Killions incision is used for?
Correct Answer: Septoplasty
Description: Ans. is 'a' i.e., Septoplasty Technique of septoplasty 1. Infiltrate the septum with 1% lignocaine with adrenaline 1:100,000. 2. In cases of deted septum, make a slightly curvilinear incision, 2-3 mm above the caudal end of septal cailage on the concave side (Killian's incision). In case of caudal dislocation, a transfixion or hemitrans fixion (Freer's) incision is made. 3. Raise mucoperichondrial/mucoperiosteal flap on one side only. 4. Separate septal cailage from the vomer and ethmoid plate and raise mucoperiosteal flap on the opposite side of septum. 5. Remove maxillary crest to realign the septal cailage. 6. Correct the bony septum by removing the deformed pas. Deformed septal cailage is corrected by various methods, such as : Scoring on the concave side Cross-hatching or morselizing Shaving Wedge excision Fuher manipulations like realignment of nasal spine, separation of septal cailage from upper lateral cailages, implantation of cailage strip in the columella or the dorsum of nose may be required. 7. Trans-septal sutures are put to coapt mucoperichondrial flaps. 8. Nasal pack.
Category:
ENT
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