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Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur

Published online by Cambridge University Press:  02 December 2008

R Bothra
Affiliation:
Department of ENT, Lady Hardinge Medical College and Smt SK & KS Children's Hospital, New Delhi, India
N N Mathur*
Affiliation:
Department of ENT, Lady Hardinge Medical College and Smt SK & KS Children's Hospital, New Delhi, India
*
Address for correspondence: Dr Neeraj N Mathur, 173 AGCR Enclave, Delhi 110092, India. E-mail: nnment@gmail.com

Abstract

Objective:

To compare the procedure, results and complications of conventional septoplasty with those of endoscopic septoplasty, in cases of limited septal deviation and septal spurs.

Design:

Prospective study; interventional type; randomised block design; comparative clinical trial.

Methods:

We included in the study 80 patients presenting with limited septal deviation, septal spur with nasal obstruction, or deviated septum with septal correction was required in order to access the ostio-meatal complex (OMC) for functional endoscopic sinus surgery. Of these 12 were children with septal deviation producing significant nasal obstruction. All patients were divided into two groups- with one undergoing conventional and the other endoscopic septoplasty. Post-operative assessment was carried out one month, three months and one to two years after the procedure.

Result:

Post-operative complications such as haemorrhage, infraorbital oedema, nasal pain and in-patient hospital was slightly more in the conventional septoplasty group.

Conclusion:

No statistically significant difference was found between the conventional and endoscopic septoplasty groups, as assessed by subjective and objective evaluation.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2008

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References

1 Brennan, HG, Parkes, ML. Septal surgery: the high septal transfixion. Int Surg 1973;58:732–4Google Scholar
2 Chung, BJ, Batra, PS, Citardi, MJ, Lanza, DC. Endoscopic septoplasty: revisitation of the technique, indications, and outcomes. Am J Rhinol 2007;21:307–11CrossRefGoogle Scholar
3 Castelnuovo, P, Pagella, F, Cerniglia, M, Emanuelli, E. Endoscopic limited septoplasty in combination with sinonasal surgery. Facial Plast Surg 1999;15:303–7Google Scholar
4 Cantrell, H. Limited septal surgery for endoscopic sinus surgery. Otolaryngol Head Neck Surg 1997;116:274–7CrossRefGoogle ScholarPubMed
5 Hwang, PH, McLaughlin, RB, Lanza, DC, Kennedy, DW. Endoscopic septoplasty indication, technique and results. Otolaryngol Head Neck Surg 1999;120:678–82CrossRefGoogle ScholarPubMed
6 Makitie, A, Aaltonen, LM, Hytonen, M, Malmberg, H. Postoperative infection following nasal septoplasty. Acta Otolaryngol 2000;120(suppl 543):165–6CrossRefGoogle Scholar
7 Fairley, JW, Yardley, MPJ, Durham, LH. Reliability and validity of nasal symptom questionnaire in clinical research and audit of functional endoscopic sinus surgery. Clin Otolaryngol 1993;18:436–7Google Scholar
8 Stoksted, P, Gutierrez, C. The nasal passage following rhinoplastic surgery. J Laryngol Otol 1983;97:4954CrossRefGoogle ScholarPubMed
9 Peacock, MR. Submucous resection of the nasal septum. J Laryngol Otol 1981;95:341–56CrossRefGoogle ScholarPubMed
10 Nayak, DR, Balakrishnan, R, Murty, KD. An endoscopic approach to the deviated nasal septum; a preliminary study. J Laryngol Otol 1998;112:934–9Google Scholar
11 Broms, P, Jonson, B, Malm, L. Rhinomanometery IV. A pre and postoperative evaluation in functional septoplasty. Acta Otolaryngol 1982;94:523–9CrossRefGoogle Scholar
12 Holmstorm, M, Kumlien, J. A clinical follow-up of septal surgery with special attention to the value of preoperative rhinomanometric examination in the decision concerning operation. Clin Otolaryngol 1988;13:115–20CrossRefGoogle Scholar
13 Jones, AS, Lancer, JM. Rhinomanometry. Clin Otolaryngol 1987;12:233–6CrossRefGoogle ScholarPubMed
14 Goumas, P, Strambis, G, Antonakopoulos, L, Helidonis, E. Long term result of nasal surgery in children. Ear Nose Throat J 1988;67:294–6Google ScholarPubMed
15 Yanagisawa, E. