Advantages And Disadvantages Of Endoscopic

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Advantages of Endoscopic Septoplasty
Endoscopic Septoplasty is associated with several advantages over the traditional one. It has many benefits such as magnification, suboptimal view of middle turbinate, better illumination and visualization. Separation of collagenous fibers connecting the perichondrium and periostium to underlying bone and cartilage is made visible with endoscope during surgical dissection. Mucosal disruptions are recognized immediately, and their size may be controlled using careful and meticulous dissection. Iidocaine and epinephrine are used to minimise bleeding and a suction freer elevator is used for optimum visualization. Since the nasal speculum causes some distortion of normal nasal anatomy, endoscopic views are more natural than the traditional. Endoscopic view enables many people to observe the procedure, which helps in occasions such as teaching. Operating room personnel may also observe the procedure and more accurately predict the next step in the case. Endoscopic septoplasty may be
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Major complications are generally rare. Minor complications such as epistaxis, septal hematoma, injury to the nasopalatine nerve with subsequent dental numbness, scarring, septal perforation, cerebrospinal fluid leak, and persistent nasal obstruction are comparatively more prevalent. Severe epistaxis following septoplasty is rare. Counselling patients about risk of dental numbness following septoplasty is a must. Temporary dental numbness is common, and usually resolves within several weeks or months. Permanent numbness is less common. During the initial postoperative visit, presence of a septal hematoma, can be detected by nasal endoscopy. Hematoma, if present, should be drained to prevent permanent nasal deformity. Risk of septal hematoma is reduced by quilting sutures in conjunction with posterior/inferior septal incisions allowing dependent

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