EARLY EXPERIENCE WITH ENDOSCOPIC SEPTOPLASTY AND COMPARATIVE EVALUATION OF ENDOSCOPIC SEPTOPLASTY WITH CONVENTIONAL SEPTOPLASTY IN DEVIATED NASAL SEPTUM: A CLINICAL STUDY AT TERTIARY CENTRE

Volume : VII, Issue : VIII, August - 2018

Dr. Sneha Semil

AIM: To study and compare the indication, procedure, efficacy, complications and post operative improvement in patients with

pathological nasal septum undergoing conventional septoplasty and endoscopic septoplasty.

MATERIAL AND METHOD:

Ÿ Study type: Prospective study and Retrospective study.

Ÿ Setting: Department of Otorhinolaryngology, MGMMC, MYH, INDORE.

Ÿ Subject: Patients in age group between 18–55 years with clinical presentation of nasal obstruction and atypical headache

and facial pain who are refractory to prior 3months of medical treatment.

Method: Patients were randomly divided into two groups, GROUP A: CONVENTIONAL SEPTOPLASTY AND GROUP B :

ENDOSCOPIC SEPTOPLASTY. All patients were taken proper history and underwent routine investigations, Diagnostic nasal

endoscopy and CT–PNS plain and patients were taken up for respective surgery and immediate postoperative follow up and

6months postoperative follow up done.

RESULT:

Ÿ In patients underwent conventional septoplasty, around 38% of patients were relieved from nasal obstruction, 50% from

headache and 10% from hyposmia. In contrast to it, in patients who underwent endoscopic septoplasty 96% were relieved

from nasal obstruction, 100% from headache and 100% from hyposmia

Ÿ In 6months postoperative follow up, in patients underwent conventional septoplasty there was 24% residual deformity and

20% of synechia formation, in contrast to it, in patients with underwent endoscopic septoplasty there was 0% residual

deformity and 2% of synechiae formation.

CONCLUSION: Evaluation of endoscopic septoplasty has been a major event in the history of septal surgery. It has been

performed with better illumination of anatomical structures and with minimal incision and manipulation resulting in minimal

damage to tissues and leading to minimal residual deformity and postoperative complications.