DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20203205

A comparative study of endoscopic versus conventional septoplasty

Ramniwas Dhaka, Pooja Arya, Deep Chand, Vivek Samor, Ramchander Bishnoi, Sukhdev Khadav

Abstract


Background: Deviated nasal septum is one of the common causes of nasal obstruction. Correction of deviated nasal septum has been performed by a variety of techniques of which Septoplasty is the most popular one. With the advent of endoscopes and their successful use in endoscopic sinus surgery endoscopes have been tried in septoplasty for better visualization of posterior part of septum and do the surgery more precisely and with less complication as compare to conventional method. The objectives of the study were to compare the outcomes of conventional and endoscopic septoplasty, to evaluate the advantages, disadvantages and complications of both endoscopic and conventional septoplasty.

Methods: It was a prospective observational study conducted on 50 patients with deviated nasal septum, who presented to ENT department of SPMC, Bikaner, patients were randomly divided equally in two groups for conventional and endoscopic septoplasty respectively. Data collected on a prestructured proforma and results analysed.  

Results: The study included 50 cases. Postoperatively significant relief from the symptoms of nasal obstruction (82%) in group A and (96%) group B, was seen. In objective assessment at the end of 3 months of surgery, patient had persistent posterior deviation 24% in group A and 3% in group B, spur 12% in group A and 0% in group B.

Conclusions: Endoscopic septoplasty has an obvious edge over the conventional approach due to better illumination which enables to identify the pathology accurately, excise the deviated part of septum precisely and realignment of the cartilage for best results.


Keywords


Septoplasty, Endoscopic septoplasty, Deviated nasal septum

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References


Suraneni VR, Kudamala S. Conventional Vs. Endoscopic Septoplasty: Our Experience. Int J Otorhinolaryngol Head Neck Surg. 2018;4(2):403-8.

Maran AGD. Septoplasty. J Laryngol Otol. 1974;88:393-402.

Cantrell H, Limited Septoplasty For Endoscopic Sinus Surgery. Otolaryngol Head Neck Surg. 1997;116:274-7.

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.

Rao JJ, Kumar ECV, Babu KR, Chowdary VS, Singh J, Rangamani SV. Classification Of Nasal Septal DeviationRelation To Sinonasal Pathology. Indian J Otolaryngol Head Neck Surg. 2005;57(3):199-201.

Semil S. Early Experience With Endoscopic Septoplasty And Comparative Evaluation Of Endoscopic Septoplasty With Conventional Septoplasty In Deviated Nasal Septum: A Clinical Study At Tertiary Centre. Indian J Res. 2018;7(8):14-7.

Mladina R, Cujic E., Subaric M. Nasal Septal Deformities In Ear, Nose and Throat Patients: An International Study. Am J Otol. 2008;29(2):75-82.

Sindwani R, Wright ED. Role Of Endoscopic Septoplasty In The Treatment Of Atypical Facial Pain. J Otolaryngol 2003, 32:77-80.

Hearly DH, Powitzky ES, Duncavage J. Clinical Outcomes For The Surgical Treatment Of Sinonasal Headache. Otolaryngol Head Neck Surg: 2003;129:217-21.

Jain L, Jain M, Chouhan AN, Harshwardhan R. Conventional Septoplasty Verses Endoscopic Septoplasty: A Comparative Study. People’s J Sci Res. 2011;4(2).

Chandra S, Baisakhiya N. A Comparative Study Of Endoscopic Versus Conventional Septoplasty: An Analysis Of 50 Cases. Int J Otorhinolaryngol Head Neck Surg. 2017;3:1046-51.