Comparative evaluation of conventional with endoscopy assisted nasal septal correction surgery in a tertiary care teaching hospital Trichy

Mohamed Anwar M., Jesudoss A., Thirumalaikolundusubramanian P.


Background: Nasal septal deviation is of both congenital and traumatic etiology, found among children and adults and many of whom require corrective surgery. Recently endoscopy assisted nasal septal correction surgery is being performed in many centers as a preferred one. Hence it was decided to find out the postoperative outcomes among those who underwent both the types of surgical procedures.

Methods: A total of 50 patients with septal deviation underwent conventional surgery and another 50 operated with endoscopy assisted method were considered for this study. Both groups were followed up for postoperative outcomes and relief of symptoms after 48 hours, 8 weeks and 24 weeks for statistical analysis.  

Results: Head ache, watering of eyes and nasal obstruction were found significantly less in endoscopy assisted nasal septal correction during the first 48 hours and 8 weeks when compared with conventional surgery and it became negligible after 24 weeks of postoperative period.

Conclusions: Endoscopy assisted surgery is convenient in targeting the surgical site with less trauma and less requirement of time to perform the surgery. However, the initial cost would be higher for installation of endoscopy and maintenance.


Nasal septal deviation, Conventional nasal septal correction method, Endoscopy assisted nasal septal correction surgery

Full Text:



Neskey D, Eloy JA, Casiano RR. Nasal, septal and turbinate anatomy and embryology. Otolaryngol Clin N Am. 2009;42:193–205.

Reitzen SD, Chung W, Shah AR. Nasal septal deviation in the pediatric and adult populations. Ear Nose Throat J. 2011;90(3):112-5.

Haapaniemi JJ, Suonpää JT, Salmivalli AJ, Tuominen J. Prevalence of septal deviations in school-aged children. Rhinology. 1995;33(1):1-3.

Gulati SP, Wadhera R, Ahuja N. Comparative evaluation of endoscopic with conventional septal correction. Indian J Otolaryngol Head Neck Surg. 2009;61(1):27-9.

Hwang PH, Mclaughlin RB, Lanza DC, KennedyDW. Endoscopic septal correction: Indications, technique, and results. Otolaryngol Head Neck Surg. 1999;120(5):678-82.

Polomano RC, Galloway KT, Kent ML, Brandon-Edwards H, Kyung BC, Kwon N, et al. Psychometric Testing of the Defense and Veterans Pain Rating Scale (DVPRS): A New Pain Scale for Military Population. Pain Med. 2016;17(8):1506-19.

Schmitt PJ, Jane JA Jr. A lesson in history: the evolution of endoscopic third ventriculostomy. Neurosurg Focus. 2012;33(2):1-5.

Antoniou SA, Antoniou GA, Koutras C, Antoniou AI. Endoscopy and laparoscopy: a historical aspect of medical terminology. Surg Endosc. 2012;26:3650–4.

Lau WY, Leow CK, Li AKC. History of Endoscopic and Laparoscopic Surgery. World J Surg. 1997;21:444–53.

Ogino-Nishimura E, Nakagawa T, Sakamoto T, Ito J. Efficacy of three-dimensional endoscopy in endonasal surgery. Auris Nasus Larynx. 2015;42:203–7.

Bliss M, Muntz H. Nasal Endoscopy: New Tools and Technology for Accurate Assessment. Adv Otorhinolaryngol. 2015;76:18-26.

Rosbe KW, Jones KR. Usefulness of patient symptoms and nasal endoscopy in the diagnosis of chronic sinusitis. Am J Rhinol. 1998;12(3):167-71.

Kennedy DW. Technical innovations and the evolution of endoscopic sinus surgery. Ann Otol Rhinol Laryngol. 2006;196:3-12.

Bothra R, Mathur N. Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur. J Laryngol Otol. 2009;123:737–41.