Sindwani Raj, Wright Erin D
Department of Otolaryngology, University of Western Ontario, London, ON.
J Otolaryngol. 2003 Apr;32(2):77-80. doi: 10.2310/7070.2003.37060.
An endoscopically performed septoplasty enables correction of deformities under superior visualization with limited tissue trauma and offers marked teaching advantages.
To investigate the role of endoscopic septoplasty in the treatment of atypical facial pain caused by septal contact points. In addition to describing the technique, we also intended to outline favourable selection criteria for patients who may benefit from this procedure.
Thirteen patients with unilateral facial pain and septal contact points with lateral nasal wall structures who met our inclusion criteria were selected for endoscopic septoplasty.
The follow-up period ranged from 7 to 20 months postoperatively. There were no intraoperative or postoperative complications. Seven of 13 (54%) patients were "completely cured" of their facial pain and another 5 patients (38.5%) were "significantly improved." Only one patient did not improve following surgery.
Endoscopic septoplasty is a useful approach for dealing with some septal abnormalities and can be very effective in the treatment of atypical facial pain in the appropriately selected patient.
内镜下鼻中隔成形术能够在视野极佳的情况下矫正畸形，组织创伤有限，且具有显著的教学优势。
探讨内镜下鼻中隔成形术在治疗鼻中隔接触点引起的非典型面部疼痛中的作用。除了描述该技术外，我们还旨在概述可能从该手术中获益的患者的有利选择标准。
选择13例符合纳入标准的单侧面部疼痛且鼻中隔与鼻侧壁结构存在接触点的患者进行内镜下鼻中隔成形术。
术后随访时间为7至20个月。无术中或术后并发症。13例患者中有7例（54%）面部疼痛“完全治愈”，另外5例患者（38.5%）“明显改善”。仅1例患者术后未改善。
内镜下鼻中隔成形术是处理某些鼻中隔异常的有效方法，对适当选择的患者治疗非典型面部疼痛可能非常有效。
