A comparative study of conventional septoplasty versus endoscopic septoplasty

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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Endoscopic Septoplasty: Prospective Study in 50 Cases of DNS

Clinical Rhinology An International Journal ◽

10.5005/jp-journals-10013-1161 ◽

2013 ◽

Vol 6 (2) ◽

pp. 92-95 ◽

Cited By ~ 1

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.

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A comparative study on the surgical outcome of submucous resection and septoplasty

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20203561 ◽

2020 ◽

Vol 6 (9) ◽

pp. 1623

Author(s):

G. Agaman ◽

Nowfal A. Kabeer

Keyword(s):

Nasal Obstruction ◽

Surgical Outcome ◽

Nasal Septum ◽

Symptom Relief ◽

Treatment Protocol ◽

Nasal Discharge ◽

Deviated Nasal Septum ◽

Mucosal Resection ◽

Postnasal Drip ◽

Submucous Resection

Introduction: Surgery on a deviated septum has seen several modifications since its inception, starting from radical septal resection to the preservation of the possible septal framework. Deviated nasal septum (DNS) leads to nasal obstruction is a common problem encountered by the Otolaryngologist. Many surgeries are available for correcting septal disorders. The aim of our study is to compare the surgical outcome of submucous resection and septoplasty.Methods: This prospective comparative single institutional interventional study was conducted in the department of otorhinolaryngology, Aarupadai Veedu Medical College between October 2015 to September 2017 to compare the submucous resection and septoplasty. Total of 50 patients who randomly divided into two groups and the treatment protocol and follow up protocol was followed and the outcome results were statistically analysed and discussed.Results: Out of 50 patients 25 patients had sub mucosal resection and 25 patients had septoplasty. All the 50 patients had nasal obstruction followed by headache present 35 patients, nasal discharge in 6 patients, postnasal drip in 7 patients and hyposmia in 7 patients. Based on endoscopy finding c shaped DNS 43 patients, 7 patients had s-shaped DNS, 7 patients had spur. Based on postoperative symptoms, the nasal block was present in 3 patients.Conclusion: From this study, we concluded that deviated nasal septum is more common in females of age group 30 years with the most common symptoms is nasal obstruction. Symptom relief is comparatively equal in both the surgeries but the complication is more common in sub mucosal resection.

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A comparative study of endoscopic versus conventional septoplasty: an analysis of 50 cases

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20174330 ◽

2017 ◽

Vol 3 (4) ◽

pp. 1046

Author(s):

Sagar Chandra ◽

Nitish Baisakhiya

Keyword(s):

Nasal Obstruction ◽

Nasal Septum ◽

Posterior Part ◽

Surgical Correction ◽

Nasal Discharge ◽

Deviated Nasal Septum ◽

Nasal Endoscope ◽

Endoscopic Septoplasty ◽

Group A ◽

Group B

Background: Nasal obstruction is the most common complaint in ENT practice. Surgical correction of deviated nasal septum has been performed by a variety of techniques of which sub mucous resection and Septoplasty procedures of surgical correction of nasal septum play a prime role in management of patients of nasal obstruction. Nasal endoscope is very useful tool to visualize 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 septoplastyMethods: 50 cases (between (Oct. 2014 - March 2016) of deviated nasal septum selected in this prospective study and they were randomly divided equally in 2 groups for endoscopic (A) and conventional (B) septoplasty respectively. Results: The study included 50 cases. Majority of patients in this study were males 84% (n=42) and 16% (n=18) were female. 46% (n=23) patients had DNS to right side and 54% (n=27) patients had left side, anterior deviation (48%). C and S shaped deviations (14%). Spur was present in 22% (n=11) of cases and 10% (n=5) patients presented with thickening. After completing 2 months of follow up 92% (n=23) of group A and 88% (n=22) of group B were relieved from nasal discharge, while nasal obstruction was absent in 96% (n=24) patients of group A and 80% (n= 20) of group B. 4% cases (n=1) in endoscopic septoplasty was having persistent deviated nasal septum and 16% (n=4) patients of conventional septoplasty belong to this group.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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Comparative Study between Endoscopic Aided Septoplasty with Two Handed Technique using Endoholder and Conventional Septoplasty

Journal of College of Medical Sciences-Nepal ◽

10.3126/jcmsn.v16i3.29193 ◽

2020 ◽

Vol 16 (3) ◽

Author(s):

