Introduction

Septoplasty is surgery done to correct Deviated Nasal Septum. Endoscopic approach to septoplasty lessens the chances of injuring the vital structures and hence lessens the complications. This study was undertaken to study and compare the results and complications of conventional septoplasty with that of endoscopic septoplasty.

SETTING : Department of Otorhinolaryngology Govt.Medical College Amritsar.

Aims and Objectives

1. To compare between conventional septoplasty and endoscopic septoplasty in terms of efficacy in the relief of the symptoms.
2. To compare post operative pain, complication rate and hospital stay in endoscopic septoplasty when compared to conventional septoplasty.
3. To assess any specific septal deviations / defects where endoscopic septoplasty may have definite advantage over conventional septoplasty.

Material and Methods

50 patients undergoing septal surgery for Nasal Obstruction were randomized to 2 groups of 25 each. 25 patients underwent endoscopic septoplasty approach and 25 underwent conventional septoplasty. Post operative data regarding relief of symptoms, any complications, and hospital stay was recorded in the follow up period for 3 months. Collected data was statistically analyzed between 2 groups and conclusions were drawn.

Results

It was found that endoscopic septoplasty is more effective in treating symptoms such as nasal obstruction and headache. Conventional septoplasty group patients had comparatively longer hospital stay (> 48 hours). Complications were lesser with endoscopic septoplasty.

Conclusion

Endoscopic septoplasty do have advantages over conventional septoplasty, but it has its own limitations. Thus, combined approach is best – endoscopic approach for inaccessible posterior deviation and the conservative traditional technique for accessible anterior deviation of the nasal septum.