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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/01/08 22:04:28」(JST)
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| Septoplasty |
| Intervention |
Typical flexible splints that may be used in septoplasty. They are held in place in the nose with a stitch through the hole, and are typically removed seven to 10 days after surgery. |
| ICD-9-CM |
21.5, 21.88 |
| MedlinePlus |
003012 |
Septoplasty is a corrective surgical procedure done to straighten the nasal septum, the partition between the two nasal cavities. Ideally, the septum should run down the center of the nose. When it deviates into one of the cavities, it narrows that cavity and impedes airflow. Often the inferior turbinate on the opposite side enlarges, which is termed compensatory hypertrophy. Deviations of the septum can lead to nasal obstruction. Most surgeries are completed in 60 minutes or less, not including recovery time.
Procedure
The procedure usually involves a judicious excision/realignment of a portion of the bone and/or cartilage in the nasal cavity. Under general or local anesthesia, the surgeon works through the nostrils, making an incision in the lining of the septum to reach the cartilage targeted in the operation. Sufficient cartilage is preserved for structural support. After the septum is straightened, it may then be stabilized temporarily with small plastic tubes, splints, or sutures internally.
Post-operation
Unless there are unusual complications, there is no swelling or discoloration to the external nose or face with septoplasty alone. Packing is rare with modern surgical techniques, but splinting the inside of the nose for a few days is common (these are not visible externally). One percent of patients can experience excessive bleeding afterwards — the risk period lasts up to two weeks. This could require packing or cautery, but is generally handled safely and without compromise of the ultimate surgical result.
External links
- WebMD: Repair of a deviated septum
- Septoplasty Definition
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Respiratory system surgeries and other procedures (ICD-9-CM V3 21–22, 30–34, ICD-10-PCS 0B)
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| Upper RT |
- nose
- Rhinoplasty
- Septoplasty
- Rhinectomy
- Rhinomanometry
- sinus
- Sinusotomy
- larynx
- Laryngoscopy
- Laryngectomy
- Laryngotomy
- Thyrotomy
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| Lower RT |
- trachea
- Cricothyrotomy
- Tracheoesophageal puncture
- Tracheotomy
- bronchus
- Bronchoscopy
- lung
- Pneumonectomy
- Lobectomy
- Wedge resection
- Lung transplantation
- Decortication of lung
- Heart-lung transplant
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Chest wall, pleura,
mediastinum, and diaphragm |
- pleura/pleural cavity
- Thoracentesis
- Pleurodesis
- Thoracoscopy
- Thoracotomy
- Chest tube
- mediastinum
- Mediastinoscopy
- Nuss procedure
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| Medical imaging |
- Bronchography
- CT pulmonary angiogram
- High resolution CT
- Spiral CT
- Ventilation/perfusion scan
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| CPRs |
- Pneumonia severity index
- CURB-65
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| Lung function test |
- Body plethysmography
- Spirometry
- Bronchial challenge test
- Capnography
- Diffusion capacity
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| Cytology |
- Sputum culture
- Bronchoalveolar lavage
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Respiratory therapy/
intubation |
- Mechanical ventilation
- Positive pressure ventilation
- Artificial respiration
- Nebulizer
- Hyperbaric medicine
- Oxygen therapy
- Decompression chamber
- Heliox
- Negative pressure ventilator
- Postural drainage
- CPR
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anat (n, x, l, c)/phys/devp
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noco (c, p)/cong/tumr, sysi/epon, injr
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proc, drug (R1/2/3/5/6/7)
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UpToDate Contents
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English Journal
- Extracorporeal Septoplasty Combined With Valve Surgery in Rhinoplasty Patients.
- Karameşe M1, Akdağ O, Akatekin A, Koplay TG, Koplay M, Tosun Z.
- Annals of plastic surgery.Ann Plast Surg.2016 Jan;76(1):7-12. doi: 10.1097/SAP.0000000000000213.
- External nasal deviation is caused primarily by severely a deformed septum. The nose functions as a whole composed of the septum, valve systems, and mucosal structures. Patients with severely deviated septums also have deformed nasal valve systems. Extracorporeal septoplasty is advocated for an extr
- PMID 25280178
- Surgical Treatment of the Twisted Nose.
- Menger DJ1.
- Clinics in plastic surgery.Clin Plast Surg.2016 Jan;43(1):95-8. doi: 10.1016/j.cps.2015.08.004. Epub 2015 Oct 9.
- The twisted nose is a challenging procedure in rhinoplasty. The goal of surgery is to realign the nasal skeleton to create symmetry in the face and restore nasal patency. Key in the surgical procedure is that all structures of the nasal skeleton be dissected free, mobilized, repositioned, and stabil
- PMID 26616698
- Discussion: Extracorporeal Septoplasty: Assessing Functional Outcomes Using the Validated Nasal Obstruction Symptom Evaluation Score over a 3-Year Period.
- Lin SJ1.
- Plastic and reconstructive surgery.Plast Reconstr Surg.2016 Jan;137(1):164e-5e. doi: 10.1097/PRS.0000000000001923.
- PMID 26710048
Japanese Journal
- 臨床 睡眠時呼吸障害に対する鼻内手術の鼻腔抵抗による評価
- 久松 建一,工藤 逸大,高根 智之 [他],牧山 清,平井 良治
- 耳鼻咽喉科臨床 105(9), 851-857, 2012
- … All 56 patients (ages ranging from 21 to 73, 48 men and 8 women), underwent endonasal rhinoplasty (ER) consisting of a septoplasty and bilateral submucosal inferior turbinectomy with posterior nasal nerve resection, and bilateral partial middle turbinectomy. …
- NAID 130002141254
- 五島 史行,矢部 はる奈,小川 郁
- 耳鼻咽喉科臨床 103(10), 915-920, 2010-10-01
- Headaches is classified as primary and secondary, with secondary originating in head and neck conditions, the most important etiology being acute sinusitis. Headache due to mucosal contact, rarely enc …
- NAID 10026686105
- 睡眠時呼吸障害に対する鼻科手術と低温高周波UPPP併用の効果
- 久松 建一,牧山 清,平井 良治 [他],岸 博行
- 耳鼻咽喉科臨床 103(4), 387-394, 2010-04-01
- … Subjects numbered 24 with sleep-disordered breathing, including 20 with OSAHS, who underwent coblation-assisted uvulopalatopharyngoplasty (UPPP) and optional endonasal rhinoplasty consisting of bilateral submucosal inferior turbinectomy and septoplasty to reduce negative pharyngeal pressure three months before or after UPPP. …
- NAID 10026217247
Related Links
- Septoplasty is a surgical procedure to correct a deviated nasal septum. The septum is a wall composed of bone and cartilage that divides your nose into two separate nostrils. A deviated septum occurs when the septum is ...
- Septoplasty Definition Septoplasty is a surgical procedure to correct the shape of the septum of the nose. The nasal septum is the separation between the two nostrils. In adults, the septum is composed partly of cartilage and partly ...
★リンクテーブル★
[★]
- 英
- septoplasty
- 関
- 鼻中隔形成、鼻中隔形成術、鼻中隔矯正、鼻中隔粘膜下窓形切除術
[★]
- 英
- septoplasty
- 関
- 鼻中隔形成術、鼻中隔矯正術、鼻中隔矯正
[★]
- 英
- septoplasty
- 関
- 鼻中隔形成、鼻中隔形成術、鼻中隔矯正術
[★]
- 英
- submucous window resection of nasal septum
- 同
- 鼻中隔矯正術 septoplasty
[★]
- 英
- septoplasty
- 関
- 鼻中隔形成、鼻中隔矯正術、鼻中隔矯正