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Related Concept Videos

Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
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Epistaxis01:30

Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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Related Experiment Video

Updated: Aug 26, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Postoperative Outcomes in Pediatric Septoplasty.

Sarah Benyo1, Annie E Moroco2, Robert A Saadi3

  • 1Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.

The Annals of Otology, Rhinology, and Laryngology
|October 13, 2022
PubMed
Summary

Pediatric septoplasty for deviated nasal septum is generally safe, with few complications. Asthma and higher BMI are risk factors for adverse outcomes in children undergoing this procedure.

Keywords:
NSQIPclinical databasepediatricpostoperative complicationsseptoplasty

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Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Health Outcomes Research

Background:

  • Septoplasty is a common surgical procedure for pediatric deviated nasal septum.
  • Understanding risk factors and complications is crucial for optimizing patient care.

Purpose of the Study:

  • To identify risk factors and perioperative morbidity in pediatric patients undergoing septoplasty.
  • To analyze outcomes from a large national pediatric surgical database.

Main Methods:

  • Retrospective query of the American College of Surgeons National Surgical Quality Improvement Program Pediatric (NSQIP-P) database.
  • Inclusion of patients who underwent septoplasty (CPT 30520) for deviated nasal septum (ICD J34.2) between 2018-2019.
  • Analysis of demographics, comorbidities, surgical characteristics, and postoperative outcomes.

Main Results:

  • 729 pediatric patients were identified; median age was 15.8 years.
  • Overall postoperative complications were rare (0.6%), including readmission (0.4%).
  • Asthma history (P=.035) and BMI (P=.028) were significant risk factors for complications.

Conclusions:

  • 30-day postoperative complications after pediatric septoplasty are infrequent.
  • Asthma and elevated BMI are identified risk factors for adverse outcomes.
  • Further investigation into age, anatomy, and surgical technique is warranted.