Atlas of Nose and Paranasal Surgeries

ATLAS OF NOSE AND PARANASAL SURGERIES 2 (continued)... ...(continued) Authors: M.M. Khan, S.R. Parab Title: Endoscopic Septoplasty—Two Handed Technique with Endoscope Holder: A Novel Approach Journal: Indian J Otolaryngol Head Neck Surg. DOI: 10.1007/s12070-016-0997-x © Association of Otolaryngologists of India 2016 c. Endoholder in action. d. Endoscopic incision, note the use of two hands. upwards, downwards and sidewise angular rotation) at any level convenient to the operator (Fig. 3 ). Operating Theatre Requirements Zero degree 4 mm endoscope with endoscopic Camera (Karl Storz, Germany) is placed onto multi action self- retaining rotatory endoscope holder (Fig. 4 ). The septum is infiltrated with 2 percent lidocaine with 1 in 100,000 adrenaline (Astra company, India). All patients were operated under general anaesthesia. Position of Endoscope Holder The endoholder stand is placed on the left hand side of the patient with the endoscope directed towards the nose. The operating surgeon stands on the right hand side of the patient with the monitor facing the surgeon (Fig. 5 ). Procedure of Endoholder Assisted Endoscopic Septoplasty Endoholder assisted endoscopic septoplasty was performed by both the authors (Figs. 6 , 7 , 8 , 9 ) . The operating steps are similar to the routine septoplasty (Hemitransfixion incision followed by elevation of mucoperichondrium and mucope- riosteum, and addressing of all areas of deviation with reshaping/removal). The only difference is that as it is Fig. 4 Innovative endoholder closure look Fig. 5 Endolhder in action Fig. 6 Endoscopic incision, note the use of two hands 123 Fi . 5 End lhder i acti –480 477 c d