A comparative study on the surgical outcome of submucous resection and septoplasty
Keywords:Submucosal resection, Septoplasty, Deviated nasal septum, Otolaryngologist
Introduction: Surgery on a deviated septum has seen several modifications since its inception, starting from radical septal resection to the preservation of the possible septal framework. Deviated nasal septum (DNS) leads to nasal obstruction is a common problem encountered by the Otolaryngologist. Many surgeries are available for correcting septal disorders. The aim of our study is to compare the surgical outcome of submucous resection and septoplasty.
Methods: This prospective comparative single institutional interventional study was conducted in the department of otorhinolaryngology, Aarupadai Veedu Medical College between October 2015 to September 2017 to compare the submucous resection and septoplasty. Total of 50 patients who randomly divided into two groups and the treatment protocol and follow up protocol was followed and the outcome results were statistically analysed and discussed.
Results: Out of 50 patients 25 patients had sub mucosal resection and 25 patients had septoplasty. All the 50 patients had nasal obstruction followed by headache present 35 patients, nasal discharge in 6 patients, postnasal drip in 7 patients and hyposmia in 7 patients. Based on endoscopy finding c shaped DNS 43 patients, 7 patients had s-shaped DNS, 7 patients had spur. Based on postoperative symptoms, the nasal block was present in 3 patients.
Conclusion: From this study, we concluded that deviated nasal septum is more common in females of age group 30 years with the most common symptoms is nasal obstruction. Symptom relief is comparatively equal in both the surgeries but the complication is more common in sub mucosal resection.
Hsia JC, Camacho M and Capasso R. Snoring exclusively during nasal breathing: a newly described respiratory pattern during sleep. Sleep Breathing. 2014;18(1):159-64.
Gray LP.Deviated nasal septum. Incidence and etiology. Ann Otol Rhinol Laryngol Suppl. 1978;87(3 Suppl 50):3-20.
Boccieri A, Pascali M. Septal crossbar graft for the correction of the crooked nose. Plast Reconstruct Surg. 2003;111(2):629-38.
Patterson CN. Surgery of the crooked nose. Laryngoscope. 1981;91(6):939-44.
Freer OT. The correction of deflections of the nasal septum with minimum of traumatization. JAMA. 1902;4:61-9.
Killian G. Die submucosa Fenster resetion der Nasenscheidewand. Arch Laryngol Rhinol. 1904;16:362-87.
Tzadik A, Gilbert SE, Sade J. Complications of sub mucous resection of the nasal septum. Arch Otolaryngol. 1988;245:74-6.
Blaugrund SM. The nasal septum and concha bullosa. Otolaryngol Clin North Am. 1989;22:291.
Shahzad A. Comparative evaluation of endoscopic septoplasty with conventional septoplasty in deviated septum. J Adv Res Biological Sci. 2013;6(1):43-7.
Jain L. Conventional septoplasty versus endoscopic septoplasty. People’s J Sci Res. 2011;4(2):24-8.
Teklal P, Prakash T. Comparative Study between Sub mucous resection and septoplasty to manage deviated nasal septum. Int J Recent Trends Sci Techn. 2014;9(3):318-20.