title: Endoscopic septoplasty: Tips and pearls.
abstract: This article is designed to provide a step-by-step description of our endoscopic septoplasty technique and discuss its difficulties and technical tips. Endoscopic septoplasty comprises 10 steps: diagnostic endoscopy, subperichondral infiltration, left mucosal incision, dissection of the left subperichondral flap, cartilage incision (0.5 centimetre posterior to the mucosal incision), dissection of the right subperichondral flap, anterior cartilage resection, perpendicular plate dissection, dissection and resection of the maxillary crest, endoscopic revision, mucosal suture and Silastic stents. A satisfactory postoperative result was observed at 3 months in 97% of cases in this series. The main contraindication to endoscopic septoplasty is anterior columellar deviation of the nasal septum requiring a conventional procedure.
authors.affiliation: Service d'ORL chirurgie cervicofaciale, hôpital d'instruction des Armées Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France. Electronic address: pons.yoann@gmail.com.
authors.forename: Y
authors.initials: Y
authors.lastname: Pons
authors.affiliation: Service d'ORL chirurgie cervicofaciale, hôpital d'instruction des Armées Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France.
authors.forename: C
authors.initials: C
authors.lastname: Champagne
authors.affiliation: Service d'ORL chirurgie cervicofaciale, hôpital d'instruction des Armées Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France.
authors.forename: L
authors.initials: L
authors.lastname: Genestier
authors.affiliation: Service d'ORL chirurgie cervicofaciale, hôpital d'instruction des Armées Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France.
authors.forename: S
authors.initials: S
authors.lastname: Ballivet de Régloix
mesh_terms: D004724:Endoscopy; D006801:Humans; D015508:Nasal Obstruction / Q000601:surgery*; D009300:Nasal Septum / Q000601:surgery*; D017410:Practice Guidelines as Topic; D012225:Rhinoplasty / Q000379:methods*
keywords: Endoscopic septoplasty; Operative technique; Pearls; Tips