Outcome of septoplasty as a day case. A clinical audit done at doncaster royal infirmary and rotheram district general hospital

ABSTRACT

This clinical audit was carried out at department of ENT at Royal Infirmary Doncaster and Rotheram District General Hospital Rotheram to review the surgical outcome of Septoplasty along with the incidence of complications, and to determine the level of patient satisfaction with day case septoplasty and septorhinoplasty. Multiple perioperative patient and surgeon dependent treatment variables were also evaluated to determine their impact on outcome. A retrospective casenote review of 110 patients who had septoplasty +/- other nasal procedures between May 2002 and Aug 2003 Septoplasty done as day case surgery achieved desired results for 83% of patients with Deflected nasal Septum, with significant improvement in symptomatology. There were no serious complications or adverse outcomes. The incidence of complications was comparable to previous published studies. Among all the evaluated variables a history of previous nasal surgery predicted worse outcome. We conclude our this experience by commiting that Day case/23 hours septoplasty is reliably safe with an acceptably low incidence of the associated complications. Furthermore if properly planned, and provided that stringent patient selection criteria are adhered to, it is practical, with a good patient satisfaction rate and therefore should be encouraged