Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

This method can help to answer key questions in septoplastical field, such as how to provide effective and safe procedure, that use be to connect the deviated septum and improve later patency. The main advantage of this technique is that it facilitates preservation of the chondro-angular cartilage which is helpful in retaining the supporting framework and the rigidness of septum. At an appropriate time point before the surgery, confirm and locate the deviations and indications within the patient's nasal cavity by anterior rhinoscopy, endoscopy and computer tomography and ask the patients to assess their nose patency as a whole, using a visual analog scale.

One day before the surgery, remove the vibrissae in both nasal vestibules. On the day of the surgery, tilt the operating table 30 degrees to the dorsal elevated position and place the patient's head in a neutral, non-flexed, non-extended position. Next, place one piece of gauze soaked in a 1%tetracaine/1%epinephrine solution into each nasal cavity for five minutes to shrink the nasal mucosa.