Table 2. Common nasal and sinus symptoms

Recurrent or chronic nasal/sinus infections Nasal stuffiness or congestion Headache Facial fullness, pressure, or pain Facial swelling Postnasal drainage Discolored nasal drainage Nasal bleeding Altered sense of taste/smell Fever Fatigue Ear fullness/clicking Halitosis Worsening asthma

The endoscopic approach may be a useful adjunct in difficult revision cases in which complete elevation of a mucoperichondrial flap presents difficulties, such as a persistent posterior septal obstruction after prior septo­plasty or after septal injury (such as hematoma or abscess) with loss of cartilaginous septum. In these cases, typical surgical dissection planes are obliterated and com­plete elevation of a mucoperichondrial or mucoperiosteal flap may be difficult. The ability to address a persisting deviation, elevating the mucosal flap directly over the offending deviation using endoscopic techniques greatly facilitates treatment.

Becker and Kallman reported an experience with endoscopic septoplasty. For this report, I reviewed my database from January 1998 to July 1999 for cases of isolated septoplasty, septoplasty with functional endo‑scopic sinus surgery, septorhinoplasty with functional endoscopic sinus surgery, and functional septorhinoplasty. Six endoscopic septoplasties were undertaken in a group of 190 patients. Since then, I have found that I use the endoscopic approach with increased frequency in pri‑mary septoplasty for isolated septal deformities.

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