Diagnostic and Surgical Endoscopy in Functional Septorhinoplasty

ABSTRACT

Endoscopy has altered our ability to diagnose pathology accurately during the preoperative assessment, and it has also offered surgeons the ability to perform surgeries in a minimally invasive manner. In this article, we review the senior author's experience with diagnostic and surgical endoscopy in functional septorhinoplasty. A thorough examination of the nasal cavity in the patient seeking cosmetic rhinoplasty along with correction of nasal obstruction is enhanced by the performance of office nasal endoscopy. Endoscopically guided septoplasty is useful as a minimally invasive approach for isolated septal deformities, and it is an indispensable approach in difficult revision nasal surgeries in which obstructing septal deviation persists. Endoscopy is a critical diagnostic and surgical tool in patients seeking cosmetic nasal surgery who also have functional nasal complaints.

KEYWORDS

Endoscopy - nasal obstruction - minimally invasive surgery - endoscopic septoplasty - septorhinoplasty - cosmetic nasal surgery

REFERENCES

• 1 Jafek B W, Dodson B T. Nasal obstruction. In: Bailey BJ, Calhoun KH, Friedman NR, Newlands SD, Vrabec JT Head & Neck Surgery-Otolaryngology. 2nd ed Philadelphia; Lippincott-Raven 1998: 371-397
• 2 Becker D G. Septoplasty and turbinate surgery.  Aesthetic Surg J. 2003;  23 393-403
• 3 Senior B, Kennedy D W. Endoscopic sinus surgery: a review.  Prim Care. 1998;  25 703-720
• 4 Becker D G, Kennedy D W. Indications for sinus surgery in patients undergoing rhinoplasty.  Aesthetic Plast Surg. 1998;  18 129-131
• 5 Pownell P H, Minoli J J, Rohrich R J. Diagnostic nasal endoscopy.  Plast Reconstr Surg. 1997;  99 1451-1458
• 6 Levine H L. The office diagnosis of nasal and sinus disorders using rigid nasal endoscopy.  Otolaryngol Head Neck Surg. 1990;  102 370-373
• 7 Lanza D C, Kennedy D W, Zinreich S J. Nasal endoscopy and its surgical applications. In: Lee KJ Essential Otolaryngology: Head and Neck Surgery. 5th ed New York; Medical Examination Publishing Co 1991: 373-387
• 8 Lanza D C, Rosin D F, Kennedy D W. Endoscopic septal spur resection.  Am J Rhinol. 1993;  7 213-216
• 9 Cantrell H. Limited septoplasty for endoscopic sinus surgery.  Otolaryngol Head Neck Surg. 1997;  116 274-277
• 10 Giles W C, Gross C W, Abram A C et al.. Endoscopic septoplasty.  Laryngoscope. 1994;  104 1507-1509
• 11 Becker D G, Park S S, Toriumi D M. Powered instrumentation for rhinoplasty and septoplasty.  Otolaryngol Clin North Am. 1999;  32 683-693
• 12 Hwang P H, McLaughlin R B, Lanza D C, Kennedy D W. Endoscopic septoplasty: indications, technique, and results.  Otolaryngol Head Neck Surg. 1999;  120 678-682
• 13 Stamberger H. Functional Endoscopic Sinus Surgery: The Messerklinger Technique. Philadelphia; BC Decker 1991: 432-433
• 14 Becker D G, Kallman J. Endoscopic Septoplasty in Functional Septorhinoplasty. Operative Techniques in Otolaryngology-Head & Neck Surgery Chicago; 2000