Septoplasty
Which of the following surgical procedure can be used as an alternative for SMR (Submucosal Resection)?
| A |
Tympanoplasty |
|
| B |
Septoplasty |
|
| C |
Caldwell Luc operation |
|
| D |
Tuboplasty |
Which of the following surgical procedure can be used as an alternative for SMR (Submucosal Resection)?
| A |
Tympanoplasty |
|
| B |
Septoplasty |
|
| C |
Caldwell Luc operation |
|
| D |
Tuboplasty |
- Deviation of the nasal septum with partial or complete unilateral or bilateral obstruction of airflow
- Persistent or recurrent epistaxis
- Evidence of sinusitis secondary to septal deviation
- Headaches secondary to septal deviation and contact points
- Anatomic obstruction that makes indicated sinus procedure difficult to perform efficiently
- Obstructive sleep apnea
- As an approach to transseptal transsphenoidal approach to pituitary fossa
All of the following true of septoplasty operation for DNS except:
| A |
Indicated in septal deviation |
|
| B |
Mucoperichondrium is removed |
|
| C |
Preferably done after 16 years of age |
|
| D |
Done in some cases of epistaxis |
All of the following true of septoplasty operation for DNS except:
| A |
Indicated in septal deviation |
|
| B |
Mucoperichondrium is removed |
|
| C |
Preferably done after 16 years of age |
|
| D |
Done in some cases of epistaxis |
Which is not done in septoplasty:
| A |
Elective hypotension |
|
| B |
Throat pack |
|
| C |
Nasal preparation with 10% cocaine |
|
| D |
None |
Which is not done in septoplasty:
| A |
Elective hypotension |
|
| B |
Throat pack |
|
| C |
Nasal preparation with 10% cocaine |
|
| D |
None |
Management of Deviated Septum
Minor degrees of septal deviation not causing any symptoms do not require any treatment.
If the patient is more than 17 years of age then the patient is taken up for septal surgery. Any surgery on the septum or on the anterior 1/3rd of nose and adjacent area (e.g. septoplasty, rhinoplasty and Cald Well Luc) is not done before 17 years of age as it interferes with growth of nasal skeleton.
The two types of surgery on septum are:
Sub-mucous resection of septum (SMR): It is done under local anaesthesia with 2% xylocaine and adrenaline. The incision is given 5 mm above the caudal border of the septal cartilage (Killian’s incision).
Mucoperichondrial and mucoperiosteal flaps are raised on both sides of the septum, so that the septum is now free on both sides. Leaving a thin (1 cm) dorsal and a caudal strip, the rest of the septum is removed.
Complication: This can lead to loss of support of dorsum and saddling of nose, perforation of the septum.
