Korean J Otolaryngol-Head Neck Surg.
2004 Jan;47(1):39-42.
Lateral Alotomy Approach for Nasal Vestibular and Nasal Septal Diseases
- Affiliations
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- 1Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. bjlee@amc.seoul.kr
Abstract
- BACKGROUND AND OBJECTIVES
There are many approaches for treatment of nasal vestibular and septal lesions. If the lateral alotomy approach is employed, nasal vestibular and septal lesions can be easily exposed and excised. We analyzed the advantages and disadvantages of the lateral alotomy approach. MATERIALS AND METHODS: Our review of those who had been operated via lateral alotomy approach included, 2 cases of nasal vestibular papilloma, 1 squamous cell carcinoma, 1 angioleiomyoma, 1 myxoid sarcoma or 1 septal perforation. Operative procedures, surgical outcomes and postoperative complications were reviewed retrospectively. RESULTS: Using lateral alotomy approach, all lesions were easily exposed and completely resected. Lateral alotomy approach offered straight view of the lesions and the operator used both hands during the procedure. Patients were closely observed for about 2 years (19-28 months) without complications. And no patients complained of wound scar. CONCLUSION: Nasal vestibular and anterior nasal septal lesions can be easily exposed via lateral alotomy approach. This approach has the advantage of being able to use both hands by the operator.