Apar Pokharel ◽

Naganawalachullu Jaya Prakash Mayya ◽

Nabin Gautam

Keyword(s):

Comparative Study ◽

Nasal Septum ◽

Deviated Nasal Septum ◽

Endoscopic Septoplasty ◽

Septal Surgery ◽

Significant Difference ◽

Common Causes ◽

Prospective Comparative Study ◽

Evolutionary Step ◽

One Year

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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Morphological and histopathological study of hypertrophied inferior nasal turbinate in Egyptian patients: in clinical perspective

The Egyptian Journal of Otolaryngology ◽

10.1186/s43163-020-00024-2 ◽

2020 ◽

Vol 36 (1) ◽

Author(s):

Ashraf Ali El-Demerdash ◽

Essam Abdel Wanees Beheiry ◽

Sherif Maher El-Aini ◽

Asmaa Shams El-Dein Mohamed ◽

Ahmed Mohamed Ibrahim Khattab

Keyword(s):

Layer Thickness ◽

Nasal Septum ◽

Inferior Turbinate ◽

Military Hospital ◽

Deviated Nasal Septum ◽

Nasal Turbinate ◽

Egyptian Patients ◽

Mucosal Layer ◽

Group A ◽

Group B

Abstract Background The inferior nasal turbinates have important role in the maintenance of nasal breathing function by providing the nasal valve mechanism necessary for the regulation of air flow through the nose. Hypertrophied inferior nasal turbinates are the second most common cause of chronic nasal obstruction. Our aim of this study is to evaluate the morphological and histopathological features of hypertrophied inferior nasal turbinate in Egyptian patients. Methods Our descriptive comparative study was carried on 30 patients presented with hypertrophied inferior nasal turbinate by clinical and radiological assessment. Patients are divided into two groups according to CT scan and endoscopic examination as group A for patients with deviated nasal septum with compensatory hypertrophied inferior nasal turbinate and group B for patients with hypertrophied inferior nasal turbinate due to allergic rhinosinusitis. Both groups underwent the same operation which partial controlled posterior inferior turbinectomy. During the period from June 2018 till May 2019, patients were selected from out-patient’s clinic of Otorhinolaryngology Department at Menoufia University Hospital and Shebin El-Kom Teaching Hospital, and Military Hospital. Results By histopathological examination of the specimens, we found out that the bony layer thickness was more prominent in group A and the mucosal layer thickness was more prominent in group B. The prominent inflammatory cells were lymphocytes in group A and eosinophils plus mast cells in group B. Conclusion The bony layer thickness should be excised during the surgical treatment of cases presented with deviated nasal septum with hypertrophied inferior turbinate where in cases of allergic rhinitis with hypertrophied inferior turbinate, the mucosal layer is enough to be excised.

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CLINICAL PROFILE OF CHRONIC RHINOSINUSITIS: A STUDY IN CENTRAL INDIA

10.36106/paripex/1809951 ◽

2021 ◽

pp. 104-106

Author(s):

Tanvi Rekhade ◽

A.Z. Nitnaware ◽

Seema Patel ◽

R.T. Pawar ◽

Ashish Keche

Keyword(s):

Quality Of Life ◽

Chronic Rhinosinusitis ◽

Nasal Septum ◽

Nasal Polyps ◽

Central India ◽

Nasal Discharge ◽

Deviated Nasal Septum ◽

Northern India ◽

Causative Factors

Chronic Rhinosinusitis (CRS) has heavy implications on the quality of life and has a prevalence of about 46.1 % in northern India with similar pattern across the country.This research has been undertaken to study the presentation and causative factors for CRS in central India. Data of 100 patients diagnosed as CRS was studied. Patients presented with nasal obstruction and nasal discharge at large. Nasal polyps were seen in 37% cases. The most common associated etiopathological factor was anatomical obstruction due to deviated nasal septum.

