Conventional vs. endoscopic septoplasty: our experience
Keywords:Deviated nasal septum, Conventional septoplasty, Endoscopic septoplasty
Background: A straight septum is the exception rather than the rule. A deviated septum can be asymptomatic or can cause functional and cosmetic abnormality. Different surgeries have been proposed for correction of deviated septum but septoplasty has been the procedure of choice. Septoplasty is a more conservative surgery with fewer complications and endoscopic septoplasty has become increasingly popular over the last few decades.
Methods: This is a comparative study conducted at a tertiary care centre over a period of 1 year on 100 cases to compare the efficacy of endoscopic septoplasty with conventional septoplasty. 50 cases underwent conventional septoplasty while the other 50 cases underwent endoscopic septoplasty. Relief from pre-operative symptoms, anatomical correction of deformity and intraoperative/postoperative complications were studied.
Results: Patients belonging to endoscopic septoplasty group showed better symptomatic relief and lesser incidence of complications when compared to the conventional septoplasty group.
Conclusions: Endoscopic septoplasty has better illumination and additional magnification which aid in accurate identification of pathology and precise excision of the deviated septal part. It is also useful for correction of posterior and high deviations of septum and for revision surgeries. Coventional septoplasty has got its own merits like dealing with situations in which septal damage is more and post trauma. Though better patient compliance, better relief from symptoms and lesser rate of complications give an edge for endoscopic over conventional septoplasty, both the procedures need to be done together in some situations to achieve optimal results.
Gleeson M, Scott-Brown W. Scott-Brown's otorhinolaryngology, head and neck surgery. 7th edn. London: Hodder Arnold; 2008: 1574.
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.
Sautter NR. Smith TL: Endoscopic Septoplasty. Otolaryngol Clin North Am. 2009;42(2):253-60.
Lanza DC, Rosin DF, Kennedy DW. Endoscopic septal spur resection. Am J Rhinol. 1993;7(5):213-6.
Muhammad IA, Nabil-Ur Rahman. Complications of the surgery for deviated nasal septum. J Coll Physicians Surgery Pak. 2003:13(10):565-8.
Nayak DR, Balakrishnan R, Murthy DK. An endoscopic approach to the deviated nasal septum-a preliminary study. JLO. 1998:112:934-9.
Aranachlam PS, Kitcher E, Gray J. Nasal septal surgery: evaluation of symptomatic and general health outcomes. Clin Otolaryngol. 2001;26(5):367-70.
Park DH, Kim TM, Han DG. Endoscopic –assisted correction of the deviated nose aesthetic. Plast Surg. 1988;22(3):190-5.
Rajguru R, Singh I, Galagali JR, Singh A. Septoplasty techniques- conventional versus endoscopic: our experience. Int J Otorhinolaryngol Head Neck Surg. 2017;3:990-6.