Amaral Neto Odim Ferreira do, Mizoguchi Flavio Massao, Freitas Renato da Silva, Maniglia João Jairney, Maniglia Fábio Fabrício, Maniglia Ricardo Fabrício
Hospital Paranaense de Otorrinolaringologia IPO LTDA, Curitiba, Paraná, Brazil.
Master in Sciences thesis, Post Graduate Program (Ringgold Standard), Clinical Surgery Department, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
Int Arch Otorhinolaryngol. 2017 Jul;21(3):281-285. doi: 10.1055/s-0037-1599275. Epub 2017 Mar 22.
Since the last century surgical correction of nasal septum deviation has been improved. The Universal Eclectic Technique was recently reported and there are still few studies dedicated to address this surgical approach. The objective of this study is to compare the results of septal deviation correction achieved using the Universal Eclectic Technique (UET) with those obtained through Cottle's Technique. This is a prospective study with two consecutive case series totaling 90 patients (40 women and 50 men), aged between 18 and 55 years. We divided patients into two groups according to the surgical approach. Fifty-three patients underwent septoplasty through Universal Eclectic Technique (UET) and thirty-seven patients were submitted to classical Cottle's septoplasty technique. All patients have answered the Nasal Obstruction Symptom Evaluation Scale (NOSE) questionnaire to assess pre and postoperative nasal obstruction. Statistical analysis showed a significantly shorter operating time for the UET group. Nasal edema assessment performed seven days after the surgery showed a prevalence of mild edema in UET group and moderate edema in Cottle's technique group. In regard to complication rates, UET presented a single case of septal hematoma while in Cottle's technique group we observed: 02 cases of severe edemas, 01 case of incapacitating headache, and 01 complaint of nasal pain. The Universal Eclectic Technique (UET) has proven to be a safe and effective surgical technique with faster symptomatic improvement, low complication rates, and reduced surgical time when compared with classical Cottle's technique.
自上世纪以来，鼻中隔偏曲的外科矫正技术已有改进。最近报道了通用综合技术，但专门针对这种手术方法的研究仍然很少。
本研究的目的是比较使用通用综合技术（UET）进行鼻中隔偏曲矫正的结果与通过科特尔技术获得的结果。
这是一项前瞻性研究，连续两个病例系列，共90例患者（40名女性和50名男性），年龄在18至55岁之间。我们根据手术方法将患者分为两组。53例患者通过通用综合技术（UET）接受鼻中隔成形术，37例患者接受经典的科特尔鼻中隔成形术。所有患者均回答了鼻阻塞症状评估量表（NOSE）问卷，以评估术前和术后的鼻阻塞情况。
统计分析显示，UET组的手术时间明显更短。术后七天进行的鼻水肿评估显示，UET组轻度水肿占多数，而科特尔技术组为中度水肿。关于并发症发生率，UET组出现1例鼻中隔血肿，而在科特尔技术组我们观察到：2例严重水肿、1例使人丧失能力的头痛和1例鼻痛主诉。
与经典的科特尔技术相比，通用综合技术（UET）已被证明是一种安全有效的手术技术，症状改善更快，并发症发生率低，手术时间缩短。
