Intranasal Endoscopy as Treated by D. Simmen

Abstract

With the introduction of nasal endoscopes we gained a very important additional instrument for use in diagnosis, but also an important advantage in the treatment of specific septal deformities. These pathologies can be operated on with endoscopic guidance in the course of minimally invasive aesthetic nasal surgery, improving nasal breathing significantly. Abasal cartilaginous septal spur (Fig. 21.1) can be exposed by an incision along the nasal floor.A raspatory is then used to mobilize the mucosal flap posteriorly into the bony portion. With a knife the extent of cartilage is resected by an incision along the premaxillary crest as an inferior chondrotomy. Again by means of the raspatory, under endoscopic guidance, the cartilaginous spur is luxated away from the bony crest. If necessary, a bony portion of the premaxillary crest can also be removed using a 2-mm chisel.