Skip to main content Accessibility help

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

  • S Vandenbroeck (a1) and M Jorissen (a1)

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.


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.

Corresponding author
Author for correspondence: Dr Sebastian Vandenbroeck, Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Kapucijnenvoer 33, 3000 Leuven, Belgium E-mail: Fax: +32 16 33 23 35
Hide All

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

Hide All
1Orlandi, RR. A systematic analysis of septal deviation associated with rhinosinusitis. Laryngoscope 2010;120:1687–95
2Harrison, L, Jones, NS. Intranasal contact points as a cause of facial pain or headache: a systematic review. Clin Otolaryngol 2013;38:822
3Chung, BJ, Batra, PS, Citardi, MJ, Lanza, DC. Endoscopic septoplasty: revisitation of the technique, indications, and outcomes. Am J Rhinol 2007;21:307–11
4Fettman, N, Sanford, T, Sindwani, R. Surgical management of the deviated septum: techniques in septoplasty. Otolaryngol Clin North Am 2009;42:241–52, viii
5Aaronson, NL, Vining, EM. Correction of the deviated septum: from ancient Egypt to the endoscopic era. Int Forum Allergy Rhinol 2014;4:931–6
6Killian, G. The submucous window resection of the nasal septum. Ann Otol Rhinol Laryngol 1905;14:363–93
7Freer, OT. The correction of deflections of the nasal septum with a minimum of traumatism. JAMA 1902;XXXVIII:636–42
8Lanza, DC, Kennedy, DW, Zinreich, SJ. Nasal endoscopy and its surgical applications. In: Lee, KJ, ed. Essential Otolaryngology: Head and Neck Surgery, 5th edn. New York: Medical Examination, 1991;373–87
9Stammberger, H. Special problems. In: Hawke, M., ed. Functional Endoscopic Sinus Surgery: The Messerklinger Technique. Philadelphia: BC Decker, 1991;432–3
10Sathyaki, DC, Geetha, C, Munishwara, GB, Mohan, M, Manjuanth, K. A comparative study of endoscopic septoplasty versus conventional septoplasty. Indian J Otolaryngol Head Neck Surg 2014;66:155–61
11Paradis, J, Rotenberg, BW. Open versus endoscopic septoplasty: a single-blinded, randomized, controlled trial. J Otolaryngol Head Neck Surg 2011;40(suppl 1):S2833
12Hwang, PH, McLaughlin, RB, Lanza, DC, Kennedy, DW. Endoscopic septoplasty: indications, technique, and results. Otolaryngol Head Neck Surg 1999;120:678–82
13Getz, AE, Hwang, PH. Endoscopic septoplasty. Curr Opin Otolaryngol Head Neck Surg 2008;16:2631
14Vanclooster, C, Jorissen, M. Endoscopic septal spur resection in combination with endoscopic sinus surgery. Acta Otorhinolaryngol Belg 1998;52:335–9
15Nakayama, T, Okushi, T, Yamakawa, S, Kuboki, A, Haruna, S. Endoscopic single-handed septoplasty with batten graft for caudal septum deviation. Auris Nasus Larynx 2014;41:441–5
16Pons, Y, Champagne, C, Genestier, L, Ballivet de Régloix, S. Endoscopic septoplasty: tips and pearls. Eur Ann Otorhinolaryngol Head Neck Dis 2015;132:353–6
17Trimarchi, M, Bellini, C, Toma, S, Bussi, M. Back-and-forth endoscopic septoplasty: analysis of the technique and outcomes. Int Forum Allergy Rhinol 2012;2:40–4
18de Sousa, A, Iniciarte, L, Levine, H. Powered endoscopic nasal septal surgery. Acta Med Port 2005;18:249–55
19Kim, JY, Choi, G, Kwon, JH. The application of an ultrasonic bone aspirator for septoturbinoplasty. J Craniofac Surg 2015;26:893–6
