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Laryngorhinootologie 2020; 99(10): 733-740
DOI: 10.1055/a-1021-2297
CME-Fortbildung

Chirurgie des Nasenseptums

Surgery of the Nasal Septum
Marc Scheithauer
,
Janina Hahn
,
Marlene C. Wigand
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Die Septumplastik zur Verbesserung der Nasenatmung ist eine der häufigsten Operationen in der HNO. Das Verständnis der chirurgischen Anatomie der Nase und die Kenntnis der standardisierten Operationssequenzen einer SPL stellen die theoretische Basis für diesen Eingriff dar. Erst wenn der junge Chirurg eine SPL beherrscht, ist es ihm möglich, Deformitäten der Außennase, im Sinne einer Septorhinoplastik, zu behandeln.

Abstract

Dimension, position and stability of the cartilaginous nasal septum are crucial for successful surgery of the nasal septum. The objective of septoplasty is to create sufficient space in the anterior parts of the nose, particularly in the region of the nasal valves. Therefore, the cartilaginous nasal septum should obtain a state of “balanced tension”. Essential steps of septoplasty include the hemitransfixion incision, the dissection of subperichondrial/subperiosteal tunnels, the mobilization via chondrotomy/osteotomy, the resection of cartilage/bone, the replantation of extracorporeally straightened material/reconstruction of the caudal nasal septum, closure by suture and fixation with nasal splints. Firmness of the caudal nasal septum is essential for sustainable septal surgery. It ensures the stability of the entire cartilaginous nose over decades.

Schlüsselwörter

Septumplastik - knorpeliges Nasenseptum - nachhaltige Septumchirurgie

Key words

septoplasty - cartilaginous nasal septum - sustainable septal surgery


Publication History

Article published online:
28 September 2020

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