Modified Septal Incision or Incisions for Repairing of Severe Septal Cartilaginous and Bony Deviations, HANY AMIN, MOHAMMED EL-SYAD, AHMED EL-REFAI and TAHANY RABIE
Abstract
Objective: Modification of septal incision in severely deviated septum to make dissection more easily and with minimal complications.
Method: Our study was done on 97 males and 65 females, who did septoplasty with severe unilateral or bilateral devia-tions in 2 tertiary hospitals, at 2 different cities; by the same surgeon. Data analysis was conducted from March 1, 2011, till November 30, 2014.
These patients were divided into 2 groups: Group A included 122 patients and Group B included 40 patients. Patients of Group A underwent modified hemitransfixation caudal approach to the cartilaginous and bony septum while patients of Group B underwent with classic Killian incision for septoplasty.
Results: We found that the new modification had fewer complications as regard septal perforation, synechiae.... and with minimal operative time than standard Killian incision.
Conclusion: This approach for septoplasty is safe, easy and with complications less than the standard killian incision.