DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20174330

A comparative study of endoscopic versus conventional septoplasty: an analysis of 50 cases

Sagar Chandra, Nitish Baisakhiya

Abstract


Background: Nasal obstruction is the most common complaint in ENT practice. Surgical correction of deviated nasal septum has been performed by a variety of techniques of which sub mucous resection and Septoplasty procedures of surgical correction of nasal septum play a prime role in management of patients of nasal obstruction. Nasal endoscope is very useful tool to visualize 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: 50 cases (between (Oct. 2014 - March 2016) of deviated nasal septum selected in this prospective study and they were randomly divided equally in 2 groups for endoscopic (A) and conventional (B) septoplasty respectively.  

Results: The study included 50 cases. Majority of patients in this study were males 84% (n=42) and 16% (n=18) were female. 46% (n=23) patients had DNS to right side and 54% (n=27) patients had left side, anterior deviation (48%). C and S shaped deviations (14%). Spur was present in 22% (n=11) of cases and 10% (n=5) patients presented with thickening. After completing 2 months of follow up 92% (n=23) of group A and 88% (n=22) of group B were relieved from nasal discharge, while nasal obstruction was absent in 96% (n=24) patients of group A and 80% (n= 20) of group B. 4% cases (n=1) in endoscopic septoplasty was having persistent deviated nasal septum and 16% (n=4) patients of conventional septoplasty belong to this group.

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, DNS

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References


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. Otolaryngology--Head Neck Surgery. 1999;120(5):678-82.

Kaushik S, Vashistha S, Jain NK. Endoscopic vs conventional septoplasty:a comparative study. Clinical Rhinol Int J. 2013;6(2):84-7.

Giles WC, Gross CW, Abraham AC, Greene WM, Avner TG. Endoscopic septoplasty. Laryngoscope. 1994;104:1507-9.

Getz AE, Hwang PH. Endoscopic septoplasty. Curr opin otolaryngol Head Neck Surg. 2008;16(1):26-31.

Freer O. The correction of deflections of the nasal septum with a minimum of traumation. J Am Med Association. 1902;38:636.

Tan LKS, Calhoun KH. Epistaxis. Medical Clinics of North America. 1999;83(1):43-56.

Clerico DM. Pneumatized superior turbinate as a cause of referred migraine headache. Laryngoscope. 1996;106(7):874-9.

Olphen AFV, Gleesan M, Browning GG, Burtan MJ, Hibbert J, Jones NS. Septum. In: scott brown’s Otorhinolaryngology Head Neck Surg. 7th ed. Volume 2. Butterworth: Edword Arnold; 2008; 1577-1578.

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.

Salama MA. Endoscopic aided septoplasty versus conventional septoplasty. World J Med Sci. 2014;11(1):33-8.

Peacock M. Submucous resection of the nasal septum. J Laryngol Otol. 1981;95:341.

Gulati SP, Wadhera R, Ahuja N, Garg A, Ghai A. Comparative evaluation of endoscopic with conventional septoplasty. Indian J Otolaryngol Head Neck Surg. 2009;61:27-9.

Tawy MAAF, Seleim A, elMonem MA, el galilragab ABD. Endoscopic septoplasty :techniques and results. Al-azhar Assiut Med J. 2014;12(2).

Chaitanya VK, Janardhan N, Rajesh KS, Rakesh G. Does the use of an endoscope in conventional septal surgery provide benefit in patients of deviated nasal septum? Scholars J Applied Med Sci. 2014;2(5a):1514-6.

Nayak DR, Balakrishnan R, Murty KD, Hazarika P. Endoscopic septoturbinoplasty. Indian J Otolaryngology Head Neck Surg. 2002;54:20-4.

Shelkar R, Ekhar E, Anand A, Rane S, Rachana Gangwani R, Lanjewar K. Study of indication, complication and functional outcome in endoscopic septoplasty. J Evol Med And Dent Sci. 2014;3:3455-9.

Harley DH, Powitzky ES, Duncavage. Otolaryngology head & neck surgery. J Clin Outcomes Surg Treatment Sinonasal Headache. 2003;129(3):217-21.

Nayak DR, Balakrishnan R, Murty KD. An endoscopic approach to the deviated nasal septum- a preliminary study. J Laryngol Otol. 1998;112:934-9.

Toffel PH. Septoplasty: its place in modern management of chronic nasal and sinus Obstructive disease. Rhinology and sinus disease:a problem-oriented approach, Mosby; 1998: 55-60.

Manjunath Rao SV. Inferior Turbinectomy For Nasal Obstruction-Study of 219 Cases. National J Otorhinolaryngol Head Neck Surg. 2013;1(10):1370-5.

Talluri KK, Motru B. Correction of deviated nasal septum:conventional vs endoscopic septoplasty. J Dental Med Sci. 2014;13:14-5.