ABSTRACT
Long-term results after septoplasty are not satisfactory. Apart from a recurrence
of deviation, there are various reasons for this: false preoperative analysis, complete
straightening of the septum, and a disturbed nasal cycle. Preoperative functional
diagnostics with a combination of rhinoresistometry, acoustic rhinometry, and long-term
rhinoflowmetry are necessary for differentiating between “physiological” and “pathological”
septal deviations and recognizing other causes for obstruction. The surgical procedure
of septoplasty includes approach, mobilization, resection, reposition, and finally
reconstruction of all three layers. The goal of the operation should not be complete
straightening of the nasal septum. The space between the septum and turbinates is
of utmost importance. It should not be enlarged as much as possible; rather, it must
be shaped in such a way as to allow freely congestion and decongestion reciprocal
on the two sides during the nasal cycle.
KEYWORDS
Septoplasty - physiological deviation - rhinological functional diagnostics
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Prof. Dr. med.
Gunter Mlynski
Klinik und Poliklinik für Hals-Nasen-Ohrenkrankheiten, Kopf- und Halschirurgie, der
Ernst-Moritz-Arndt-Universität
Walther-Rathenau-Str. 43-45, D-17487 Greifswald, Deutschland
