Olav-Øystein Nerheim MD
Recently updated 27.03.2012
Oslo University Hospital
- The nasal cavities are vasoconstricted with adrenaline/tetracain tampons.
- The tumor is inspected with endoscopy.
- Xylocain/adrenaline is injected into the appropriate area.
- An incision is made 1 cm anterior to the tumor in the craniocaudal direction on the septum.
- The incision is brought all the way down to the floor of the nose.
- An incision is made along the entire gumline.
- The periosteum is dissected off the bone and the infraorbital nerve is identified bilaterally up to the aperture.
- The nasal floor is cut and the septum is separated toward the premaxilla.
- The mid face is lifted providing good access to the nasal cavities.
- The nasal septum is divided with scissors caudal to the tumor.
- The septum is divided cranially with macroscopically free margins.
- The specimen is removed and marked for histological purposes.
- The mucosa is inspected.
- A frozen section is made of the mucosa and remaining cranial content of the septum.
- Two tampons are inserted and saturated with Terra-Cortril® on the appropriate side. On the other side, a smaller Terra-Cortril® tampon is inserted.
- The nasal septum is sutured toward the nasal spine.
- The incision is closed.
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