Conventional vs. endoscopic septoplasty: our experience

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.

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Septoplasty techniques- conventional versus endoscopic: our experience

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20174320 ◽

2017 ◽

Vol 3 (4) ◽

pp. 990 ◽

Cited By ~ 2

Author(s):

Renu Rajguru ◽

Inderdeep Singh ◽

J. R. Galagali ◽

Anubhav Singh

Keyword(s):

Symptomatic Relief ◽

Tertiary Care ◽

Sinus Surgery ◽

Human Beings ◽

Tertiary Care Centre ◽

Deviated Nasal Septum ◽

Cross Sectional ◽

Endoscopic Septoplasty ◽

Gain Access ◽

Anterior Posterior

Background: Deviated nasal septum is one of the most common disorders in human beings, which may lead to symptoms of nasal obstruction, headache, epistaxis, hyposmia, and post nasal drip. DNS correction may also be required to gain access during intranasal procedures like endoscopic sinus surgery, endoscopic dacryocystor-hinostomy and skull base surgery. The technique of septoplasty has evolved over the decades with a tendency towards more conservative and precise surgery. Over the last few decades endoscopic septoplasty has become increasingly popular.Methods: It was a cross-sectional comparative study done to compare the efficacy of endoscopic septoplasty with conventional septoplasty, conducted at a tertiary care centre over a period of 3 years. Records of 100 patients of nose and PNS disorders with DNS who were operated either by conventional or by endoscopic technique were studied. The patients were studied for the improvement in their symptoms, anatomical correction and intra-operative/post-operative complications. Results: Endoscopic septoplasty group patients showed better symptomatic relief, lesser incidence of residual anterior /posterior deviation and persistent spur and less complications as compared to the conventional septoplasty group.Conclusions: In our study we found more clientele satisfaction and lesser rate of complications in endoscopic septoplasty group. We recommend all ENT specialists to be trained in nasal endoscopic septoplasty technique as it offers many advantages such as more precision in post nasal spurs with less flap tears, it can be tailor made according to the disease and can be combined with various endoscopic surgeries.

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Abstract #1100: Tumor Induced Osteomalacia: Clinical; Biochemical and Radiological Features from a Single Tertiary Care Centre with Emphasis on Functional Imaging.

Endocrine Practice ◽

10.1016/s1530-891x(20)44225-9 ◽

2017 ◽

Vol 23 ◽

pp. 289

Author(s):

Vineet Surana ◽

Rajesh Khadgawat ◽

Nikhil Tandon ◽

Chandrashekhar Bal ◽

Kandasamy Devasenathipathy

Keyword(s):

Functional Imaging ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre ◽

Radiological Features

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Emerging Antimicrobial Resistance Among Methicillin Resistant Staphylococcus Aureus (MRSA) in a Tertiary Care Centre in North India

JMS SKIMS ◽

10.33883/jms.v23i1.747 ◽

2020 ◽

Vol 23 (1) ◽

pp. 48-49

Author(s):

Javaid Ahmad Bhat ◽

Shariq Rashid Masoodi

Keyword(s):

Staphylococcus Aureus ◽

Antimicrobial Resistance ◽

Tertiary Care ◽

Resistance Mechanisms ◽

North India ◽

Global Public Health ◽

Care Centre ◽

Tertiary Care Centre ◽

Effective Prevention ◽

Mupirocin Resistance

Apropos to the article by Dr Bali, titled “Mupirocin resistance in clinical isolates of methicillin-sensitive and resistant Staphylococcus aureus in a tertiary care centre of North India” (1), the authors have raised important issue of emerging antimicrobial resistance (AMR). Antimicrobial resistance is an increasingly serious threat to global public health that requires action across all government sectors and society. As per WHO, AMR lurks the effective prevention and management of an ever-increasing spectrum of infections caused by bacteria, parasites, fungi and viruses. Novel resistance mechanisms are emerging and spreading globally, threatening the man’s ability to treat common infectious diseases.

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