A comparative study of endoscopic septoplasty and conventional septoplasty
Keywords:Deviated nasal septum, Conventional septoplasty, Endoscopic septoplasty
Background: The aim of the study was to study the advantages and disadvantages of endoscopic septoplasty and conventional septoplasty and to co-relate the two procedures in terms of intra-operative visualization, duration of surgery, procedural difficulties, hospital stay and complications.
Methods: It is a prospective study done during November 2017 to April 2019 on 50 patients with symptomatic deviated nasal septum. Patients were randomly divided into conventional septoplasty and endoscopic septoplasty groups of 25 each. Surgery was performed as according to the division. Followed up on 1st week, 15th day, 1st month and 3rd month.
Results: In endoscopic septoplasty group, septal pathology, precise correction of the pathology, with less complications were seen. Hospital stay and duration of surgery were significantly less in endoscopic group.
Conclusions: For minimal and posterior deviations of the septum, endoscopic septoplasty is better, whereas for anterior deviations, conventional septoplasty could be better choice.
Bhattacharjee A, Uddin S, Purkaysha P. Deviated nasal septum in the newborn- a 1 year study. Indian J Otolaryngol Head Neck Surg. 2005;57(4):304-8.
Pannu KK, Chadha, Kaur IP. Evaluation of benefits of nasal septal surgery on nasal symptoms and general health. Indian J Otolaryngol Head Neck Surg. 2009;61(1):59-65.
Cottle MH, Fisher GG, Gaynon IE. The maxilla pre-maxilla approach to extensive nasal septum surgery. Arch Otolaryngol. 1958;68:301.
Singh A. A comparative study of conventional vs endoscopic septoplasty. Bengal J Otolaryngol Head Neck Surg. 2018;26(1):1-9.
Lanza DC, Kennedy DW, Zinreich SJ. Nasal endoscopic and its Surgical applications. In: Lee KJ. Essential Otolaryngology: head and neck surgery. 5th Edn. Appleton & Lange; 1991: 373-387.
Hayton GM. By st. Clair Thompson and V. E. Negus- Diseases of nose and Throat. London: Gassel; 1948: 193.
Muhammad IA, Rahman NU. Complications of the surgery for deviated nasal septum: J Coll Physicians Surgery Pak. 2003:13(10):565-8.
Nayak DR, Balakrishnan R, Murthy KD. An endoscopic approach to the deviated nasal septum- a preliminary study. J Laryngol Otol. 1998;112(10):934-9.
Durr DG. Endoscopic septoplasty –technique and outcome: J Otolaryngol. 2003;32(1):6-11.
Champagne C, Ballivet de Régloix S, Genestier L, Crambert A, Maurin O, Pons Y. Endoscopic vs. conventional septoplasty: A review of the literature. Eur Ann Otorhinolaryngol Head Neck Dis. 2016;133:43-6.
Park DH, Kim TM, Han DG. Endoscopic –assisted correction of the deviated nose aesthetic. Plast Surg. 1988;22(3):190-5.
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.
Gupta M, Motwani G. Comparative study of endoscopic aided septoplasty and traditional septoplasty in posterior nasal septal deviations. Indian J Otolaryngol Head Neck Surg. 2005;57(4):309-11.
Bothra R, Mathur NN: Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur. J Laryngol Otol. 2009;123(7):737-41.