Otology, Rhinology and Laryngology

Surgical Approaches for Nasal Disorders

The nasal cavity and sinuses can be accessed using a dorsal or ventral surgical technique. Modern imaging techniques, such as computed tomography and magnetic resonance imaging (MRI), are required for surgical planning. Surgical treatment of nasal hollow space lesions is typically reserved for benign lesions, however it can occasionally be used in conjunction with adjuvant treatments such as radiation therapy. To minimise complications caused by unintentional penetration into the mental case, use considerable caution when approaching the nasal hollow area from the dorsal side. To limit the risk of oronasal fistula formation, delicate tissue handling and thorough mucoperiosteum closure should be employed after a ventral procedure.