A comparative study of endoscopic verses conventional septoplasty
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20210507Keywords:
Septoplasty, Conventional, Traditional, Endoscopic, BleedingAbstract
Background: Septoplasty is the surgical procedure for the correction of a deviated nasal septum. It can be achieved either with an endoscopic or a conventional approach. Endoscope allows better visualization and magnification, helps in enhancing surgical procedure accuracy and there is also no need for overexposure, excessive septal anatomy manipulation, osseocartilaginous disarticulation of the nasal septum and further resection. Endoscopic septoplasty is not only used to address symptomatic nasal obstruction, but also to improve visualization in sinus surgery. This study was conducted to compare intra operative bleeding of the two techniques in treatment of deviated nasal septum.
Methods: The present study was conducted in the department of otorhinolaryngology, Prince Mohammed hospital and Aseer central hospital. The study was conducted in 30 patients having symptomatic DNS, in the age group of 18-50 years after obtaining their consent. The patients were randomly divided into two groups of 15 patients each. Group A (n=15) underwent endoscopic septoplasty and group B (n=15) underwent conventional septoplasty under general anesthesia. The two groups were compared regarding intra operative bleeding of surgery.
Results: In conventional septoplasty there is more bleeding during surgery but in Endoscopic septoplasty the bleeding is less during surgery.
Conclusions: The endoscopic septoplasty offers an alternative to conventional technique with superior visualization, excellent illumination and excellent tool for teaching. It preferred for posterior deviation, whereas conventional septoplasty is still preferred for anterior deviation.
References
Van Egmond M, Rovers MM, Hendriks CTM, Van Heerbeek N. Effectiveness of septoplasty versus non-surgical management for nasal obstruction due to a deviated nasal septum in adults: study protocol for a randomized controlled trial. Trials. 2015;16(1):500.
Gupta N. Endoscopic septoplasty. Indian J Otolaryngol Head Neck Surg. 2005;57(3):240-3.
Hwang PH, Mclaughlin RB, Lanza DC, Kennedy DW. Endoscopic septoplasty: indications, technique, and results. Otolaryngol Neck Surg. 1999;120(5):678-82.
Gulati SP, Wadhera R, Ahuja N, Garg A, Ghai A. Comparative evaluation of endoscopic with conventional septoplasty. Indian J Otolaryngol Head Neck Surg. 2009;61(1):27-9.
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.
Cantrell H. Limited septoplasty for endoscopic sinus surgery. Otolaryngol Neck Surg Off J Am Acad Otolaryngol Neck Surg. 1997;116(2):274-7.
Freer OT. The correction of deflections of the nasal septum with a minimum of traumatism. J Am Med Assoc. 1902;38(10):636-42.
Killian G. Die submukose Fensterresektion der Nasenscheidewand. Arch Laryngol. 1904;16(3):203.
Cottle MH, Loring RM, Fischer GG, gaynon IE. The maxilla-premaxilla approach to extensive nasal septum surgery. AMA Arch Otolaryngol. 1958;68(3):301-13.
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.
Jain L, Jain M, Chouhan AN, Harshwardhan R. Conventional septoplasty verses endoscopic septoplasty: a comparative study. People’s J Sci Res. 2011;4(2):24-8.
