ABSTRACT
Introduction: A deviated septum can be asymptomatic or cancause functional and cosmetic abnormality. Different studieshave been proposed for correction of deviated septum butseptoplasty has been the treatment of choice. Septoplasty is amore conservative surgery and endoscopic septoplasty hasbecome increasingly popular over the last few decades.Methods: The study was carried out to compare thepostoperative results among patients of conventional andendoscopic septoplasty and to assess the efficacy ofendoscopic septoplasty with other surgeries. The present studywas conducted among 40 patients of deviated nasal septumadmitted in the department of otolaryngology of Adesh Instituteof Medical Sciences and Research, Bathinda. Patients wereselected by simple random sampling and were divided intogroup A and B, with 20 patients in each group. Group Aunderwent conventional septoplasty and group B underwentendoscopic septoplasty.Results: The male to female ratio in the present study was 3:1.Deviated nasal septum was commonly associated with inferiorturbinate hypertrophy (45%) and concha bullosa (27.5%).Postoperatively, a significant relief from the symptoms ofnasal obstruction (85%), nasal discharge (25%), headache(30%) and post nasal drip (55%) was observed in endoscopicseptoplasty. Complication rate was higher in conventionalseptoplasty. The endoscopic approach facilitates properalignment by limited and precise resection of pathologicalareas.Conclusion: Endoscopic Septoplasty provides preciseresection of the pathological areas and better illumination withlimited flap dissection and exposure.
ABSTRACT
The study was carried out to compare the postoperative morbidity among patients of conventional and endoscopic septoplasty and to assess the efficacy and use of endoscopic septoplasty with other endoscopic surgeries. The present prospective study was conducted among 100 patients of deviated nasal septum, admitted in the department of Otorhinolaryngology, of Sawai Man Singh Medical College and hospital, Jaipur, Rajasthan. Patients were selected by simple random sampling procedure and were divided into group A and B, with 50 cases in each group. Group A underwent conventional septoplasty and group B underwent endoscopic septoplasty. Deviated nasal septum was commonly associated with inferior turbinate hypertrophy (75%) and concha bullosa (26%). Postoperatively, a significant relief from the symptoms of nasal obstruction (96%), nasal discharge (88%), headache (100%) and post nasal drip (67%) was observed in endoscopic septoplasty. Posterior deviations were best corrected by endoscopic septoplasty. Complication rate was higher in conventional septoplasty. The endoscopic approach to septoplasty facilitates accurate identification of the pathology. It facilitates realignment by limited and precise resection of the pathological areas.