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비중격 교정술의 실제와 응용

A Practical and Clinical Application of the Septoplasty

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참고문헌

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주제분류이비인후과학

초록

A nasal septal deviation is a condition that should be handled as a disease entity only when a patient complaints intractable nasal stuffiness or decreased quality of life. Also a surgeon should diagnose a various cause of the nasal obstruction including static and dynamic collapse of the nasal valve. Although septoplasty is most commonly performed operation to relieve the nasal obstruction, it is sometimes very difficult and cumbersome because of a variety of septal pathology. A surgeon should be aware of the specific condition of patients and should apply the tailored techniques to correct each condition. This review could provide a detailed and practical information at each steps of the septoplasty, also gives various tips to remind at the operation room and outpatient clinic. Recent papers regarding septoplasty techniques, tips and pearls, complications are reviewed and my personal recommendations with tiny tips are provided also.

Abstract

A nasal septal deviation is a condition that should be handled as a disease entity only when a patient complaints intractable nasal stuffiness or decreased quality of life. Also a surgeon should diagnose a various cause of the nasal obstruction including static and dynamic collapse of the nasal valve. Although septoplasty is most commonly performed operation to relieve the nasal obstruction, it is sometimes very difficult and cumbersome because of a variety of septal pathology. A surgeon should be aware of the specific condition of patients and should apply the tailored techniques to correct each condition. This review could provide a detailed and practical information at each steps of the septoplasty, also gives various tips to remind at the operation room and outpatient clinic. Recent papers regarding septoplasty techniques, tips and pearls, complications are reviewed and my personal recommendations with tiny tips are provided also.

참고문헌 (23)

  1. Gillman GS, "Revision septoplasty:a prospective disease-specific outcome study", Laryngoscope, 124(6), pp.1290~1295 (2014)
  2. 구수권, "내시경을 이용한 비중격성형술의 후향적 분석", 대한이비인후과학회지 두경부외과학, 55(9), pp.559~564 (2012), 대한이비인후과학회[DOI]
  3. Lee J, "Surgical and nonsurgical treatments of the nasal valves", Otolaryngol Clin North Am, 42(3), pp.495~511 (2009)
  4. 진홍률, "비중격성형술;최근의 개념과 술기", Journal of Rhinology, 15(1), pp.13~29 (2008), 대한비과학회
  5. Simon P, "Augmenting the nasal airway: beyond septoplasty", Am J Rhinol Allergy, 26(4), pp.326~331 (2012)
  6. 조재현, "The Footplate Suture Technique for External Nasal Valve Surgery", Journal of Rhinology, 21(1), pp.41~43 (2014), 대한비과학회
  7. Dobratz EJ, "Septoplasty pearls", Otolaryngol Clin North Am, 42(3), pp.527~537 (2009)
  8. Guyuron B, "A practical classification of septonasal deviation and an effective guide to septal surgery", Plast Reconstr Surg, 104(7), pp.2202~2209 (1999)
  9. Fettman N, "Surgical management of the deviated septum: techniques in septoplasty", Otolaryngol Clin North Am, 42(2), pp.241~252 (2009)
  10. Lee JE, "A novel wedge technique to correct the curved deviation of the cartilaginous nasal septum", Auris Nasus Larynx, 41(2), pp.190~194 (2014)
  11. 김정수, "고정봉합을 이용한 비중격성형술", Journal of Rhinology, 13(1), pp.18~21 (2006), 대한비과학회
  12. Kang JM, "Modified mattress suturing technique for correcting the septal high dorsal deviation around the keystone area", Am J Rhinol Allergy, 26(3), pp.227~232 (2012)
  13. Wee JH, "Septal batten graft to correct cartilaginous deformities in endonasal septoplasty", Arch Otolaryngol Head Neck Surg, 138(5), pp.457~461 (2012)
  14. Chung YS, "How to resolve the caudal septal deviation? Clinical outcomes after septoplasty with bony batten grafting", Laryngoscope, 124(8), pp.1771~1776 (2014)
  15. Jang YJ, "Cutting and suture technique of the caudal septal cartilage for the management of caudal septal deviation", Arch Otolaryngol Head Neck Surg, 135(12), pp.1256~1260 (2009)
  16. Daniel RK, "Saddle nose deformity: a new classification and treatment", Facial Plast Surg Clin North Am, 14(4), pp.301~312 (2006)
  17. Gubisch W, "Refinements in extracorporal septoplasty", Plast Reconstr Surg, 104(4), pp.1131~1139 (1999)
  18. Gubisch W, "Extracorporeal septoplasty for the markedly deviated septum", Arch Facial Plast Surg, 7(4), pp.218~226 (2005)
  19. Wilson MA, "Extracorporeal septoplasty: complications and new techniques", Arch Facial Plast Surg, 13(2), pp.85~90 (2011)
  20. Persichetti P, "Extracorporeal septoplasty:functional results of a modified technique", Ann Plast Surg, 69(3), pp.232~239 (2012)
  21. Quinn JG, "Postoperative management in the prevention of complications after septoplasty: a systematic review", Laryngoscope, 123(6), pp.1328~1333 (2013)
  22. Dubin MR, "Postoperative packing after septoplasty: is it necessary?", Otolaryngol Clin North Am, 42(2), pp.279~285 (2009)
  23. Brennan HG, "Septal surgery: the high septal transfixion", Int Surg, 58(10), pp.732~734 (1973)

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