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Endoscopic septoplasty: literature review, surgical techniques and retrospective analysis at the University Hospitals Leuven

Published online by Cambridge University Press:  10 April 2019

S Vandenbroeck  and
M Jorissen
S Vandenbroeck*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Belgium
M Jorissen
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Belgium
*
Author for correspondence: Dr Sebastian Vandenbroeck, Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Kapucijnenvoer 33, 3000 Leuven, Belgium E-mail: sebastian.vandenbroeck@gmail.com Fax: +32 16 33 23 35
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Abstract

Background

Endoscopic septoplasty is an alternative approach for a deviated nasal septum. Since its introduction, numerous techniques have been developed, each with its own advantages and limitations. A literature review is presented, along with our experience with endoscopic spur resection.

Methods

The Medline and Google Scholar databases were searched for relevant literature, and the records of all patients undergoing endoscopic spur resection at the University Hospitals Leuven between 2001 and 2015 were reviewed.

Results and conclusion

Endoscopic septoplasty offers improved visualisation and the option of limited flap dissection, which are particularly helpful when dealing with isolated spurs, posterior deviations and revision septoplasty. It enhances teaching and improves surgical transition to endoscopic sinus surgery. Reported success and complication rates are comparable to those seen in traditional approaches. Endoscopic spur resection, as conducted at the University Hospitals Leuven, was shown to be a quick, safe and efficient technique when dealing with isolated septal spurs, especially when combined with endoscopic sinus surgery.

Keywords

Nasal SeptumNasal Surgical ProceduresNatural Orifice Endoscopic Surgery
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 4 , April 2019 , pp. 262 - 268
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr S Vandenbroeck takes responsibility for the integrity of the content of the paper

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