Comparative Study between Endoscopic Aided Septoplasty with Two Handed Technique using Endoholder and Conventional Septoplasty

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.

scholarly journals Cortical Bone Trajectory Screws in Posterior Lumbar Interbody Fusion: Minimally Invasive Surgery for Maximal Muscle Sparing—A Prospective Comparative Study with the Traditional Open Technique

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Nicola Marengo ◽  
Marco Ajello ◽  
Michele Federico Pecoraro ◽  
Giulia Pilloni ◽  
Giovanni Vercelli ◽  
...  
Keyword(s):  
Comparative Study ◽  
Interbody Fusion ◽  
Pedicle Screws ◽  
Posterior Lumbar Interbody Fusion ◽  
Fusion Rate ◽  
Lumbar Interbody Fusion ◽  
Significant Difference ◽  
Prospective Comparative Study ◽  
One Year ◽  
Muscular Damage

Introduction. A prospective comparative study between classical posterior interbody fusion with peduncular screws and the new technique with divergent cortical screws was conducted. Material and Methods. Only patients with monosegmental degenerative disease were recruited into this study. We analyzed a cohort of 40 patients treated from January 2015 to March 2016 divided into 2 groups (20 patients went to traditional open surgery and 20 patients under mini-invasive strategy). Primary endpoints of this study are fusion rate and muscular damage; secondary endpoints analyzed were three different clinical scores (ODI, VAS, and EQ) and the morbidity rate of both techniques. Results. There was no significant difference in fusion rate between the two techniques. In addition, a significant difference in muscular damage was found according to the MRI evaluation. Clinical outcomes, based on pain intensity, Oswestry Disability Index status, and Euroquality-5D score, were found to be also statistically different, even one year after surgery. This study also demonstrated a correlation between patients’ muscular damage and their clinical outcome. Conclusions. Cortical bone trajectory screws would provide similar outcomes compared to pedicle screws in posterior lumbar interbody fusion at one year after surgery, and this technique represents a reasonable alternative to pedicle screws.

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>

scholarly journals A comparative study of endoscopic septoplasty and conventional septoplasty

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

<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>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.</p><p class="abstract"><strong><span lang="EN-US">Methods: </span></strong>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.  </p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>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.</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>For minimal and posterior deviations of the septum, endoscopic septoplasty is better, whereas for anterior deviations, conventional septoplasty could be better choice.</p>

Comparative Study of Endoscopic Septoplasty vs Conventional Septoplasty

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.

A Comparative Study of Endoscopic Coblation Adenoidectomy and Regular Curettage Adenoidectomy in a Tertiary Care Hospital in Kerala

2021 ◽  
Vol 8 (41) ◽  
pp. 3559-3566
Author(s):  
Abdul Salam R. T. ◽  
Shahul Hameed A. ◽  
Meera Rajan
Keyword(s):  
Blood Loss ◽  
Comparative Study ◽  
Tertiary Care ◽  
Operation Time ◽  
Care Hospital ◽  
Adenoid Tissue ◽  
Significant Difference ◽  
Tube Function ◽  
Prospective Comparative Study ◽  
The Mean

