Atlas of Nose and Paranasal Surgeries

ATLAS OF NOSE AND PARANASAL SURGERIES 7 Authors: N. Prepageran, O. R. Lingham. Title: Endoscopic Septoplasty: The Open Book Method Journal: Indian J Otolaryngol Head Neck Surg. DOI: 10.1007/s12070-010-0090-9 © Association of Otolaryngologists of India 2010 The septal cartilage is then incised and stair stepped a few millimeters posterior to the initial mucosal incision. The contralateral mucoperichondrial flap is then raised. Flap elevation is continued bilaterally until the deviated segment is completely exposed. The open book method is only performed on one i.e., the convex side. The deviated segment is now excised with endoscopic scissors or punches. Deviated portions of bone from vomer and the perpendicular plate of ethmoid are removed if required. Maxillary crest are chiseled if required. This entire procedure is performed with endoscopic visualization and only the required septum is removed to achieve a patent airway. The flaps are then replaced back to their original position and often they are well opposed, thus suturing is not required. ...(continued) Fig. 2 Fig. 3