All Things Septoplasty

All Things Septum Anil R. Shah MD

Epidemiology ,[object Object],[object Object],Vainio-Mattila J: Correlations of nasal symptoms and signs in random sampling study. Acta Otolaryngol Suppl 1974; 318: 1-48

Septum ,[object Object],[object Object],[object Object],[object Object]

Anatomy ,[object Object],[object Object],[object Object],[object Object]

Vasculature and Nervous Supply ,[object Object],[object Object],[object Object],Answer: Nasopalatine Nerve, Anesthesia Of anterior portion of hard palate and Incisors

Bony articulations ,[object Object]

Bony articulations ,[object Object],[object Object],[object Object]

Vomeronasal organ ,[object Object],[object Object],[object Object],[object Object],[object Object]

Autonomic supply of nasal cavity ,[object Object],[object Object]

Perichondrium ,[object Object],[object Object]

Physics 101 (revisited) ,[object Object],[object Object],[object Object]

Ventilation ,[object Object],[object Object],Cole P. Nasal and oral airlfow resistors: Site, function, and assessment. Arch Otolaryngol Head Neck Surg 118:790-793, 1992

Nasal cycle ,[object Object],[object Object]

Preoperative assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Physical exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anosmia/hyposmia ,[object Object],[object Object],[object Object],[object Object]

Rhinomanometry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Acoustic rhinomanometry ,[object Object],[object Object]

Optimizing acoustic rhinomanometry ,[object Object],[object Object],[object Object]

Goals of surgery ,[object Object],[object Object],[object Object],[object Object]

Classification of Septal Deviations ,[object Object],[object Object],[object Object]

Local anesthetics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Uh… Oh!! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Incisions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Technique ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Keystone areas ,[object Object],[object Object]

Submucous resection limitations ,[object Object],[object Object],[object Object]

Reconstitution ,[object Object],[object Object],[object Object]

Scoring the cartilage ,[object Object]

Caudal margin & Inferior margin to the left of the maxillary spine

Eliminate all posterior bony attachments to mobilize the anterior septum

Shift caudal margin & inferior margin to opposite side of the Maxillary spine

CONSIDER RELAXING INCISIONS ON CAUDAL MARGIN

1 . Anterior septum separated from Vomer and Ethmoid

Maxillary Spine 1 . Anterior septum separated from Vomer and Ethmoid

Maxillary Spine 1 . 2 . Anterior septum separated from Vomer and Ethmoid

Maxillary Spine 1 . 2 . 3 . Anterior septum separated from Vomer and Ethmoid

Maxillary Spine 1 . 2 . 3 . Anterior septum separated from Vomer and Ethmoid Anterior septum to midline

Deviated Dorsal Septum ,[object Object],[object Object],[object Object],[object Object]

Correct Dorsal septal deviation with suture suspension to nasal bone

Warping Theory Fry H. Nasal skeletal trauma and the interlocked stresses of the nasal septal cartilage.Br J Plast Surg. 1967 Apr;20(2):146-58. Gibson, T. Davis W.B. The distortion of autologous cartilage grafts: Its cause and prevention. Br J. Plast. Surg. 10; 257, 1958

Poor tip support ,[object Object],[object Object],[object Object],[object Object]

Septal spur ,[object Object],[object Object]

Disarticulation of Bony and cartilaginous septum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prior surgery ,[object Object],[object Object],[object Object]

Postoperative care ,[object Object],[object Object],[object Object],[object Object]

Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Septal Perforation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Septal Perforation ,[object Object]

Physical Exam ,[object Object],[object Object],[object Object]

What tests do I order? ,[object Object],[object Object],[object Object],[object Object]

Principle ,[object Object],[object Object]

Medical Therapy ,[object Object],[object Object],[object Object]

Surgical therapy ,[object Object],[object Object],[object Object],[object Object]

Surgical therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

All Things Septoplasty

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All Things Septoplasty