Gupta Nishi
Dept of ENT, Charity Eye Hospital, 5026, Kedarnath road Daryagainj, 110002 New Delhi.
Indian J Otolaryngol Head Neck Surg. 2005 Jul;57(3):240-3. doi: 10.1007/BF03008021.
Endoscopic septoplasty is a minimally invasive technique that helps us to correct defornity of septum under excellent visualization. Lanza et al & Stammberger initially described the application of endoscopic technique for the correction of septal deformity in 1991. A retrospective study was carried out of all the cases that underwent endoscopic septoplasty at Dr. Shroff's Charity Eye hospital from March 1998 to March 2000. 78 consecutive septoplasty patients were identified in two years. Out of these 48 septoplasties (52%) were performed with endoscopic technique. A large percentage of cases 48(41%) were those where septoplasty was performed in conjunction with endoscopic dacro cysto rhinostomy. In 8 cases (16%) it was performed alone as a primary procedure, 4 deviations were broadly based deflections (12%), 10 of septal deformities were spurs (20%), in 4 cases more than one type septal deformities were encountered. Thus we feel that endoscopic septoplasty is a fast developing concept & gaining popularity with increasing trend towards sinus endoscopic surgeries. Furthermore in complex deformities, better correction is possible with the help of endoscope. Since we can clearly see the posterior deviations.
内镜鼻中隔成形术是一种微创技术，可帮助我们在极佳的视野下矫正鼻中隔畸形。1991年，兰扎等人及施坦伯格首次描述了内镜技术在鼻中隔畸形矫正中的应用。对1998年3月至2000年3月在施罗夫慈善眼科医院接受内镜鼻中隔成形术的所有病例进行了一项回顾性研究。两年内共确定了78例连续的鼻中隔成形术患者。其中48例（52%）采用内镜技术进行鼻中隔成形术。很大比例的病例48例（41%）是鼻中隔成形术与内镜泪囊鼻腔造口术联合进行的。8例（16%）单独作为主要手术进行，4例偏曲为宽基偏斜（12%），10例鼻中隔畸形为棘突（20%），4例遇到不止一种类型的鼻中隔畸形。因此，我们认为内镜鼻中隔成形术是一个快速发展的概念，随着鼻窦内镜手术趋势的增加而越来越受欢迎。此外，在复杂畸形中，借助内镜可以实现更好的矫正。因为我们可以清楚地看到后部偏曲。
