A clinical study of deviated nasal septum with special reference to conventional and endoscopic septoplasty

Introduction: Deviated nasal septum is one of the most common causes for the nasal obstruction. The objective of this study is to compare the surgical outcomes in patients undergoing conventional septoplasty and endoscopic septoplasty in the management of deviated nasal septum. Methods: Prospective comparative study was conducted on 60 patients who presented to the Department of ENT, College of Medical sciences, during a period of one year. The severity of the symptoms was subjectively assessed using NOSE score and objectively assessed using modified Gertner plate. Results: There was significant improvement in functional outcome like NOSE Score and area over the Gertner plate among patients who underwent endoscopic septoplasty. Significant difference in incidence of post-operative nasal synechae and haemorrhage was seen in conventional group compared to endoscopic group. Conclusions: Endoscopic surgery is an evolutionary step towards solving the problems related to deviated nasal septum. It is safe, effective and conservative, alternative to conventional septal surgery.

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A comparative study of conventional septoplasty versus endoscopic septoplasty

10.25259/aujmsr_8_2019 ◽

2019 ◽

Vol 1 ◽

pp. 27-30

Author(s):

Bavneet Kour ◽

Grace Budhiraja ◽

Kunzes Dolma ◽

Danish Guram

Keyword(s):

Nasal Septum ◽

Inferior Turbinate ◽

Simple Random Sampling ◽

Conservative Surgery ◽

Nasal Discharge ◽

Deviated Nasal Septum ◽

Female Ratio ◽

Endoscopic Septoplasty ◽

Deviated Septum ◽

Postnasal Drip

Introduction: A deviated septum can be asymptomatic or can cause functional and cosmetic abnormalities. Different studies have been proposed for the correction of deviated septum, but septoplasty has been the treatment of choice. Septoplasty is a more conservative surgery and endoscopic septoplasty has become increasingly popular over the past few decades. Materials and Methods: The study was carried out to compare the post-operative results among patients of conventional and endoscopic septoplasty and to assess the efficacy of endoscopic septoplasty with other surgeries. The present study was conducted among 40 patients of deviated nasal septum admitted in the Department of Otolaryngology of Adesh Institute of Medical Sciences and Research, Bathinda. Patients were selected by simple random sampling and were divided into Groups A and B, with 20 patients in each group. Group A underwent conventional septoplasty and Group B underwent endoscopic septoplasty. Results: The male-to-female ratio in the present study was 3:1. Deviated nasal septum was commonly associated with inferior turbinate hypertrophy (45%) and concha bullosa (27.5%). Postoperatively, a significant relief from the symptoms of nasal obstruction (85%), nasal discharge (25%), headache (30%), and postnasal drip (55%) was observed in endoscopic septoplasty. Complication rate was higher in conventional septoplasty. The endoscopic approach facilitates proper alignment by limited and precise resection of pathological areas. Conclusion: Endoscopic septoplasty provides precise resection of the pathological areas and better illumination with limited flap dissection and exposure.

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Advantages and Limitations of Endoscopic Septoplasty: Experience of 120 Cases

Volume 5 - 2020, Issue 9 - September - International Journal of Innovative Science and Research Technology ◽

10.38124/ijisrt20jul216 ◽

2020 ◽

Vol 5 (7) ◽

pp. 233-238

Author(s):

Md. Ashraful Islam ◽

Tareq Mohammad ◽

Nazmul Hossain Chowdhury ◽

Towsif Bin Mamoo ◽

Farid Uddin Milki ◽

...

Keyword(s):

Nasal Septum ◽

Endoscopic Approach ◽

Sinus Surgery ◽

Deviated Nasal Septum ◽

Patient’S Satisfaction ◽

Male Predominance ◽

Endoscopic Septoplasty ◽

Additional Surgery ◽

Number Of Patients ◽

A Prospective Study

Objective: Traditional surgeries for the deviated nasal septum improves the nasal airway but recent development and advancement of the knowledge about endoscope has changed the treatment modality significantly. Endoscopic approach under good Illumination and magnification lessen the complication. This study is done to see the advantages and limitations of endoscopic septoplasty Method: Total 120 cases of symptomatic deviated nasal septum, refractory to conservative medical treatment were randomly selected on the basis of clinical examination in a single institute. It was a prospective study, performed to see the advantages and limitations of endoscopic septoplasty. Informed written consent was taken in all cases. All the patients underwent endoscopic septoplasty under general anesthesia after proper evaluation. Results: There was a slight male predominance. 13 year child was the youngest patient and 58 was the oldest. During endoscopic septoplasty a large number of patients needed some additional surgery like, inferior turbinoplasty in 27 (22.5%), functional endoscopic sinus surgery in 11 patients (9.16%) etc. The complication rate was minimum (4.16%). Patient’s satisfaction was high. Though there were some limitations but we observed so many advantages of this procedure. Conclusion: Though conventional Septoplasty is widely practiced by most ENT surgeons till now, the endoscopic approach can be considered as a better alternative

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A comparative study of endoscopic versus conventional septoplasty

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20203205 ◽

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

Background: 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.Methods: 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. Results: 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.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.

