Mass lesion arising from right Little's area with recent evidence of bleeding (circle). Differential diagnoses include pyogenic granuloma and haemangioma.
[V - vestibule, IT - inferior turbinate, S - nasal septum]
Endoscopic view after the mass was completely excised.
[IT - inferior turbinate, S -nasal septum]
Septal Deviation to The Right Initial Incision on The Septum
Raising Subperichondrial Flap The Contralateral
Subperichondrial Flap Separated
with Septal Cartilage seen
Between The Nasal Speculum
[Credit of these images to Dr AW Chong
from University of Malaya Medical Centre]
Fragments and pieces of cartilage and bones removed from a patient with severe nasal septum deviation.
An example of suction elevator used to separate mucoperichondrium from cartilage or bony segment of nasal septum whilst achieving a blood-free operating field.
Suction elevator in used during septoplasty. Noted dry field achieved with improved visualization of surgical anatomy while right mucoperichondrial flap being raised. (F - mucoperichondrial flap, SC - septal cartilage, SE - suction elevation with the hollow end facing medially)
The incision (convex side of the deviated septum). [C - nasal septum cartilage, V - vestibule]
[C - nasal septum cartilage, P- perichondrium of the contralateral side (concave side of the deviated septum)]
Absorbable septal sutures secured at incision line of nasal septum to appose the wound edges. Alternatively, an absorbable suture stapler can be used. Arrows - vicryl sutures (top left - view from right nasal cavity, top right - view from left nasal cavity), S - nasal septum (after cartilage removed), IT - inferior turbinate.
Septal deviation with spurring to right in another patient.
Absorbable septal sutures in-situ at completion of surgery.