BACKGROUND An ideal surgery to remove hypertrophied adenoid mass should be safe, with less bleeding and operation time along with post-operative improvement in the eustachian tubal ventilation and normal respiration. It should also have low morbidity and mortality. Among the various methods described for its removal, the two commonly used methods are conventional cold curettage method and coblation technique. The purpose of this study was to collate the safety and efficacy of endoscopic coblation adenoidectomy with the conventional curettage adenoidectomy. METHODS A prospective comparative study with fifty patients was studied who underwent adenoidectomy. Twenty five patients underwent endoscopy assisted coblation adenoidectomy and twenty five patients underwent regular adenoidectomy by curettage. RESULTS Patients who underwent coblation adenoidectomy showed better results during follow up in terms of completeness of removal. 80 % of children undergoing regular adenoidectomy by curettage method showed remnant adenoid tissue in the nasopharynx at the end of the procedure. But it was 6 % among the children undergoing endoscopic assisted coblation adenoidectomy. The mean duration of operation was higher for endoscopic assisted coblation adenoidectomy which was significant statistically. The mean blood loss was 30.36 ml in regular curettage adenoidectomy; 10.6 ml with endoscopic coblation adenoidectomy. The grading of pain was significantly lower in endoscopic assisted coblation adenoidectomy. There was no significant difference between two groups in terms of eustachian tube function after surgery. CONCLUSIONS Coblation adenoidectomy has significant advantages over conventional adenoidectomy in terms of completeness of removal, reduced blood loss, and lower post-operative pain grade. KEYWORDS Coblation, Adenoidectomy, Curettage, Haemorrhage and Complications

Septoplasty in Pediatric Population: A Ten Years' Experience

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.

Use of N-butyl cyanoacrylate in nasal septoplasty: histopathological evaluation using rabbit nasal septum model

2010 ◽  
Vol 124 (7) ◽  
pp. 753-758 ◽  
Author(s):  
F Aksoy ◽  
F Yılmaz ◽  
Y S Yıldırım ◽  
K Gideroglu ◽  
Z Tatar
Keyword(s):  
Nasal Septum ◽  
Rabbit Model ◽  
Tissue Adhesive ◽  
Control Group ◽  
Open Approach ◽  
Septal Surgery ◽  
Nasal Floor ◽  
Significant Difference ◽  
Histopathological Evaluation ◽  
Haematoma Formation

AbstractObjectives:This study was designed to investigate the effects of the tissue adhesive N-butyl cyanoacrylate on nasal septal tissues after septal surgery in a rabbit model.Methods:Forty-two adult New Zealand rabbits were randomly divided into three groups (14 in each group): septoplasty alone, septoplasty plus N-butyl cyanoacrylate, and controls. The open approach was used to explore the nasal septum. After raising mucoperichondrial and mucoperiosteal flaps on both sides of the septum, the septum was detached from the nasal floor in the septoplasty alone and septoplasty plus N-butyl cyanoacrylate groups. In the septoplasty plus N-butyl cyanoacrylate group, the mucoperichondrial and mucoperiosteal flaps were fixed to the septum and the septum was fixed lateral to the nasal spine using N-butyl cyanoacrylate; in the septoplasty alone group, the septum was packed with Merocel. In the control group, no further septal surgery was performed after flap elevation. Animals were observed for bleeding and haematoma formation over the first 24 hours. Seven animals in each group were used to evaluate early histopathological effects on the septal tissues, at four weeks post-operatively; the other seven in each group were used to evaluate late effects, at 12 weeks.Results:Haematoma formation was observed in 10 animals in the septoplasty alone group, in four animals in the control group, and in only one animal in the septoplasty plus N-butyl cyanoacrylate group. The difference in haematoma incidence between the septoplasty alone and the septoplasty plus N-butyl cyanoacrylate groups was significant (p = 0.000). Histopathological evaluation revealed no significant difference between the groups as regards granulation tissue formation at week four versus week 12; however, there was a significant difference between the septoplasty plus N-butyl cyanoacrylate group and the control groups as regards inflammation at week 12 (p = 0.038). There was a significant difference between the septoplasty plus N-butyl cyanoacrylate group and the septoplasty alone group as regards the composition of the bone–cartilage junction zone at week four (p = 0.001). There was also a significant difference between the septoplasty plus N-butyl cyanoacrylate group and the control group as regards the cellular structure of new cartilage formation at week 12 (p = 0.004).Conclusions:In this rabbit septoplasty model, N-butyl cyanoacrylate appeared to be an effective nasal tissue adhesive, with a low complication rate.