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Comparison between Endoscopic Septoplasty and Conventional Septoplasty: Our Experience

Clinical Rhinology An International Journal ◽

10.5005/jp-journals-10013-1242 ◽

2015 ◽

Vol 8 (3) ◽

pp. 93-98

Author(s):

Kandakure Vinod Tukaram

Keyword(s):

Functional Outcome ◽

Surgical Procedures ◽

Nasal Septum ◽

Randomized Study ◽

Functional Results ◽

Government Medical College ◽

Deviated Nasal Septum ◽

Endoscopic Septoplasty ◽

Medical College ◽

The Difference

ABSTRACT Introduction Nasal obstruction due to deviated nasal septum is a common problem encountered by otolaryngologists. A variety of surgical procedures have been tried in the treatment of the same. Objective This study was conducted to evaluate the outcomes and complications of endoscopic and conventional septoplasty. Materials and methods This is a prospective, randomized study done in Government Medical College, Latur in which 52 patients with symptomatic deviated nasal septum were included in the study. Eighteen of them underwent conventional septoplasty and the rest had endoscopic septoplasty. Results The difference in the functional outcome of both the surgeries was insignificant. Endoscopic septoplasty had better outcome with respect to complications and proved as an easier method to correct posterior deviations and isolated spurs. Conclusion Endoscopic septoplasty allows accurate, conservative repair of obstructive nasal septum deviations, with fewer complications and better functional results compared to conventional septoplasty. How to cite this article Tukaram KV, Lahane VJ, Mishra S, Prakash NP. Comparison between Endoscopic Septoplasty and Conventional Septoplasty: Our Experience. Clin Rhinol An Int J 2015;8(3):93-98.

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Comparative study of outcomes of conventional and endoscopic septoplasty

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20212901 ◽

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

Background: 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.Methods: 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 7th day, 1 month and 3 months. The study was conducted at Surat Municipal Institute of Medical Education and Research (SMIMER), Surat.Results: 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.Conclusions: 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.

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Endoscopic Septoplasty: Advantages and Disadvantages

Clinical Rhinology An International Journal ◽

10.5005/jp-journals-10013-1022 ◽

2010 ◽

Vol 3 (1) ◽

pp. 27-30 ◽

Cited By ~ 3

Author(s):

Shashidhar S Suligavi ◽

MK Darade ◽

BD Guttigoli

Keyword(s):

Nasal Septum ◽

Deviated Nasal Septum ◽

Endoscopic Septoplasty ◽

Advantages And Disadvantages ◽

Postoperative Symptoms

Abstract Our study was conducted to assess the advantages and disadvantages of use of endoscopes use in septoplasty. Hundred patients with symptomatic deviated nasal septum were randomly divided into endoscopic septoplasty (ES) group and conventional septoplasty (CS) group of 50 patients each. The two groups were compared for technique, improvement in symptoms and complications. The postoperative symptoms and complications were significantly less in ES group due to better visualization and minimal dissection.

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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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A comparative study of endoscopic septoplasty and conventional septoplasty

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20200565 ◽

2020 ◽

Vol 6 (3) ◽

pp. 453

Author(s):

Kiran A. Deshmukh ◽

Rashmi T. Ambiger

Keyword(s):

Comparative Study ◽

Prospective Study ◽

Hospital Stay ◽

Nasal Septum ◽

Deviated Nasal Septum ◽

Endoscopic Septoplasty ◽

Advantages And Disadvantages ◽

Duration Of Surgery ◽

A Prospective Study ◽

Endoscopic Group

Background: The aim of the study was to study the advantages and disadvantages of endoscopic septoplasty and conventional septoplasty and to co-relate the two procedures in terms of intra-operative visualization, duration of surgery, procedural difficulties, hospital stay and complications.Methods: It is a prospective study done during November 2017 to April 2019 on 50 patients with symptomatic deviated nasal septum. Patients were randomly divided into conventional septoplasty and endoscopic septoplasty groups of 25 each. Surgery was performed as according to the division. Followed up on 1st week, 15th day, 1st month and 3rd month. Results: In endoscopic septoplasty group, septal pathology, precise correction of the pathology, with less complications were seen. Hospital stay and duration of surgery were significantly less in endoscopic group.Conclusions: For minimal and posterior deviations of the septum, endoscopic septoplasty is better, whereas for anterior deviations, conventional septoplasty could be better choice.

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Comparative Study of Endoscopic Septoplasty vs Conventional Septoplasty

International Journal of Advanced and Integrated Medical Sciences ◽

10.5005/jp-journals-10050-10018 ◽

2016 ◽

Vol 1 (2) ◽

pp. 49-51

Author(s):

Abhinav Srivastava ◽

Akanksha Yadav

Keyword(s):

Comparative Study ◽

Nasal Obstruction ◽

Surgical Procedures ◽

Nasal Septum ◽

Randomized Study ◽

Prospective Randomized Study ◽

Deviated Nasal Septum ◽

Endoscopic Septoplasty

ABSTRACT Nasal obstruction due to deviated nasal septum (DNS) is a common problem encountered by otolaryngologists. A variety of surgical procedures have been tried in the treatment of the same. This study was conducted to evaluate the outcomes and complications of endoscopic and conventional septoplasty. This prospective, randomized study was conducted on 50 patients with symptomatic DNS, 25 of whom underwent conventional septoplasty, and the rest underwent endoscopic septoplasty. It was found that it is easier to correct posterior deviations and isolated spurs with endoscopic septoplasty with less complications and good results. How to cite this article Yadav A, Mohan C, Srivastava A. Comparative Study of Endoscopic Septoplasty vs Conventional Septoplasty. Int J Adv Integ Med Sci 2016;1(2):49-51.

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