Current Status of Septorhinoplasty（Endoscopic Septoplasty Type IV）in Otorhinolaryngology

Abstract

　　Septoplasty aims to improve nasal function by ameliorating nasal obstruction, but the technique varies depending on the extent of correction. When correcting external nasal deformity in addition to septal deviation, we perform open septorhinoplasty（OSRP）through an external incision. Dissemination of OSRP has been limited because it is difficult to perform and there is no corresponding insurance procedure. However, in 2024, septorhinoplasty was introduced as endoscopic septoplasty type IV by the national insurance system. It is expected to become more widespread in the future. The functional and esthetic aspects of the nose are inseparably linked, as morphological problems almost always coincide; therefore, function and morphology should not be corrected separately. Balanced correction of function and form simultaneously results in greater functional improvements and patient satisfaction. Although it is still challenging for otorhinolaryngologists to master the techniques of plastic surgery, and for plastic surgeons to master the surgical techniques of otorhinolaryngology, I believe that such study is necessary for the development of each department. This paper reports on the current status of OSRP in otorhinolaryngology and the author’s surgical skills as an otolaryngologist.