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A new technique of revision septoplasty using semi-penetrating straight and circular incisions of the nasal septum

Published online by Cambridge University Press:  30 May 2019

L Wei ,
L Wang ,
W Lu ,
T Jiang ,
Z Liu ,
M Wang ,
X Wu  and
Z Wang
L Wei
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, Dalian, China
L Wang
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, Dalian, China
W Lu
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, Dalian, China
T Jiang
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, Dalian, China
Z Liu
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, Dalian, China
M Wang
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, Dalian, China
X Wu
Affiliation:
Otolaryngology Department, Friendship Hospital, Dalian, China
Z Wang*
Affiliation:
Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, Dalian, China
*
Author for correspondence: Dr Zhiqiang Wang, Otolaryngology Department, Affiliated Zhongshan Hospital of Dalian University, 6# Jiefang Street, Zhongshan District, Dalian 116001, China E-mail: wzqwlzwl@sohu.com Fax: +86 411 628 93555
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Abstract

Objective

This study aimed to investigate endoscopic revision septoplasty with semi-penetrating straight and circular incisions in patients for whom septoplasty was unsuccessful.

Method

Patients in this study (n = 14) had a deviation of the nasal septum after septoplasty. Pre-operative and post-operative assessments were performed using a visual analogue scale and nasal endoscope. Semi-penetrating straight and circular incisions in front of the caudal septum and at the margin of the nasal septal cartilage–bone defect, respectively, were made. The mucoperichondrium and mucoperiosteum were bilaterally dissected until interlinkage with the cartilage–bone defect was achieved. Mucous membranes within the circular incision as well as the right mucoperichondrium and mucoperiosteal flaps were protected by pushing them to the right. This exposed the osteocartilaginous framework and allowed correction of the residual deviation. The patients were followed up for 30–71 months.

Results

For nasal obstruction and headaches, a significant improvement was noted in post-operative compared to pre-operative visual analogue scale scores. No patients had septal deviations, saddle nose, false hump nose or contracture of the nasal columella.

Conclusion

The technique allowed exposure of the septal osteocartilaginous framework and a broad operational vision, which enabled successful correction of various deformities of the nasal septum.

Keywords

Nasal SeptumRhinoplastyReoperationEndoscopesIncision
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 6 , June 2019 , pp. 494 - 500
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr Z Wang takes responsibility for the integrity of the content of the paper

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