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Clinical application of suction-tube-assisted septal submucosal dissection for endoscopic septoplasty

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Endoscopic septoplasty has become the favored approach for the treatment of a deviated septum. Careful septal dissection results in less bleeding, clear endoscopic view, shortened operative time, and fewer postoperative complications. We describe our 5-year experience of using an 8 French Frazier suction tube for submucosal dissection compared with the traditional septoplasty. A total of 434 patients who underwent septoplasty were recruited. The patients in the study were divided into two Groups 1 and 2 based on the employed surgical techniques to treat deviated nasal septum: traditional septoplasty (Group 1: 105 patients) and suction-tube-assisted endoscopic septoplasty (Group 2: 329 patients). All the patients were followed up for a minimum of 6 months. No statistically significant differences could be traced between the groups in any demographic factor, regarding the gender, age, and the intraoperative and postoperative complications. A significantly shorter operative time was found in Group 2 (P < 0.001). The overall incidence of minor complications was 6.6% in Group 1 and 4.6% in Group 2. The suction-tube-assisted dissection technique is found to be a surgical alternative, effective with a significantly shorter operating time, and economical option in septal surgery.

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Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan

    Wen-Sen Lai, Yuan-Yung Lin, Cheng-Ping Shih, Hsin-Chien Chen, Yueng-Hsiang Chu & Jih-Chin Lee

  2. Department of Otolaryngology-Head and Neck Surgery, Taichung Armed Forces General Hospital, Taichung, Taiwan

    Wen-Sen Lai

  3. Department of Biological Science and Technology, Institute of Bioinformatics and Systems Biology, National Chiao Tung University, Hsinchu, Taiwan

    Wen-Sen Lai, Jinn-Moon Yang & Jih-Chin Lee

  4. School of Nursing, National Defense Medical Center, Taipei, Taiwan

    Pei-Lin Yang

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  1. Wen-Sen Lai
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  2. Yuan-Yung Lin
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  3. Cheng-Ping Shih
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  4. Hsin-Chien Chen
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  7. Jinn-Moon Yang
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  8. Jih-Chin Lee
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Corresponding author

Correspondence to Jih-Chin Lee.

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Funding

This work was supported in part by grants from the Research Fund of Tri-Service General Hospital (TSGH-C104-015, TSGH-C104-041, and TSGH-C105-038), Taipei, Taiwan.

Conflict of interest

The authors declare no conflicts of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

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Lai, WS., Lin, YY., Shih, CP. et al. Clinical application of suction-tube-assisted septal submucosal dissection for endoscopic septoplasty. Eur Arch Otorhinolaryngol 274, 1471–1475 (2017). https://doi.org/10.1007/s00405-016-4368-8

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  • DOI: https://doi.org/10.1007/s00405-016-4368-8

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