Short report: nasal obstruction recovery after septoplasty in patients with nasal septal deviation affected by anxiety and depression

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.

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

Romanian Journal of Rhinology ◽

10.2478/rjr-2020-0026 ◽

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.

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Relationship between nasal septal deviation and complaints in patients with nasal obstruction

Praxis of Otorhinolaryngology ◽

10.5606/kbbu.2015.96168 ◽

2015 ◽

Vol 3 (3) ◽

pp. 87-90

Author(s):

İbrahim Korhan

Keyword(s):

Nasal Obstruction ◽

Septal Deviation ◽

Nasal Septal Deviation

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Examination versus subjective nasal obstruction in the evaluation of the nasal septal deviation

Rhinology Journal ◽

10.4193/rhino13.057 ◽

2014 ◽

Vol 52 (2) ◽

pp. 122-126

Author(s):

M. Salihoglu ◽

E. Cekin ◽

A. Altundag ◽

E. Cesmeci

Keyword(s):

Nasal Obstruction ◽

Classification Scheme ◽

Mode Of Delivery ◽

Turkish Population ◽

Septal Deviation ◽

Nasal Septal Deviation ◽

Young Males ◽

Different Populations ◽

Complex Methods

Background: Nasal septal deviation (NSD) is a frequent complaint among patients in an otolaryngology clinic. The prevalence of NSD varies in different populations and NSD classification schemes are complex. Methods: We aimed to determine the prevalence of NSD in a population of Turkish young males using a new NSD classification method that we developed. We compared the results with patients' complaints. All patients underwent two nasal examinations, which were performed using a nasal speculum with and without administration of vasoconstrictor agents. Inferior Concha Hypertrophy (ICH) was evaluated in the first examination and NSDs were scored during the second examination. All findings were recorded according to our classification scheme. Severity of nasal obstruction was subjectively evaluated by using a visual analogue scale (VAS). Results: We found a significant association between prevalence of NSD and nasal injuries, but there was no association between the mode of delivery and prevalence of NSD. Surprisingly, about 30 % of the participants with NSD had no complaint of nasal obstruction. Although most of the participants in the study had no severe nasal obstruction complaint, we found an association between NSD presence and patient's VAS. Conclusion: NSD is very frequent in the Turkish population and most often related to trauma; however, its effect on patient quality of life varies.

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The Simplified Nasal Septal Deviation Evaluation System and Nasal Obstruction Symptom Evaluation Scale Correlation

Journal of Craniofacial Surgery ◽

10.1097/scs.0000000000006590 ◽

2020 ◽

Vol Publish Ahead of Print ◽

Author(s):

Bayram Şahin ◽

Şenol Çomoğlu ◽

Levent Aydemir ◽

Saim Pamuk ◽

Meryem Nesil Keleş Türel

Keyword(s):

Nasal Obstruction ◽

Evaluation System ◽

Septal Deviation ◽

Nasal Septal Deviation ◽

Symptom Evaluation

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Surgical treatment of nasal septal deviation (septoplasty) in children

Acta chirurgica iugoslavica ◽

10.2298/aci1103059b ◽

2011 ◽

Vol 58 (3) ◽

pp. 59-62 ◽

Cited By ~ 1

Author(s):

Ivan Baljosevic ◽

Jovica Milovanovic ◽

Mladen Novkovic ◽

Katarina Stankovic ◽

Zlata Baljosevic

Keyword(s):

Surgical Treatment ◽

Nasal Obstruction ◽

Nasal Septum ◽

Septal Deviation ◽

Septal Perforation ◽

Nasal Septal Deviation ◽

Closed Technique ◽

Early Correction ◽

Number Of Patients ◽

Injured Part

The aim of this study was to indicate the importance of surgical treatment of nasal septal deviation in children as early correction of functional and cosmetic nose deformities. In this study, we presented 76 children, from age of 7 to 15, who were surgical treated for the reason of nasal septal deviation starting from January 2001. to December 2009. There were 48 (63%) male and 28 (37%) female patients. The lowest number of patients were between 7 and 9 years old - 5 (6,5%), between 10 and 12 years 28 (37%) and 43 (56,5%) between 13 and 15 years. Only 7 (9%) patients indicated genetics inheritance, and 11 of them (14%) could not determine the exact cause of deviation origin. References taken from the parents showed that nasal septal deviation developed like consequence of injury in 58 (76%) cases. We used closed technique of septoplasty with hemitransfictional incision and sub mucosal resection. Deviated portion of septum was completely removed. Patients felt improvement in nose breathing in 65 (85%) cases. The most often complication was nasal obstruction in 6 (8%) cases which occurred due to the insufficient removal of deviated portion. We also had a septal perforation in one and abscess of nasal septum in another case. There were no esthetic deformities.Surgical treatment of nasal septal deviation in children must to be conservative and limited on injured part of septum. After the operation nose breathing significantly improved, without consequences on esthetic appearance or the growth of central part of a face.

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Examination versus subjective nasal obstruction in the evaluation of the nasal septal deviation

Rhinology Journal ◽

10.4193/rhin13.057 ◽

2014 ◽

Vol 52 (2) ◽

pp. 122-126 ◽

Cited By ~ 15

Author(s):

M. Salihoglu ◽

E. Cekin ◽

A. Altundag ◽

E. Cesmeci

Keyword(s):

Nasal Obstruction ◽

Septal Deviation ◽

Nasal Septal Deviation

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Septoplasty and septoplasty with inferior turbinoplasty in the management of nasal septal deviation with inferior turbinate hypertrophy

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20201695 ◽

2020 ◽

Vol 6 (5) ◽

pp. 960

Author(s):

K. Rajashekhar ◽

K. Parameshwar ◽

K. P. Goud

Keyword(s):

Nasal Obstruction ◽

Inferior Turbinate ◽

Septal Deviation ◽

Deviated Nasal Septum ◽

Nasal Septal Deviation ◽

Turbinate Hypertrophy ◽

First Pass ◽

The Mean ◽

Group 2 ◽

Inferior Turbinate Hypertrophy

Background: Nasal obstruction is a highly prevalent problem caused by nasal septal deviation, with or without inferior turbinate hypertrophy. Nasal septoplasty and inferior turbinoplasty can improve the nasal airways. This study was designed to assess the efficacy of septoplasty alone and septoplasty with inferior turbinoplasty in cases having nasal septal deviation with inferior turbinate hypertrophy.Methods: A total 70 cases clinically diagnosed with the deviated nasal septum and inferior turbinate hypertrophy were randomly divided into two groups. Group 1 cases were under septoplasty alone and group 2 cases were under septoplasty with inferior turbinoplasty. Symptom improvement scores was assessed by sino nasal outcome test-20 (SNOT-20). Results: The mean reduction symptom score of nasal obstruction was 1.73 in septoplasty with inferior turbinoplasty group, while in septoplasty group it was 1.06. The mean reduction symptom score in group 2 was statistically significant. All the cases of group 2 had adequate first pass diagnostic nasal endoscopy (DNE). While in group 1, majority cases had inadequate first pass DNE. Conclusions: First pass DNE findings were favourable in the cases under septoplasty with inferior turbinoplasty Septoplasty with inferior turbinoplasty is effective in the reduction of nasal obstruction, facial pain, sleep difficulty, decrease in attentiveness and irritability in cases having deviated nasal septum with inferior turbinate hypertrophy.

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