De Sousa Fontes Aderito, Sandrea Jiménez Minaret, Chacaltana Ayerve Rosa R
Jefe Unidad y Director del Fellow de Cirugía Endoscópica Rinosinusal, Instituto Médico La Floresta, Profesor de la Unidad Interdisciplinaria de Cirugía Endoscópica de base de Cráneo, Residencia de posgrado de Neurocirugía, Hospital Militar «Dr. Carlos Arvelo», Caracas, Venezuela; Residente 3er. año Otorrinolaringología, Instituto Médico La Floresta, Hospital Central Luis N. Sáenz PNP Universidad Nacional Federico Villareal, Lima, PerúPasantía en Cirugía Endoscópica Rinosinusal y Base Craneal (Sept.-Dic. 2012), Instituto Medico La Floresta, Caracas, Venezuela.
Acta Otorrinolaringol Esp. 2013 Sep-Oct;64(5):317-22. doi: 10.1016/j.otorri.2013.02.005. Epub 2013 Jun 2.
The microdebrider is a surgical tool which has been used successfully in many endoscopic surgical procedures in otolaryngology. In this study, we analysed our experience using this powered instrument in the resection of obstructive nasal septum deviations.
This was a longitudinal, prospective, descriptive study conducted between January and June 2007 on 141 patients who consulted for chronic nasal obstruction caused by a septal deviation or deformity and underwent powered endoscopic septoplasty (PES).
The mean age was 39.9 years (15-63 years); 60.28% were male (n=85) The change in nasal symptom severity decreased after surgery from 6.12 (preoperative) to 2.01 (postoperative). Patients undergoing PES had a significant reduction of nasal symptoms in the pre- and postoperative period, which was statistically significant (P<.05). There were no statistically significant differences between the results at the 2 nd week, 6th week and 5th year after surgery. The 100% of patients were satisfied with the results of surgery and no patient answered "No" to the question added to compare patient satisfaction after surgery. Minor complications in the postoperative period were present in 4.96% of the cases.
Powered endoscopic septoplasty allows accurate, conservative repair of obstructive nasal septum deviations, with fewer complications and better functional results. In our experience, this technique offered significant perioperative advantages with high postoperative patient satisfaction in terms of reducing the severity of nasal symptoms.
微型切割器是一种外科手术工具，已成功应用于许多耳鼻喉科的内镜手术中。在本研究中，我们分析了使用这种动力器械切除阻塞性鼻中隔偏曲的经验。
这是一项纵向、前瞻性、描述性研究，于2007年1月至6月对141例因鼻中隔偏曲或畸形导致慢性鼻塞前来咨询并接受动力内镜鼻中隔成形术（PES）的患者进行。
平均年龄为39.9岁（15 - 63岁）；60.28%为男性（n = 85）。术后鼻症状严重程度从术前的6.12降至术后的2.01。接受PES的患者术前和术后鼻症状均显著减轻，差异具有统计学意义（P <.05）。术后第2周、第6周和第5年的结果之间无统计学显著差异。100%的患者对手术结果满意，在用于比较术后患者满意度的问题上，没有患者回答“不满意”。术后轻微并发症发生率为4.96%。
动力内镜鼻中隔成形术能够准确、保守地修复阻塞性鼻中隔偏曲，并发症更少，功能效果更好。根据我们的经验，该技术在围手术期具有显著优势，在减轻鼻症状严重程度方面患者术后满意度高。
