Medhat Mossaad Mostafa Tiba
, Mouwasat Hospital, Saudi ArabiaTitle : Endonasal tongue in groove septoplasty
Abstract
Introduction: Caudal or
anterior nasal septum deviations, despite not being the most common type of
septal deviation, cause much complaint as well as cosmetic deformity to the
nasal tip. Deflections of the caudal end of the nasal septum are often not
addressed at the time of septoplasty by simple submucosal resection of
midportion of bony and/or cartilaginous septum for fear of disrupting the
caudal strut making its ability to treat the functional and aesthetic
complications of many septal deviations limited. No single method of correction
has been shown to be effective in all cases. Most caudal septal reconstruction
maneuvers are more easily accessible by way of an external approach. One of the
most popular techniques is the “tongue-in-groove” which has been reported to
improve projection and rotation.
The Aim of this study: To
test the effectiveness of using the tongue in groove technique endonasally to
correct nasal septum caudal deviations.
Materials and methods: the
study included 137 patients with nasal obstruction for not less than one year
due to caudal septal deviation with or without inferior nasal turbinate’s
hypertrophy including revision cases. Patients with medical and/or surgical sino
nasal pathologies were excluded. The patients were then submitted to surgery
using endonasal “tongue-in-groove” correction technique.
Results: Our results show
that all patients had satisfactory relief of reported nasal obstruction.
Conclusion: The results
from this study indicate subjectively, through patient satisfaction and pre-
and post-operative photographing that using endonasal “tongue-in-groove”
technique for correction of caudal septal deviation seems to be efficient.
Biography
Medhat Tiba is a renowed head and
neck surgery consultant at Mouwasat Hospital Dammam. He completed his master
degree from Ainshams University Cairo and he worked as a professor in the
department of otorhinolaryngology at Ainshams University Cairo since 2009. He
specializes in endoscopic nasal surgeries and pediatric surgeries. He has
attended many courses in advanced endoscopic sinus and anterior skull base
surgeries.