A Comparative Study of Conventional Septoplasty Verses Endoscopic Septoplasty

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 31.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.