#Endoscopic #Septoplasty
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ENDOSCOPIC SEPTOPLASTY
This an illustration of the standardized method for endoscopic septoplasties with captions!
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SEPTOPLASTIA ENDOSCÓPICA
Este es un video donde se utiliza la tencnica estandarizada paraseptopalstias endoscopica con subtitulos en ingles!
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On this case, the primary deviation is to the best aspect,
As you possibly can see within the first picture.
As common, step one is the topical injection of native anaesthesia,
And 1: 200000 epinephrine answer,
On either side of the nasal septum.
A Killian incision is made on the best aspect fossa,
With a 15 blade.
Our dissection airplane could be the subperichondrial airplane.
We’re on the lookout for the avascular airplane,
Between the cartilage and the perichondrium.
With a view to decrease bleeding and with that,
The facilitation of surgical procedure.
With mild actions, you can begin detaching the planes.
A patty can be utilized, it’ll assist you to with the dissection,
And to make an even bigger area between the cartilage and the mucosal flap,
To have extra room for the endoscope.
As soon as the “Okay” space may be noticed or felt,
It’s time for the chondrotomies.
For that, I like to make use of the Cottle blade,
Because it protects the opposite mucosal flap from unintentional incisions.
First, a vertical one is completed after which the incision is sustained
With a horizontal one, for the posterior restrict, we use the Okay line,
And we’ve got to detach the quadrangular cartilage,
From the maxillary backbone and midline.
It’s important to respect the superior and anterior margins
Of the quadrangular cartilage, so as no keep
The framework of the nasal tip.
We search to take away the cartilaginous septum in a single piece.
It’s fairly frequent to have some small tears in a single mucosal flap.
Until it’s bilateral on the identical level, the desire in all probability shut
Throughout the first 2 weeks of postoperative care.
Utilizing the identical dissection ideas,
We are actually taking out a bony anterior proper spur.
On the finish of the surgical procedure, the mucosal flaps
Are repositioned and silicon splints are positioned
With a view to tutorize the therapeutic.
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