Atlas of Nose and Paranasal Surgeries

ATLAS OF NOSE AND PARANASAL SURGERIES 3 (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 e. Elevation of mucoperichondrium, note the use of two hands. f. Excision of septal deviation, note the use of two hands. endoholder assisted endoscopic septoplasty, there is endo- scopic visualisation of each and every aspect of the surgical correction. The stability of the endoscopic image on the monitor is ensured throughout the procedure. The endoscope is mounted on the endoholder and hence both the hands of the surgeon are available for surgical manipulation thus obvi- ating the only disadvantage of Endoscopic surgery. The suctioning and the surgical steps can be simultaneously done being a two handed advantage of endoscope holder. Results Twenty-seven endoscope holder assisted endoscopic sep- toplasties have been operated from November 2013 to January 2014 for symptomatic nasal septal deviations with follow up period ranging from 6 to 8 months. All patients completed the NOSE Questionnaire preoperatively and postoperatively. Also endoscopic recording of the all the pre and postoperative nasal endoscopies for anatomical septal deviation was done for documentation. As this is an innovative concept, this is a preliminary effort to demon- strate and report the use of our Endoscope holder for endoscopic septoplasty. No other procedure was combined along with septoplasty (Table 1 ). Patients were operated on day care basis and followed up on second post-operative day for nasal pack removal. None of the patients developed bleeding in the immediate postoperative period. The patients experienced a significant improvement in nasal obstruction in the observed follow up period. Patients were also questioned about the ease of breathing pre and postoperatively. The preoperative NOSE scale was 68.46 ± 11.27 and Fig. 7 Elevation of mucoperichondrim, note the use of two hands 478 Indian J Otolaryngol Head Neck Surg (Oct–Dec 2016) 68(4):475–480 toplasties have January 2014 f follow up perio completed the postoperatively pre and posto septal deviation innovative con strate and rep endoscopic sep along with sept Patients wer up on second None of the pa postoperative p improvement in period. Patient breathing pre a The preoper the postoperati ference betwee statistically sig Discussion In this endosco encompassed a decades ago, Fig. 7 Elevation of mucoperichondrim, note the use of two hands Fig. 8 Excision of septal deviation, note the use of two hands Table 1 Age and septoplasty study Age groups (in ye e f