DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20174320

Septoplasty techniques- conventional versus endoscopic: our experience

Renu Rajguru, Inderdeep Singh, J. R. Galagali, Anubhav Singh

Abstract


Background: Deviated nasal septum is one of the most common disorders in human beings, which may lead to symptoms of nasal obstruction, headache, epistaxis, hyposmia, and post nasal drip. DNS correction may also be required to gain access during intranasal procedures like endoscopic sinus surgery, endoscopic dacryocystor-hinostomy and skull base surgery. The technique of septoplasty has evolved over the decades with a tendency towards more conservative and precise surgery. Over the last few decades endoscopic septoplasty has become increasingly popular.

Methods: It was a cross-sectional comparative study done to compare the efficacy of endoscopic septoplasty with conventional septoplasty, conducted at a tertiary care centre over a period of 3 years. Records of 100 patients of nose and PNS disorders with DNS who were operated either by conventional or by endoscopic technique were studied. The patients were studied for the improvement in their symptoms, anatomical correction and intra-operative/post-operative complications.  

Results: Endoscopic septoplasty group patients showed better symptomatic relief, lesser incidence of residual anterior /posterior deviation and persistent spur and less complications as compared to the conventional septoplasty group.

Conclusions: In our study we found more clientele satisfaction and lesser rate of complications in endoscopic septoplasty group. We recommend all ENT specialists to be trained in nasal endoscopic septoplasty technique as it offers many advantages such as more precision in post nasal spurs with less flap tears, it can be tailor made according to the disease and can be combined with various endoscopic surgeries.


Keywords


Deviated nasal septum, Conventional septoplasty, Endoscopic septoplasty

Full Text:

PDF

References


Cottle MH, Loring RM, Fischer GG, Gaynon IE, et al. The maxila-premaxila approach to extensive nasal septum surgery. AMA Arch Otolaryngol. 1958;68:301-13.

Lanza DC, Kennedy DW, Zinreich SJ. Nasal endoscopic and its Surgical applications. In: Lee KJ, editor. Essential Otolaryngology:head and neck surgery. 5th edition. Appleton and Lange; 1991: 373-387.

Lanza DC, Rosin DF, Kennedy DW. Endoscopic septal spur resection. Am J Rhinol. 1993;7(5):213-6.

Durr DG. Endoscopic septoplasty: technique and outcomes. J Otolaryngol. 2003;32(1):6-11.

Bothra R, Mathur N. Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur. J Laryngol Otol. 2009;123(07):737-41.

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 A, Harshwardhan R. Conventional septoplasty verses endoscopic septoplasty: A comparative study. People’s J Sci Res. 2011;4(2):24-8.

Khan MN, Nath K, Uddin S. A clinical study of deviated nasal septum with special reference to conventional and endoscopic septoplasty. Int J Res Med Sci. 2016;4:5165-71.

Sathyaki DC, Geetha C, Munishwara GB, Mohan M, Manjunath K. A Comparative Study Of Endoscopic Septoplasty Versus Conventional Septoplasty. Int J Otorhinolaryngol Head Neck Surg. 2014;66(2):155-61.

Ghazipour A, Abshiri H, Hekmat M, Pursalehan S. Sinonasal Headaches and Post-Operative Outcomes after Septoplasty in Patients with Nasal Septal Deviation. Iran J Otorhinolaryngol. 2011;23(65):133–9.

Sindwani R, Wright ED. Role of endoscopic septoplasty in the treatment of atypical facial pain. J Otolaryngol. 2003;32(2):77-80.

Harley DH, Powitzky ES, Duncavage J. Clinical outcomes for the surgical treatment of sinonasal headache. Otolaryngol Head Neck Surg. 2003;129(3):217-21.

Virkkula P, Bachour A, Hytönen M, Salmi T, Malmberg H, Hurmerinta K, et al. Snoring is not relieved by nasal surgery despite improvement in nasal resistance. Chest. 2006;129(1):81–7.

Kim ST, Choi JH, Jeon HG, Cha HE, Kim DY, Chung YS. Polysomnographic effects of nasal surgery for snoring and obstructive sleep apnea. Acta Otolaryngol. 2004;124(3):297–300.

Nakata S, Noda A, Yasuma F, Morinaga M, Sugiura M, Katayama N, et al. Effects of nasal surgery on sleep quality in obstructive sleep apnea syndrome with nasal obstruction. Am J Rhinol. 2008;22(1):59–63.

Park DH, Kim TM, Han DG, Ahn KY. Endoscopic-assisted correction of the deviated nose. Aesthetic Plastic Surg. 1998;22(3):190-5.

Gulati S, 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.

Giles WC, Gross CW, Abram AC, Greene WM, Avner TG. How i do it head and neck and plastic surgery a targeted problem and its solution: Endoscopic septoplasty. Laryngoscope. 1994;104(12):1507-9.

Getz AE, Hwang PH. Endoscopic septoplasty. Current Opinion Otolaryngol Head Neck Surg. 2008;16(1):26-31.

Aaronson NL, Vining EM. Correction of the deviated septum: from ancient Egypt to the endoscopic era. International forum of allergy & rhinology; Wiley Online Library; 2014: 931-936.

Hwang PH, Mclaughlin RB, Lanza DC, Kennedy DW. Endoscopic septoplasty:indications, technique, and results. Otolaryngol Head Neck Surg. 1999;120(5):678-82.

Siegel NS, Gliklich RE, Taghizadeh F, Chang Y. Outcomes of septoplasty. Otolaryngol Head Neck Surg. 2000;122(2):228-32.

Cottle M. Changing concepts in rhinoplastic surgery. Annals Otol Rhinol Laryngol. 1955;64(2):632.

Chung BJ, Batra PS, Citardi MJ, Lanza DC. Endoscopic septoplasty:revisitation of the technique, indications, and outcomes. American J Rhinol. 2007;21(3):307-11.

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.