International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Vol. 8, Issue 2, pp: (398-403), Month: October 2020 - March 2021, Available at: www.researchpublish.com
The Use of Computed Tomography before Septoplasty Francesco Asprea 1, Annunziata Maceri 2, 1 2
Head of Division of Otolaryngology C.O.T. Clinic – via Ducezio, 1, Messina, Italy
Co- Director of Division of Otolaryngology, IRCCS Bonino-Pulejo, Messina, ITALY.
Abstract: The authors present their case studies from the last 20 years of septoplasty interventions. Preoperative CT was required in part of the septoplasty until 2016, especially in those endoscopic or associated with FESS, while it was routinely required in all surgeries from 2016 onwards. The authors analyze the advantages of preoperative CT and propose its routine use before each septoplasty operation. Keywords: settoplasty, CT scan, endoscopy, turbinoplasty.
1. INTRODUCTION Septoplasty is one of the most performed procedures in ENT practice. Surgical tecnique of septoplasty involve classical phases described by Killian, Cottle, Freer and others and there are possibile variations according with the preferences of any nasal surgeon. Computed tomography makes use of computer-processed combinations of many X-ray measurements taken from different angles to produce cross-sectional (tomographic) images of specific areas of body. Computed tomography (CT) of the nasal and paranasal sinuses uses special x-ray equipment to evaluate the nasal and paranasal cavities CT scanning is painless, noninvasive and accurate and it’s also the most reliable imaging technique for determining the radiological anatomy of nasal septum and nasal cavities . The use of computed tomography has increased in the last years and the use of CT scan in the evaluation of paranasl sinuses beore F.E.S.S. is almost a gold standard in this surgery. The purpose of this work is to evaluate the importance of routine use of computed tomography (CT) of the nasal and paranasal cavities before septoplasty.
2. PATIENTS AND METHODS Our experience is based on 20 years of surgical activity performed at St. Camillus Clinique in Messina from march 2001 to september 2016 and C.O.T. Clinic in Messina from october 2016 to today. We performed 1860 nasal surgical procedures of which 1150 septoturbinoplasty and 512 septoturbinoplasty combined with FESS.
traditional septoturbinoplasty, 198 endoscopic
CT scan of nasal and paranasal cavities was always performed perfomed before endoscopic septoturbinoplasty and septoturbinoplasty combined with F.E.S.S. and in 350 of 1150 traditional septoplasty . Totally CT scan was performed before780 of 1860 performed procedures ( 46,98 %). In the last five years we always perfomed CT scan before every type of septal surgery. In traditional septoturbinoplasty the surgical procedure was performed without the use of endoscopy during surgery; endoscopic valuation was however performed in operation room before surgery and in the end of surgical procedure to estimate both preoperative situation and postoperative result and the absence of bleeding.
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