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New method for raising the mucoperichondrial flap in septal surgery: microscope-assisted hydrodissection technique

Published online by Cambridge University Press:  08 March 2006

J. Tahery ,
A. Belloso  and
A.P. Zarod
J. Tahery
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, North Manchester General Hospital, Manchester, UK.
A. Belloso
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, North Manchester General Hospital, Manchester, UK.
A.P. Zarod
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, North Manchester General Hospital, Manchester, UK.
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Abstract

An essential step in septal surgery is the correct identification of the subperichondrial plane. Access to this plane can be improved by hydrodissection under enhanced vision. Hydrodissection consists of pressure insufflation of fluid into an anatomical space with a consequent increase in the hydrostatic pressure that separates the tissue planes. In septal surgery, the subperichondrial plane is hydrodissected by infiltration of 2 ml of xylocaine with adrenaline. This creates a bloodless and wide surgical field that facilitates surgery. With the use of a surgical microscope equipped with a teaching arm, it is possible to teach nasal anatomy and septal surgery to trainees.

Keywords

Techniques Nasal SeptumSurgical ProceduresOperative
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 118 , Issue 9 , September 2004 , pp. 715 - 716
Copyright
© 2004 Royal Society of Medicine Press

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