El sentido de comunidad en la adaptación de los inmigrantes latinoamericanos

2020 ◽  
pp. 9
Author(s):  
Mario Millán-Franco ◽  
Luis Gómez-Jacinto ◽  
María Isabel Hombrados-Mendieta ◽  
Gloria Kirwan
Keyword(s):  
Social Work ◽  
Comparative Study ◽  
Social Workers ◽  
Latin American ◽  
Sense Of Community ◽  
Latin Americans ◽  
Prospective Comparative Study ◽  
One Year ◽  
The City ◽  
And Training

Se analizó la influencia del sentido de comunidad en la adaptación biopsicosocial de latinoamericanos residentes en la ciudad de Málaga, España. La muestra la formaron 34 personas de origen latinoamericano a las que se le hicieron dos mediciones en un intervalo de 18 meses. Se desarrolló un estudio comparativo prospectivo longitudinal de carácter aproximativo, en el que se compararon las relaciones entre las variables en función del tiempo de residencia previo en Málaga (menos/más de un año) y el efecto del paso del tiempo. Las dimensiones del sentido de comunidad se relacionaron consistentemente con las variables de adaptación biopsicosocial contempladas y se observó un cambio positivo en las variables de adaptación para ambos grupos. Se presentan implicaciones para la práctica y la capacitación de los/as trabajadores/as sociales y para la mejora de las políticas públicas, evidenciándose las potencialidades del Trabajo Social Comunitario en este ámbito.The influence of the sense of community on biopsychosocial adaptation of Latin Americans living in the city of Malaga, Spain, was analyzed. The sample consisted of 34 people of Latin American origin and two measurement were carried out in an interval of 18 months. An approximate longitudinal prospective comparative study was developed. The relationships between the variables were compared according to the length of time of residence in Malaga (less/more than one year) and the effect of the passage of time. The results showed that the dimensions of sense of community were consistently related to the biopsychosocial adaptation variables analyzed in this study and a positive change was observed in the adaptation variables for both groups. Implications for practice and training of social workers and public policies improvements are considered, revealing the potential of Community Social Work in this area.

scholarly journals A Study on Clinical Profile of Deviated Nasal Septum and to determine the Efficacy of the Surgery

2017 ◽  
Vol 10 (2) ◽  
pp. 70-73
Author(s):  
Mohan Mogarnad ◽  
Vandana Mohta
Keyword(s):  
Nasal Septum ◽  
Clinical History ◽  
Likert Scale ◽  
Clinical Profile ◽  
Nasal Discharge ◽  
Deviated Nasal Septum ◽  
Medical College ◽  
Subjective Scale ◽  
Septal Surgery ◽  
Detailed Clinical History

ABSTRACT Aim To study the clinical profile of deviated nasal septum and to assess the subjective efficacy of the surgical outcome using Likert scale. Materials and methods This study is a prospective, observational, single-center study from October 2013 to May 2015. The study was conducted in Sri Siddhartha Medical College, Tumkur, Karnataka, India. A detailed clinical history was taken and clinical examination of the patient was carried out. Sixty symptomatic patients were taken up. Patient scored their symptom-related severity using a Likert scale preoperatively. All patients underwent conventional septoplasty. Postoperatively, their symptoms were scored on 30th, 45th, and 90th day. Results Preoperative and Postoperative values were analyzed. Statistically significant improvement was observed in the entire population: Nasal obstruction (p<0.001), headache (p<0.001), nasal discharge (p<0.001), facial pain (p<0.001), and hyposmia (p<0.001). Patient satisfaction was high and they used fewer nasal medications. Conclusion After surgical correction of the septum and analysis of the subjective scale, i.e., Likert scale showed improvement in all symptoms. The principal benefits of septal surgery relate to improvement in nasal symptoms. How to cite this article Mogarnad M, Mohta V. A Study on Clinical Profile of Deviated Nasal Septum and to determine the Efficacy of the Surgery. Clin Rhinol An Int J 2017;10(2):70-73.

scholarly journals A comparative study of conventional septoplasty versus endoscopic septoplasty

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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