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The Impact of Middle Turbinate Concha Bullosa on the Severity of Inferior Turbinate Hypertrophy in Patients with a Deviated Nasal Septum

American Journal of Neuroradiology ◽

10.3174/ajnr.a4705 ◽

2016 ◽

Vol 37 (7) ◽

pp. 1324-1330 ◽

Cited By ~ 8

Author(s):

C. M. Tomblinson ◽

M.- R. Cheng ◽

D. Lal ◽

J. M. Hoxworth

Keyword(s):

Nasal Septum ◽

Middle Turbinate ◽

Inferior Turbinate ◽

Concha Bullosa ◽

Deviated Nasal Septum ◽

Turbinate Hypertrophy ◽

Inferior Turbinate Hypertrophy ◽

The Impact

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Septoplasty in Pediatric Population: A Ten Years' Experience

Birat Journal of Health Sciences ◽

10.3126/bjhs.v5i2.31379 ◽

2020 ◽

Vol 5 (2) ◽

pp. 1040-1044

Author(s):

Krishna Prasad Koirala

Keyword(s):

Nasal Septum ◽

Residual Disease ◽

Pediatric Population ◽

Adult Population ◽

Septal Deviation ◽

Facial Growth ◽

Nasal Breathing ◽

Deviated Nasal Septum ◽

Female Ratio ◽

Septal Surgery

Introduction: Septoplasty is a commonly performed surgical procedure worldwide in otorhinolaryngology. Septoplasty aims to correct the deviated nasal septum at the midline thereby opening the nasal airway in patients with long standing nasal obstruction secondary to septal deviation. Nasal breathing is important for proper facial growth and improvement of quality of life in children. Most surgeons are still reluctant to perform septoplasty in children. But septoplasty should be performed in children if there are severe breathing problems related to septal deviation. Objectives: The objectives of this study were to identify the incidence of children presenting with symptomatic nasal septal deviation and to analyze the early outcomes of septal surgery in children with regard to improvement in nasal symptoms, residual disease and need for revision surgery. Methodology: Children less than seventeen years of age who underwent septoplasty for symptomatic DNS from 1st January 2009 to 31st December 2018 were enrolled in the study. Patients having the follow up record of at least 6 months after surgery were included in the final analysis. Results: There were 37 male and 13 female children enrolled in the study. Male to female ratio was 2.84:1.Majority of children in the study were of 13 years (24%). Left sided DNS was seen in 28 children and right sided DNS in 22 children. Bleeding requiring re-packing, septal hematoma, recurrent DNS, synechia and septal perforation were the common complications, which were comparable to adult population. Conclusion: Early correction of the obstructed nose due to deviated nasal septum is essential to provide normal nasal breathing, relieve complications of mouth breathing and to promote normal craniofacial growth. Septoplasty can be performed in pediatric population with relatively good results without occurrence of nasal deformity and equal complications as that in adults.

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Conventional vs. endoscopic septoplasty: our experience

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20175933 ◽

2018 ◽

Vol 4 (2) ◽

pp. 403 ◽

Cited By ~ 1

Author(s):

Visweswara Rao Suraneni ◽

Suneel Kudamala ◽

Srikanth K.

Keyword(s):

Symptomatic Relief ◽

Tertiary Care ◽

Conservative Surgery ◽

The Other ◽

Care Centre ◽

Tertiary Care Centre ◽

Accurate Identification ◽

Endoscopic Septoplasty ◽

Septal Damage ◽

Deviated Septum

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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Prevalence and clinical features of nasal septum deviation: a study in an urban centre

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20173670 ◽

2017 ◽

Vol 3 (4) ◽

pp. 842 ◽

Cited By ~ 2

Author(s):

Vinnakota Sriprakash

Keyword(s):

Nasal Cavity ◽

Nasal Obstruction ◽

Nasal Septum ◽

Critical Role ◽

Geographical Area ◽

Nasal Discharge ◽

Deviated Nasal Septum ◽

Septum Deviation ◽

Aesthetic Appearance ◽

Nasal Septum Deviation

Background: Considerably large nasal septum plays a critical role in the obstruction of the nasal cavity, leading to snoring, and other symptoms, aesthetic appearance of the nose, and increased nasal resistance. This study was performed with an aim to investigate the prevalence of nasal septum deviation in our geographical area.Methods: 446 patients who attended the ENT department in the study period were evaluated for the nasal septum deviation. General demographic details were obtained from all of them. Detailed physical exam was performed on all the patients. Disposable nasal speculum and otoscope was used to observe the interior of the nasal cavity. Results: Out of 446 patients visiting the ENT department of our hospital, 138 (30.9%) of them had DNS. The C shaped NSD was the most common type to be encountered in our study, with 57 patients showing this disorder. Nasal obstruction was the predominant symptom observed in 119 (86.2%) of the patients, followed by rhinitis and nasal discharge (34.8%).Conclusions: Deviated nasal septum is a very prevalent condition in our area, with severe symptoms such as nasal obstruction and rhinitis. Most of the patients had C shaped deviated septum.

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