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.

scholarly journals Comparison between Endoscopic Septoplasty and Conventional Septoplasty: Our Experience

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.

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.

COMPARATIVE STUDY ON IMPROVEMENT OF NASAL SYMPTOMS FOLLOWING SEPTOPLASTY WITH PARTIAL INFERIOR TURBINECTOMY VS SEPTOPLASTY ALONE IN ADULTS WITH DEVIATED NASAL SEPTUM

2021 ◽  
pp. 62-65
Author(s):  
Subhadeep Chowdhury ◽  
Tithi Debnath ◽  
Sweta Verma
Keyword(s):  
Comparative Study ◽  
Nasal Obstruction ◽  
Nasal Septum ◽  
Tertiary Care ◽  
Inferior Turbinate ◽  
Deviated Nasal Septum ◽  
Nose Scale ◽  
Nasal Symptoms ◽  
Group A ◽  
Group B

BACKGROUND: Nasal obstruction is a common presenting symptom which otolaryngologists encounter in daily clinical practice. One of the most common cause of nasal obstruction is deviated nasal septum(DNS). DNS to one side is associated with overgrowth of inferior turbinate on the contralateral side. Septoplasty alone or septoplasty with inferior turbinate reduction is the mode of treatment but that depends upon the decision of the operative surgeon. In this study we aim to collect data and come to a conclusion as to which surgery is benecial for the patients. AIMS AND OBJECTIVES: (1) To compare the symptomatic improvement of nasal symptoms following septoplasty with partial inferior turbinectomy versus septoplasty alone by NOSE Scale. (2) To corroborate the subjective ndings of NOSE Scale by rhinomanometry and nasal endoscopy. METHODOLOGY: A prospective and comparative study was done on 60 patients over a period of 1 year in a tertiary care centre. Patients were alternatively divided into two surgical groups Group A- septoplasty with partial inferior turbinectomy and Group B- septoplasty alone. Nasal Obstruction Symptom Evaluation(NOSE) was used for subjective evaluation of nasal symptoms. Rhinomanometry was used as a tool for objective evaluation of symptoms. Data was analysed using tables, graph and percentage and test of signicance. Post operative improvement RESULTS: following both group A septoplasty with partial inferior turbinectomy and group B Septoplasty alone was signicant at post op 1,3 and 6 months respectively. When both groups were compared those undergoing partial inferior turbinectomy with septoplasty had highly signicant results by NOSE scale as well as rhinomanometry and endoscopy. This study showed tha CONCLUSION: t hypertrophied turbinate need to be addressed in chronic cases of nasal obstruction with deviated nasal symptom with contralateral turbinate hypertrophy. Thus we can conclude that partial inferior turbinectomy should be done in addition to septoplasty as it is a highly effective modality for treatment of nasal obstruction in patients of nasal obstruction in patients with deviated nasal septum.

scholarly journals A comparative study of endoscopic versus conventional septoplasty

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

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> 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.  </p><p class="abstract"><strong>Results:</strong> 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.</p><p class="abstract"><strong>Conclusions:</strong> 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.</p>

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

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.

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>

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

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

<p class="abstract"><strong>Background:</strong> 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<strong> </strong>septoplasty</p><p class="abstract"><strong>Methods:</strong> 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.  </p><p class="abstract"><strong>Results:</strong> 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.</p><p><strong>Conclusions:</strong> 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.</p>

An endoscopic approach to the deviated nasal septum – a preliminary study

1998 ◽  
Vol 112 (10) ◽  
pp. 934-939 ◽  
Author(s):  
Dipak Ranjan Nayak ◽  
R. Balakrishnan ◽  
K. Deepak Murthy
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Objective Assessment ◽  
Subjective Assessment ◽  
Endoscopic Approach ◽  
Lateral Nasal Wall ◽  
Combined Approach ◽  
Deviated Nasal Septum ◽  
Nasal Endoscope ◽  
Preliminary Study

AbstractThe authors have used the nasal endoscope for the precise identification of pathological abnormalities of the nasal septum in relation to the lateral nasal wall including the osteo-meatal complex and in its ultraconservative management. The aim of the study was to compare the efficacies of endoscope-aided septoplasty (EAS) over traditional septoplasty (TS) in treating the pathological septum and turbinates, performed in 30 cases each. The subjective assessment was carried out by visual analogue scores and objective assessment by nasal endoscopy. This study demonstrates the superiority and limitations of the endoscopic approach in managing a deviated nasal septum and the turbinates. The endoscope-aided technique was found to be more effective in relieving the contact areas and nasal obstruction (p = ≤0.05). The authors advocate a combined approach – an endoscopic approach for inaccessible posterior deviation and the conservative traditional technique for accessible anterior deviation of the nasal septum.

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