Clinical experience with endoscopic septoplasty
DOI: 10.32364/2587-6821-2020-4-4-254-258
S.A. Karpishchenko1,2, O.E. Vereshchagina2, E.O. Teplova2
1St. Petersburg Research Institute of Ear, Throat, Nose, and Speech, St. Petersburg,
Russian Federation
2I.P. Pavlov First St. Petersburg State Medical University, St. Petersburg, Russian Federation
This article reviews current surgical techniques for a deviated septum and, in particular, focuses on the comparison of conventional and endoscopic approaches to septoplasty. Relevant issues of the anatomy and physiology of the nasal septum affecting the course of the comorbidities of the nasal cavity and the surrounding structures are discussed. The conventional and endoscopic approaches to septoplasty, indications, the benefits and drawbacks of each technique are addressed. The authors highlight the spectrum of the potential surgical procedures to the surrounding structures with the correction of the deviated septum as the first step. This surgical strategy in patients with the combined disorders of the internal structures of the nasal cavity is accounted for by the favorable course of the chronic conditions of the nasal cavity in the postoperative period and the possibility for providing adequate care for the nasal cavity. This article describes authors’ exp erience with the surgical correction of the deviated septum using endoscopic approach at all steps of the surgery. Clear advantages of this techniques in terms of both intraoperative accuracy and postoperative care for the nasal cavity are uncovered.
Keywords: endoscopic septoplasty, nasal septum, rhinological patients, conus beam computed tomography of the paranasal sinuses, nasal tumor.
For citation: Karpishchenko S.A., Vereshchagina O.E., Teplova E.O. Clinical experience with endoscopic septoplasty. Russian Medical Inquiry. 2020;4(4):254–258. DOI: 10.32364/2587-6821-2020-4-4-254-258.
Acknowledgement
Editorial Board is grateful to LLC “Grotex” for the assistance in technical edition of this publication.
About the authors:
Sergey A. Karpishchenko — Dr. of Sci. (Med.), Professor, Director, St. Petersburg Research Institute of Ear, Throat, Nose, and Speech, 9, Bronnitskaya str., St. Petersburg, 198013, Russian Federation; Head of the Department of Otorhinolaryngology, I.P. Pavlov First St. Petersburg State Medical University, 6–8, Lev Tolstoy str., St. Petersburg, 197022, Russian Federation; ORCID iD 0000-0003-1124-1937.
Olga E. Vereshchagina — Cand. of Sci. (Med.), Head of the Otorhinolaryngological Department, I.P. Pavlov First St. Petersburg State Medical University, 6–8, Lev Tolstoy str., St. Petersburg, 197022, Russian Federation; ORCID iD 0000-0001-9480-6547.
Elizaveta O. Teplova — otorhinolaryngologist, postgraduate student of the Department of Otorhinolaryngology, I.P. Pavlov First St. Petersburg State Medical University, 6–8, Lev
Tolstoy str., St. Petersburg, 197022, Russian Federation; ORCID iD 0000-0001-7768-0823.
Contact information: Olga E. Vereshchagina, e-mail:
wereschagina@yandex.ru. Financial Disclosure: no authors have a financial or property interest in any material or method mentioned. There is no conflict of interests. Received 23.07.2020, revised 04.08.2020, accepted 15.08.2020.
2. Fokkens W.J., Lund V.J., Hopkins С. et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2020. Rhinology. 2020;58(Suppl. S29):1–464. DOI: 10.4193/Rhin20.600.
3. Kwon S.H., Lee E.J., Yeo C.D. et al. Is septal deviation associated with headache? A nationwide 10-year follow-up cohort study. Medicine (Baltimore). 2020;99(20):e20337. DOI: 10.1097/MD.0000000000020337.
4. Karpishchenko S., Vereshchagina O., Baranskaya S., Karpov A. Rhinological Aspects of Endonasal Endoscopic Dacryocystorhinostomy. Glob J Oto. 2018;14(4):555895. DOI: 10.19080/GJO.2018.14.555895.
5. Karpishchenko S.A., Vereshchagina O.E., Fatalieva A.F., Karpov A.A. Correction of the nasal septum in endoscopic endonasal dacryocystorhinostomy. Follia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2019:25(4):15–20 (in Russ.).
6. Karpishchenko S.A., Alexandrov A.N., Baranskaya S.V., Fatalieva A.F. Correction of the nasal septum during interventions in the maxillary sinus. Rossiyskaya otorinolaringologiya. 2018;2:44–47 (in Russ.). DOI: 10.18692/1810-4800-2018-2-44-47.
7. Wei L, Wang L., Lu W. et al. A new technique of revision septoplasty using semi-penetrating straight and circular incisions of the nasal septum. J Laryngol Otol. 2019;133(6):494–500. DOI: 10.1017/S0022215119000951.
8. Instructions for medical use of the drug Tramicent. (Electronic resource). URL: http://grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGuid=18b83a99-2330-4f21- 9ae6-830fd65f0e9bandt=. Access date: 20.05.2020 (in Russ.).
9. Instructions for the use of a medical device Means for the nasal mucosa Olifrin. (Electronic resource). URL: https://solopharm.com/images/public/olyfrin.pdf. Access date: 20.05.2020 (in Russ.).
10. Liao Y.-H., Jones S.A., Forbes B. et al. Hyaluronan: pharmaceutical characterization and drug delivery. Drug Deliv. 2005;12(6):327–342. DOI: 10.1080/10717540590952555.
11. Karpishchenko S.A., Vereshchagina O.E., Stancheva O.A. Consequences of rhinological operations. Follia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2016;22(1):91–94 (in Russ.).
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