Diagnostic and Surgical Endoscopy in Functional Septorhinoplasty

Paul V. Lanfranchi; Jacob Steiger; Anthony Sparano; Laurie Brigandi; Guy Lin; Samuel S. Becker; Daniel G. Becker

doi:10.1055/s-2004-861776

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2004; 20(3): 207-215
DOI: 10.1055/s-2004-861776

Diagnostic and Surgical Endoscopy in Functional Septorhinoplasty

Paul V. Lanfranchi¹ , Jacob Steiger² , Anthony Sparano² , Laurie Brigandi¹ , Guy Lin² , Samuel S. Becker³ , Daniel G. Becker² ^, ³ ^, ⁴

¹Department of Otolaryngology-Head and Neck Surgery, University of Medicine and Dentistry of New Jersey, Stratford, New Jersey
²Department of Otolaryngology-Head and Neck Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania
³Department of Otolaryngology-Head & Neck Surgery, University of Virginia Medical Center, Charlottesville, Virginia
⁴Becker Nose and Sinus Center, LLC. Sewell, New Jersey

Abstract

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

Full Text

References

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

Daniel G BeckerM.D. F.A.C.S.

Becker Nose and Sinus Center

LLC, 400 Medical Center Drive, Suite B, Sewell, NJ 08080