Septoplasty, although conceptually simple, remains technically difficult Many septoplasty
techniques have been described in the literature. In this study the technology of powered
microdebrider was used for correction of septal deviation in septoplasty operations. A simple
modification based on lateral extension of septal incision on the nasal floor was used. This was
followed by dealing only with the deviated parts of the nasal septum by a microdebrider,,(using
a bone-cutting blade), after meticulous dissection 6f the mucosal flaps using the operating
microscope. Up to our knowledge this technique has not been described before. In 30 patients
who completed the follow up, 90% ofp atients improved while 6.7% developed recurrence
of symptoms after improvement. Septal perforation was seen in 3.3% of cases and it was
permanent. The complications were in the form of hemorrhage, adhesions, limited septal
haematoma and septal perforation. Crusting was an unusual event and occurred in 6.7
Vo of patients. Localized septal haematoma occurred in 6.7% of patients. Bleeding
during the procedure was troublesome in 3.3% of cases. Post-operative adhesions
occurred in 3.3% of cases. |
