoscopic Surgery
Background:
- Septal perforations can cause significant symptoms in children.
- Conventional endoscopic repair methods have limitations, particularly for bilateral closure.
Purpose of the Study:
- To describe and evaluate a new endoscopic technique for septal perforation closure in children.
- To assess the efficacy and safety of the ethmoid artery flap method for bilateral septal perforation repair.
Main Methods:
- A novel surgical technique involving an ethmoid artery flap under endoscopic control was developed.
- The technique was applied to 6 pediatric patients (ages 13-17) with septal perforations.
- Endoscopic visualization was used throughout the procedure.
Main Results:
- Complete closure of septal perforations was achieved in all 6 patients.
- The technique allowed for bilateral closure of the perforations.
- The procedure demonstrated high efficiency and a favorable safety profile.
Conclusions:
- The described endoscopic septal perforation closing method using an ethmoid artery flap is highly effective and safe for pediatric patients.
- This technique offers a viable option for bilateral septal perforation repair in children.
- The method shows potential for widespread adoption in pediatric otolaryngology practice.
Abstract:
In the article, a new method of septal perforation closing in children with a flap on the ethmoid artery under endoscopic control is described. Unlike conventional endoscopic procedures described technique allows to close the perforation bilaterally. Using the author's technique, 6 children with septal perforation aged from 13 to 17 years (mean age 15.2±2.1) were operated on. In all patients, the perforation was completely closed. Thus, the method has shown high efficiency and safety, which allows it to be widely used in pediatric practice.
