Darshini Nadarajah,1 Jeyasakthy Saniasiaya,1 Budi Sutikno,2 Rodante Roldan,3 Baharudin Abdullah1
1Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Malaysia.
2Department of Otorhinolaryngology-Head & Neck Surgery, Universitas Airlangga, School of Medicine/ Dr Soetomo General Hospital, Surabaya, Indonesia.
3Department of Otorhinolaryngology-Head & Neck Surgery, Rizal Medical Center, Manila, Philippines.
Nasal obstruction secondary to deviated nasal septum is a common condition which almost always requires surgical correction. Septal deformity has also been linked to sinus disease, notably ostiomeatal disease. Thus, it is one of the most common procedures being done alone or in combination with other endoscopic procedures. Albeit the conventional techniques and approaches are still being practiced, endoscopic septoplasty has emerged as the preferred technique.
However, the presence of sharp septal spur causes difficulty during surgery which usually results in tearing of the mucoperichondrial flap. We present our technique of an endoscopic open book septoplasty in order to overcome this problem.
Keywords: Deviated nasal septum; septal spur; endoscopic septoplasty