Original Article


Minimally invasive endoscopic septoplasty

,  ,  

1 ENT Department Head, CHU Tivoli ULB La Louvière Belgium

2 Resident Department, CHU Tivoli ULB La Louvière Belgium

3 Assistant Department, CHU Tivoli ULB La Louvière Belgium

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Pierre-François Dolhen

ENT Department Head , CHU Tivoli , ULB La Louvière

Belgium

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Article ID: 100002VAM08PD2018

doi: 10.5348/100001VAM08PD2018OA

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How to cite this article

Dolhen P, Lipski S, Noel A. Minimally invasive endoscopic septoplasty. Video J Clin Res 2018;1:100002VAM08PD2018.

Abstract


This paper analyzes a retrospective study of 131 consecutive cases septoplasties performed using our endoscopic procedure. Clarification and new definitions of endoscopic septoplasty approaches are emphasized: Trans-Nasal Endoscopic Septoplasty (TNES) with an endoscope into the nasal fossa and Trans-Septal Endoscopic septoplasty (TSES) with an endoscope into the septal pocket. The patient’s cohort is selected for treatment of persistent nasal obstruction and septal deviation needing surgery. The procedure is carried out on a well-defined homogenous population. Additional actions on inferior turbinate, rhinopharynx, or external procedures for columellar deformities are performed to obtain a free symetric nasal pathway. Most of our surgeries (98%) is carried out endoscopically alone and only 2% of cases necessitated “hybrid” non-endoscopic adjuvant surgery to treat septo-columellar and other major caudal septal deformities as valve surgery. In the studied population, we observed 89% of significant posterior deformities, not only septal. Subjective evaluation of the nasal obstruction is achieved by using a simplified NOSE Scaling (sNOSE) giving an 87.8% satisfaction rate. Results showed a low level of complications such as perforation, hematoma or synechia, confirming the minimally invasive denomination of this procedure (MIES) with minimal operation time, in particular with TNES. Endoscopic Septoplasty (ES) had major advantages in Classical Headlight Septoplasty (HLS), such as enhancing the visualization of posterior nasal region and better final visual evaluation of the global nasal permeability. We recommend Minimal Invasive Endoscopic Septoplasty (MIES) to improve results, minimize complications, and to improve the pedagogic impact of the procedure. Video material illustrates the endoscopic procedures; moreover, ongoing developments in ultra-high, 4K, 4KHDR definition further emphasizes these advantages.

 

Keywords: Minimally invasive endoscopic septoplasty, Nasal obstruction, Septal deviation, Septoplasty, Trans-Nasal endoscopic septoplasty, Trans-Septal endoscopic septoplasty

Supporting Information


Author Contributions:

Pierre-François Dolhen - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Samuel Lipski - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Antoine Noel - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Consent For Publication:

Written informed consent was obtained from the patient for publication of this study.

Copyright Statement:

©2018 Pierre-François Dolhen et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.