AICM - 2008 - Anaesthesia for tracheal and Airway surgery.pdf
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Septoplasty
From Wikipedia, the free encyclopedia
Septoplasty
Intervention
Typical flexible splints that may be used in septoplasty. They are held in
place in the nose with a stitch through the hole, and are typically removed
seven to 10 days after surgery.
ICD-9-CM
21.5, 21.88
MedlinePlus
003012
Septoplasty is a corrective surgical procedure done to straighten the nasal septum, the partition between
the two nasal cavities. [1] Ideally, the septum should run down the center of the nose. When it deviates into
one of the cavities, it narrows that cavity and impedes airflow. Often the inferiorturbinate on the opposite
side enlarges, which is termed compensatory hypertrophy. Deviations of the septum can lead to nasal
obstruction. Most surgeries are completed in 60 minutes or less, not including recovery time. Septoplasty is
sometimes done with rhinoplasty for cosmetic correction of the deformities of the external nasal framework.
Contents
[hide]
1 Procedure
2. o
1.1 Indications
o
1.2 Contraindications
2 Post-operation
3 See also
4 References
5 External links
Procedure[edit]
Pieces removed from nasal cavities with septoplasty.
The procedure usually involves a judicious excision/realignment of a portion of the bone and/or cartilage in
the nasal cavity. Under general or local anesthesia, the surgeon works through the nostrils, making an
incision in the lining of the septum to reach the cartilage targeted in the operation. Sufficient cartilage is
preserved for structural support. After the septum is straightened, it may then be stabilized temporarily with
small plastic tubes, splints, or sutures internally.
Indications[edit]
Apart from in patients with deviated nasal septum, septoplasty is done as an approach to hypophysectomy.
It is sometimes done to cure recurrentepistaxis due to septal spur.
Contraindications[edit]
Septoplasty should not be done in acute nasal or sinus infection. It should also be avoided if the person
has untreated diabetes, severe hypertension or bleeding diathesis. [2]
Post-operation[edit]
Unless there are unusual complications, there is no swelling or discoloration to the external nose or face
with septoplasty alone. Packing is rare with modern surgical techniques, but splinting the inside of the nose
for a few days is common (these are not visible externally). One percent of patients can
experience excessive bleeding afterwards — the risk period lasts up to two weeks. This could require
packing or cautery, but is generally handled safely and without compromise of the ultimate surgical result.
See also[edit]
3. Rhinoplasty
References[edit]
1.
Jump up^ "Septoplasty". Mediline Plus, U.S National Library of
Medicine. Retrieved 29 June 2013.
2.
Jump up^ Dhingra, P.L (2010). Diseases of the ear, nose and throat.
New Delhi, India: Elsevier Publications. pp. 429–430.
External links[edit]
WebMD: Repair of a deviated septum
Septoplasty Definition
[hide]
V
T
E
Respiratory system surgeries and other procedures (ICD-9-CM V3 21–22, 30
nose
Rhinoplasty
Septoplasty
Rhinectomy
Rhinomanometry
sinus
Upper RT
Sinusotomy
larynx
Laryngoscopy
Laryngectomy
Laryngotomy
Thyrotomy
trachea
Lower RT
Cricothyrotomy
Tracheoesophageal puncture
4. Tracheotomy
bronchus
Bronchoscopy
lung
Pneumonectomy
Lobectomy
Wedge resection
Lung transplantation
Decortication of lung
Heart-lung transplant
pleura/pleural cavity
Thoracentesis
Pleurodesis
Thoracoscopy
Chest wall, pleura,
Thoracotomy
mediastinum, and diaphragm
Chest tube
mediastinum
Mediastinoscopy
Nuss procedure
Bronchography
CT pulmonary angiogram
Medical imaging
High resolution CT
Spiral CT
Ventilation/perfusion scan
Pneumonia severity index
CPRs
CURB-65
Body plethysmography
Spirometry
Lung function test
Bronchial challenge test
Capnography
5. Diffusion capacity
Sputum culture
Cytology
Bronchoalveolar lavage
Mechanical ventilation
Positive pressure ventilation
Artificial respiration
Nebulizer
Hyperbaric medicine
Respiratory therapy/
Oxygen therapy
intubation
Decompression chamber
Heliox
Negative pressure ventilator
Postural drainage
CPR
M: RES
anat (n, x, l, c)/phys/devp
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This page was last modified on 30 October 2013 at 14:15.
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