20Raynor, EM. Powered endoscopic septoplasty for septal deviation and isolated spurs. Arch Facial Plast Surg 2005;7:410–12
21De Sousa Fontes, A, Sandrea Jimenez, M, Chacaltana Ayerve, RR. Endoscopic septoplasty in primary cases using electromechanical instruments: surgical technique, efficacy and results. Acta Otorrinolaringol Esp 2013;64:317–22
22Prepageran, N, Lingham, OR. Endoscopic septoplasty: the open book method. Indian J Otolaryngol Head Neck Surg 2010;62:310–12
23Hyun, DW, Kim, YS, Lee, JG, Yoon, JH, Kim, CH. Full-thickness horizontal mucosal incision to correct high septals deviation: our experience in ten patients. Clin Otolaryngol 2012;37:223–8
24Kim, BH, Kim, JY, Park, JS, Kang, SH, Lim, DJ, Yu, MS. Combined use of scoring incisions and 2-octylcyanoacrylate adhesive during endonasal septoplasty to correct cartilaginous deviations. Am J Rhinol Allergy 2014;28:209–13
25Wang, T, Han, D, Zhang, L, Zang, H, Li, Y, Liu, C. A modified septoplasty with three high tension lines resection. Acta Otolaryngol 2010;130:593–9
26Mantovani, M, Mazzola, RF, Cioccarelli, MG. The back-and-forth septoplasty. Plast Reconstr Surg 1996;97:40–4
27Samad, I, Stevens, HE, Maloney, A. The efficacy of nasal septal surgery. J Otolaryngol 1992;21:8891
28Siegel, NS, Gliklich, RE, Taghizadeh, F, Chang, Y. Outcomes of septoplasty. Otolaryngol Head Neck Surg 2000;122:228–32
29Fjermedal, O, Saunte, C, Pedersen, S. Septoplasty and/or submucous resection? 5 years nasal septum operations. J Laryngol Otol 1988;102:796–8
30Sipila, J, Suonpaa, J. A prospective study using rhinomanometry and patient clinical satisfaction to determine if objective measurements of nasal airway resistance can improve the quality of septoplasty. Eur Arch Otorhinolaryngol 1997;254:387–90
31Jessen, M, Malm, L. The importance of nasal airway resistance and nasal symptoms in the selection of patients for septoplasty. Rhinology 1984;22:157–64
32Dommerby, H, Rasmussen, OR, Rosborg, J. Long-term results of septoplastic operations. ORL J Otorhinolaryngol Relat Spec 1985;47:151–7
33Holmstrom, M, Kumlien, J. A clinical follow-up of septal surgery with special attention to the value of preoperative rhinomanometric examination in the decision concerning operation. Clin Otolaryngol 1988;13:115–20
34Gandomi, B, Bayat, A, Kazemei, T. Outcomes of septoplasty in young adults: the Nasal Obstruction Septoplasty Effectiveness study. Am J Otolaryngol 2010;31:189–92
35Champagne, C, Ballivet de Régloix, S, Genestier, L, Crambert, A, Maurin, O, Pons, Y. Endoscopic vs. conventional septoplasty: a review of the literature. Eur Ann Otorhinolaryngol Head Neck Dis 2016;133:43–6
36Ketcham, AS, Han, JK. Complications and management of septoplasty. Otolaryngol Clin North Am 2010;43:897904
37Bloom, JD, Kaplan, SE, Bleier, BS, Goldstein, SA. Septoplasty complications: avoidance and management. Otolaryngol Clin North Am 2009;42:463–81
38Sautter, NB, Smith, TL. Endoscopic septoplasty. Otolaryngol Clin North Am 2009;42:253–60, viii
39Giles, WC, Gross, CW, Abram, AC, Greene, WM, Avner, TG. Endoscopic septoplasty. Laryngoscope 1994;104:1507–9
40Jessen, M, Ivarsson, A, Malm, L. Nasal airway resistance and symptoms after functional septoplasty: comparison of findings at 9 months and 9 years. Clin Otolaryngol 1989;14:231–4
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *



Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed