The septal translocation procedure: an alternative to lateral rhinotomy.
Lesions deep in the nasal vault with contiguous sinus involvement often required a lateral rhinotomy for exposure. This procedure affords excellent surgical access, but requires a significant external incision. An alternative sublabial technique, with dislocation of the nasal septum into the opposite nasal passage, provides excellent surgical exposure for these same lesions, while external facial incisions are avoided. The text outlines the surgical technique and representative uses in optic nerve decompression, inverted papilloma, giant rhinolith, angiofibroma, and a variety of nasosinus and nasopharyngeal malignant lesions.
Sofferman
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Section of Otolaryngology, University of Vermont College of Medicine, Burlington 05405.
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000601:surgery; D000368:Aged; D002137:Calculi / Q000000981:diagnostic imaging / Q000601:surgery; D003528:Carcinoma, Adenoid Cystic / Q000000981:diagnostic imaging / Q000601:surgery; D005005:Ethmoid Sinus; D005260:Female; D018219:Histiocytoma, Benign Fibrous / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008443:Maxillary Sinus; D008875:Middle Aged; D009300:Nasal Septum / Q000601:surgery*; D009303:Nasopharyngeal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D009668:Nose Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D009669:Nose Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D009900:Optic Nerve; D010212:Papilloma / Q000000981:diagnostic imaging / Q000601:surgery; D010255:Paranasal Sinus Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed