Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur

2008 ◽  
Vol 123 (7) ◽  
pp. 737-741 ◽  
Author(s):  
R Bothra ◽  
N N Mathur
Keyword(s):  
Nasal Obstruction ◽  
Block Design ◽  
Objective Evaluation ◽  
Septal Deviation ◽  
Sinus Surgery ◽  
Endoscopic Septoplasty ◽  
Significant Difference ◽  
Operative Complications ◽  
Operative Assessment ◽  
Septal Spur

AbstractObjective:To compare the procedure, results and complications of conventional septoplasty with those of endoscopic septoplasty, in cases of limited septal deviation and septal spurs.Design:Prospective study; interventional type; randomised block design; comparative clinical trial.Methods:We included in the study 80 patients presenting with limited septal deviation, septal spur with nasal obstruction, or deviated septum with septal correction was required in order to access the ostio-meatal complex (OMC) for functional endoscopic sinus surgery. Of these 12 were children with septal deviation producing significant nasal obstruction. All patients were divided into two groups- with one undergoing conventional and the other endoscopic septoplasty. Post-operative assessment was carried out one month, three months and one to two years after the procedure.Result:Post-operative complications such as haemorrhage, infraorbital oedema, nasal pain and in-patient hospital was slightly more in the conventional septoplasty group.Conclusion:No statistically significant difference was found between the conventional and endoscopic septoplasty groups, as assessed by subjective and objective evaluation.

scholarly journals Surgical outcome comparison between endoscopic septoplasty and conventional septoplasty among patients with nasal septal deviation

2020 ◽  
Vol 6 (3) ◽  
pp. 501
Author(s):  
K. Sharath Babu ◽  
R. Shankar
Keyword(s):  
Nasal Obstruction ◽  
Surgical Outcome ◽  
Lateral Wall ◽  
Sinus Surgery ◽  
Nasal Endoscopy ◽  
Prospective Clinical Study ◽  
Endoscopic Septoplasty ◽  
Operative Complications ◽  
Outcome Comparison ◽  
Post Operative Complications

<p class="abstract"><strong>Background:</strong> When compared with standard head light technique, endoscopic septoplasty provides important advantages which include adequate visualization, room for instrumentation during functional endoscopic sinus surgery, access to para nasal sinuses and for other surgeries like trans-septal approach to the sphenoid sinus, visualization and stoppage of post-nasal bleeds. The aim of the study was to assess and compare the surgical outcome between endoscopic septoplasty and conventional septoplasty techniques in terms of anatomical correction and its complications.</p><p class="abstract"><strong>Methods:</strong> A prospective clinical study was conducted on hundred patients with nasal obstruction. Group A patients (n=50) underwent conventional septoplasty and group B (n=50) patients were operated by endoscopic septoplasty technique. Patients were subjected to diagnostic nasal endoscopy examination before and after surgery. Post-operative complications like trauma to lateral wall of nose, injury to cribriform plate, post-operative epistaxis, post-operative septal hematoma and septal abscess if occurred were noted.  </p><p class="abstract"><strong>Results:</strong> Post-operatively diagnostic nasal endoscopy results show that there was a statistically significant improvement in endoscopic septoplasty group compared to conventional septoplasty and similarly the mean nasal obstruction symptom evaluation score. The most common post-operative complications which were occurred are synechiae and septal perforation and both these complications were more common among the conventional septoplasty group and the difference was found to be statistically significant.</p><p class="abstract"><strong>Conclusions:</strong> The study showed a better surgical outcome with a lesser complication among the endoscopic septoplasty as compared to conventional septoplasty. The only disadvantage of using endoscopic septoplasty was of binocular vision and repeated cleaning of the endoscope.</p>

scholarly journals Comparative study of outcomes of conventional and endoscopic septoplasty

2021 ◽  
Vol 7 (8) ◽  
pp. 1325
Author(s):  
Kush B. Pandya ◽  
Manit M. Mandal ◽  
Ajay K. Panchal ◽  
Rakesh Kumar ◽  
Parth B. Kapadia ◽  
...  
Keyword(s):  
Medical Education ◽  
Hospital Stay ◽  
Nasal Septum ◽  
Objective Evaluation ◽  
Point Of View ◽  
The Other ◽  
Deviated Nasal Septum ◽  
Endoscopic Septoplasty ◽  
Significant Difference ◽  
Septal Spur

<p><strong>Background: </strong>Literature and other available research states lots of comparison between endoscopic and conventional septoplasty. The study helps conclude the merits and demerits of both techniques and compares the superiority of one method over the other on various aspects from surgeon’s and patient’s point of view. The objective of the study was to compare outcomes of conventional and endoscopic septoplasty.<strong></strong></p><p><strong>Methods: </strong>Study included 48 patients having symptomatic deviated nasal septum willing for surgery randomly divided into two groups of 24 each who underwent endoscopic septoplasty and conventional septoplasty. All the patients selected for study, were assessed for subjective and objective evaluation pre-operatively and post-operatively on 7<sup>th</sup> day, 1 month and 3 months. The study was conducted at Surat Municipal Institute of Medical Education and Research (SMIMER), Surat.</p><p><strong>Results: </strong>There are technical advantages of using endoscope during septoplasty as it is definitely superior from surgeon’s point of view but there is no significant difference in terms of functional outcome, complications and post-operative hospital stay.</p><p><strong>Conclusions: </strong>There are technical advantages of using endoscope being superior in terms of illumination, preciseness and surgery, visualization of deeper parts of nasal cavity and resection of posterior deviation and spur especially in isolated septal spur and in achieving hemostasis. The study helps us conclude that endoscopic septoplasty has merits over conventional septoplasty on various aspects.</p>

Does surgical treatment of nasal airway obstruction improve sexual functions?

2019 ◽  
Vol 133 (09) ◽  
pp. 805-809 ◽  
Author(s):  
S Cayir ◽  
O Hizli ◽  
M Gul
Keyword(s):  
Surgical Treatment ◽  
Nasal Obstruction ◽  
Endoscopic Sinus Surgery ◽  
Erectile Function ◽  
Sinus Surgery ◽  
Concha Bullosa ◽  
Sexual Performance ◽  
Symptom Evaluation ◽  
Operative Evaluation ◽  
Operative Assessment

AbstractObjectiveTo investigate the effects of surgical treatment for nasal obstruction on sexual functions, regardless of the condition causing the nasal obstruction.MethodsOf 238 patients identified with nasal obstruction, 57 complained of erectile dysfunction and were included in the analysis. Patients underwent septoplasty, functional endoscopic sinus surgery, concha bullosa excision or radiofrequency ablation of the inferior turbinates, depending on their obstruction-causing disease. Pre- and post-operative evaluation of perceived nasal obstruction was performed using the Nasal Obstruction Symptom Evaluation questionnaire. Pre- and post-operative assessment of sexual functions was performed using the International Index of Erectile Function.ResultsMean post-operative scores for erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall sexual satisfaction were significantly higher compared to the pre-operative scores (p = 0.022, p = 0.036, p = 0.033, p = 0.016 and p = 0.029, respectively).ConclusionSurgical treatment of nasal obstruction by septoplasty, endoscopic sinus surgery, concha bullosa excision or radiofrequency can significantly improve sexual performance.

scholarly journals A comparative study of endoscopic versus conventional septoplasty

2020 ◽  
Vol 6 (8) ◽  
pp. 1490
Author(s):  
Ramniwas Dhaka ◽  
Pooja Arya ◽  
Deep Chand ◽  
Vivek Samor ◽  
Ramchander Bishnoi ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Objective Assessment ◽  
Posterior Part ◽  
Sinus Surgery ◽  
Deviated Nasal Septum ◽  
Endoscopic Septoplasty ◽  
Surgery Patient ◽  
Group A ◽  
Group B

<p class="abstract"><strong>Background:</strong> Deviated nasal septum is one of the common causes of nasal obstruction. Correction of deviated nasal septum has been performed by a variety of techniques of which Septoplasty is the most popular one. With the advent of endoscopes and their successful use in endoscopic sinus surgery endoscopes have been tried in septoplasty for better visualization of 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.</p><p class="abstract"><strong>Methods:</strong> It was a prospective observational study conducted on 50 patients with deviated nasal septum, who presented to ENT department of SPMC, Bikaner, patients were randomly divided equally in two groups for conventional and endoscopic septoplasty respectively. Data collected on a prestructured proforma and results analysed.  </p><p class="abstract"><strong>Results:</strong> The study included 50 cases. Postoperatively significant relief from the symptoms of nasal obstruction (82%) in group A and (96%) group B, was seen. In objective assessment at the end of 3 months of surgery, patient had persistent posterior deviation 24% in group A and 3% in group B, spur 12% in group A and 0% in group B.</p><p class="abstract"><strong>Conclusions:</strong> 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.</p>

Endoscopy in the assessment of children with nasal obstruction

2001 ◽  
Vol 115 (5) ◽  
pp. 380-384 ◽  
Author(s):  
Haytham Kubba ◽  
Brian J. G. Bingham
Keyword(s):  
Foreign Body ◽  
Prospective Study ◽  
General Anaesthesia ◽  
Clinical Significance ◽  
Nasal Obstruction ◽  
Septal Deviation ◽  
Nasal Endoscopy ◽  
Nasal Symptoms ◽  
Operative Complications ◽  
Normal Controls

Nasal obstruction is common in children, and is often attributed to adenoid enlargement. This prospective study was performed to determine whether routine nasal endoscopy is of value for children undergoing surgery for nasal obstruction. Forty-eight children aged two to nine years undergoing adenoidectomy, and six normal controls, were examined under general anaesthesia with a 4 mm rigid endoscope. A video of the endoscopy was subsequently assessed independently by an observer blinded to the original findings and the presence of nasal symptoms.The endoscopist and independent assessor were in agreement regarding 86 per cent of the findings. Three quarters of the children had abnormalities on endoscopy in addition to enlarged adenoids, and in 23 per cent these were potentially of major clinical significance (unsuspected foreign body, gross septal deviation, gross hypertrophy of the turbinates). Endoscopy produced no post-operative complications and was possible in children as young as two years of age, without decongestants.Nasal endoscopy is a safe, objective and useful means of identifying potentially significant abnormalities in children with nasal obstruction.

scholarly journals Endoscopic Septoplasty: Prospective Study in 50 Cases of DNS

2013 ◽  
Vol 6 (2) ◽  
pp. 92-95 ◽  
Author(s):  
Baldev Singh ◽  
Kanu Singla ◽  
Sanjeev Bhagat ◽  
BS Verma
Keyword(s):  
Prospective Study ◽  
Nasal Obstruction ◽  
Objective Assessment ◽  
Septal Deviation ◽  
Invasive Technique ◽  
Nasal Discharge ◽  
Deviated Nasal Septum ◽  
Nasal Septal Deviation ◽  
Endoscopic Septoplasty ◽  
Postnasal Drip

ABSTRACT Recently endoscopic septoplasty has emerged as an effective alternative to traditional ‘headlight’ approaches to septoplasty. Endoscopic septoplasty as a minimal invasive technique can limit the dissection and minimize trauma to nasal septal flap under excellent visualization. The present prospective study was conducted at the Department of ENT at Government Medical College, Rajindra Hospital, Patiala. Fifty cases of either sex in age group of 18 to 50 years suffering from deviated nasal septum were included in the study from May 2010 to November 2012. Among the prevalence of type of nasal septal deviation (Mladina classification), the most common type of nasal septal deviation was type 5 (46%) followed by type 6 (16%), type 2 (10%), type 4 (10%), type 3 (8%), type 7 (8%) and type 1 (2%). Among chief complaints most common was nasal obstruction in 38 (76%) followed by nasal discharge in 10 (20%), headache in 10 (20%), bleeding in 6 (12%) and postnasal discharge in 4 (8%) patients. There was improvement in nasal obstruction in 78%, nasal discharge in 60% and postnasal drip in 75% patients. On objective assessment at last follow-up (3 months), persistent inferior turbinate hypertrophy in 14%, and persistent deviation was seen in 4% of cases. Synechiae formation was seen in 4% of cases. How to cite this article Singla K, Singh B, Bhagat S, Verma BS. Endoscopic Septoplasty: Prospective Study in 50 Cases of DNS. Clin Rhinol An Int J 2013;6(2):92-95.

scholarly journals Endoscopic versus conventional septoplasty in the treatment of obstructive nasal septal deviation

2020 ◽  
Vol 10 (40) ◽  
pp. 123-131
Author(s):  
Salah Nassrallah ◽  
Mircea Cristian Neagos ◽  
Gheorghe Muhlfay ◽  
Adriana Neagos
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Upper Airway ◽  
Subjective Assessment ◽  
Septal Deviation ◽  
Nasal Breathing ◽  
Deviated Nasal Septum ◽  
Nasal Septal Deviation ◽  
Endoscopic Septoplasty ◽  
Group I

AbstractBACKGROUND. Nasal septum deviations are disorders in which the nasal septum has an abnormal conformation that affects nasal breathing. Surgical correction of the deviated nasal septum, performed by various techniques, is one of the methods of repermeabilization of the upper airway. The aim of the present study was to evaluate the efficacy of endoscopic surgical treatment of the nasal septum deviation on the nasal obstruction, as well as to evaluate the frequency of postoperative complications compared to classical septoplasty.MATERIAL AND METHODS. A retrospective longitudinal study was performed on a group of 92 patients diagnosed with nasal septal deviation, between 2014-2018. 32 patients were excluded from the study after the exclusion criteria were applied. Two groups of 30 patients each were formed: Group I, endoscopic septoplasty was performed; Group II, the conventional septoplasty was used. An objective endoscopic and rhinomanometric evaluation, as well as a subjective assessment of symptoms (nasal obstruction, headache, posterior rhinorrhea, sneezing), was performed preoperatively and at 3 months postoperatively.RESULTS. The study showed better results (p<0.05) and fewer complications in endoscopic septoplasty compared to the traditional one, the endoscopic septoplasty providing better lighting and improved access, allowing a limited incision.CONCLUSION. Endoscopic septoplasty can be considered a reliable alternative to traditional techniques. It is essential to correctly identify the type of preoperative deformity in order to select the appropriate surgical strategy.

Expiratory nasal sound analysis as a new method for evaluation of nasal obstruction in patients with nasal septal deviation: comparison of expiratory nasal sounds from both deviated and normal nasal cavity

2007 ◽  
Vol 122 (2) ◽  
pp. 150-154 ◽  
Author(s):  
R Tahamiler ◽  
S Canakcioglu ◽  
S Yilmaz ◽  
A Dirican
Keyword(s):  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Sound Intensity ◽  
Nasal Symptom ◽  
Septal Deviation ◽  
Acoustic Rhinometry ◽  
Digital Data ◽  
Cross Sectional ◽  
Nasal Septal Deviation ◽  
Significant Difference

AbstractBackground:The reliability of nasal obstruction measurements could be improved, and several new techniques are being developed. Our objective was to investigate the use of a new software program, Odiosoft-Rhino, in the assessment of nasal obstruction via analysis of the sounds of nasal expiration.Methods:We compared the nasal symptom scores and Odiosoft-Rhino and acoustic rhinometry test results for 61 patients with known nasal septal deviation.Results:We found a significant difference, and a correlation, between Odiosoft-Rhino results at 2000–4000 Hz and 4000–6000 Hz intervals, and the minimal cross-sectional area 2.2 cm from the nostril, in the right nasal cavity in patients with right-sided deviations. Similar results were observed for the left nasal cavity in patients with left-sided deviations.Conclusions:The Odiosoft-Rhino software test is noninvasive, requires minimal cooperation and experience, and provides results that can be saved as digital data. Additionally, data from the Odiosoft-Rhino test are strongly correlated with acoustic rhinometry results and visual analogue scores of nasal obstruction. It seems that sound intensity within the 2000–4000 Hz and 4000–6000 Hz intervals is more sensitive than other sound intensity intervals. Thus, we speculate that Odiosoft-Rhino testing could be used as a new diagnostic method in order to evaluate nasal airflow in clinical practice.

Effect of Bio and Organic Fertilizers on Pumpkin's (Cucurbita pepo L.) Leave Content of N, P, and K

2020 ◽  
Vol 10 (1) ◽  
pp. 241-245
Author(s):  
Ammar Hameed Madi ◽  
Jawad A. Kamal Al-Shibani
Keyword(s):  
Cucurbita Pepo ◽  
Sandy Loam ◽  
Block Design ◽  
Organic Fertilizers ◽  
Flowering Stage ◽  
College Of Agriculture ◽  
Significant Difference ◽  
Randomized Complete Block Design ◽  
Loam Soil ◽  
Four Levels

This study was conducted to investigate the effect of bacterial bio-fertilization A. chroococcum and P. putide and four levels of compost (0, 1, 2, 3) tons.h-1 on the leaves content of N.P.K elements. The experiment was carried out in one of the greenhouses of the College of Agriculture - University of Al-Qadisiyah during fall season 2018-2019. It designed in accordance with the Randomized Complete Block Design (RCBD) with three replicates in sandy loam soil. The means of treatments were compared with the least significant difference (LSD) at (5)% probability level. The results present that the treatments of A. chroococcum, P. putide and compost at (3) tons.kg-1 significantly increases the leaves content of K.P.K compared to all other treatments in the flowering stage (4.970, 0.5000, and 4.930) mg.kg-1, respectively. This treatment was followed by the effect of the treatment of A. chroococcum and compost at (3) tons.kg-1, which increases the values of all traits except the leaf content of (P). Bio-fertilizer with P. putide + A. chroococcum significantly increases the leaves' content of P.

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