DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20193617

Assessment of postoperative relief and complications correlated with septoplasty and septoplasty with turbinectomy

Sharad Rawat, G. D. Mahajan, Tejal Sonar, Ashwini Rathod

Abstract


Background: Nasal obstruction was the common symptom of deviated nasal symptom. Many surgical procedures are available to correct the deviation. The current study was aimed to assess and compare the postoperative relief and complications of septoplasty alone and septoplasty with turbinectomy.

Methods: This prospective study was done on 50 patients with nasal blockage due to deviated nasal septum. Study was done at department of ENT, Dr. D.Y. Patil Medical College and Hospital, DPU between July 2016 to September 2018. Patients randomly selected and operated with septoplasty alone (n=25) and septoplasty with turbinectomy (n=25). Assessment and comparisons was made in terms of postoperative relief and complications in both the groups.  

Results: Significant postoperative relief was seen in group of patients after septoplasty with turbinectomy. Retained deviation and dryness of nose are the common complications observed in group of patients treated with septoplasty and septoplasty with turbinectomy respectively and on follow up of 4 weeks postoperatively the rate of frequency of complications was reduced in group of patients managed with septoplasty with turbinectomy.

Conclusions: Postoperative relief and reduction in complication rate after 4 week follow-up was higher in group of patients operated with septoplasty with turbinectomy compared to group of patients managed with septoplasty alone.


Keywords


Septoplasty, Septoplasty with turbinectomy, Postoperative relief, Complications

Full Text:

PDF

References


Sathyaki DC, Geetha C, Munishwara GB, Mohan M, Manjuanth K. A comparative study of endoscopic septoplasty versus conventional septoplasty. Indian J Otolaryngol Head Neck Surg. 2014;66(2):155-61.

Orhan I, Aydın S, Ormeci T, Yılmaz F. A radiological analysis of inferior turbinate in patients with deviated nasal septum by using computed tomography. Am J Rhinol Allergy. 2014;28:68–72.

Andrades P, Cuevas P, Danilla S, Bernales J, Longton C, Borel C, et al. The accuracy of different methods for diagnosing septal deviation in patients undergoing septorhinoplasty: a prospective study. J Plast Reconstr Aesthet Surg. 2016;69:848–55.

Chen YY, Huang TC. Outcome of Septoplasty with Inferior Turbinectomy as an In-patient or Out-patient Procedure. Sci Rep. 2019;9(1):7573.

Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg. 2004;130:157–63.

Dąbrowska-Bień J, Skarżyński PH, Gwizdalska I, Łazęcka K, Skarżyński H. Complications in septoplasty based on a large group of 5639 patients. Eur Arch Otorhinolaryngol. 2018;275(7):1789-94.

Gillman G. Septoplasty. In: Myers E, Kennedy D, editors. Rhinology. Alphen aan den Rijn, Netherlands: Wolters Kluwer; 2016: 7–21.

Ketcham AS, Han JK. Complications and management of septoplasty. Otolaryngol Clin N Am. 2010;43:897–904.

Bloom JD, Kaplan SE, Bleier BS, Goldstein SA. Septoplasty complications: avoidance and management. Otolaryngol Clin N Am. 2009;42:463–81.