Finucane Karl, Boyle Séamus, Fitzsimons Michael, Colreavy Michael
Otolaryngology/Head and Neck Department, Mater Misericordiae University Hospital, Dublin 7, Ireland.
Ir J Med Sci. 2025 Aug;194(4):1405-1408. doi: 10.1007/s11845-025-03997-2. Epub 2025 Jul 24.
Septoplasty is indicated for nasal obstruction secondary to septal deviation. It is concurrently performed in up to 27% of endoscopic sinus surgery (ESS) to improve access.
We aimed to determine the frequency and indications of adjuvant concurrent septoplasty in ESS.
A retrospective chart review of patients who underwent ESS was performed. Patients included in the chart review were those who had ESS for any indication performed between 01/01/2022 to 31/12/2023 by two consultants ENT surgeons operating in The Mater Misericordiae University Hospital. Charts were examined to appreciate if septoplasty was performed, and consent was obtained prior to theatre. If the case was a revision surgery or if revision surgery was carried out after the initial procedure this was also noted.
In total, 84 patients underwent 90 cases of endoscopic sinus surgery were examined of which 6 cases were revision surgeries. Septoplasty was performed in 6 (6.6%) of these cases. Those who underwent adjuvant septoplasty were identified in the OPD. Factors for concomitant adjuvant septoplasty included a septal spur and caudal septal deviation.
In our series we found that less than 10% of ESS required septoplasty and this should be considered during the consent process.
鼻中隔成形术适用于鼻中隔偏曲引起的鼻塞。在高达27%的鼻内镜鼻窦手术（ESS）中同时进行该手术以改善手术视野。
我们旨在确定ESS中辅助性同期鼻中隔成形术的频率和适应证。
对接受ESS的患者进行回顾性病历审查。纳入病历审查的患者为2022年1月1日至2023年12月31日期间在仁慈圣母大学医院工作的两名耳鼻喉科顾问外科医生因任何适应证进行ESS的患者。检查病历以了解是否进行了鼻中隔成形术，并在手术前获得了同意。如果该病例是翻修手术或在初次手术后进行了翻修手术，也会记录下来。
总共检查了84例接受90例鼻内镜鼻窦手术的患者，其中6例为翻修手术。这些病例中有6例（6.6%）进行了鼻中隔成形术。在门诊确定了接受辅助性鼻中隔成形术的患者。同期辅助性鼻中隔成形术的因素包括鼻中隔棘突和鼻中隔尾端偏曲。
在我们的系列研究中，我们发现不到10%的ESS需要进行鼻中隔成形术，在同意手术过程中应考虑到这一点。
