鼻中隔弯曲・軽度前弯に対する新しい手術方法「J septoplasty」

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  • 飯村 慈朗
    Department of Otorhinolaryngology, Tokyo Dental College Ichikawa General Hospital Department of Otorhinolaryngology, The Jikei University School of Medicine
  • 宮脇 剛司
    Department of Plastic surgery, The Jikei University School of Medicine
  • 菊地 瞬
    Department of Otorhinolaryngology, The Jikei University School of Medicine
  • 積山 真也
    Department of Plastic surgery, The Jikei University School of Medicine
  • 森 恵莉
    Department of Otorhinolaryngology, The Jikei University School of Medicine
  • 中島 庸也
    Department of Otorhinolaryngology, Tokyo Dental College Ichikawa General Hospital
  • 小島 博己
    Department of Otorhinolaryngology, The Jikei University School of Medicine
  • 鴻 信義
    Department of Otorhinolaryngology, The Jikei University School of Medicine

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タイトル別名
  • A new “J septoplasty” technique for correction of mild caudal septal deviation

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説明

A major drawback of the Killian incision is its inability to access the caudal septum and correct caudal septal deviation. Open and hemitransfixion septorhinoplasty are considered necessary in such cases. We developed a new septoplasty method that can be successfully applied in patients with mild caudal septal deviation. In this study, we evaluated the outcome of this technique.We prospectively collected data of 16 patients with mild caudal septal deviation who underwent endoscopic septoplasty between November 2015 and October 2017. A modified Killian incision was made on the concave side of the septum. The central part of the cartilage was preserved, and excess cartilage was resected; the central part of the cartilage was sutured to the caudal cartilage.Postoperatively, the ratio of the area of the convex side to that of the concave side in the anterior portion of the nasal cavity was significantly improved, as revealed on CT analysis (p  0.001). Nasal obstruction was significantly reduced or eliminated in all patients (p  0.001).The J septoplasty method for the correction of mild caudal septal deviation is easy to perform through a modified Killian incision, and seems to be useful in selected cases.

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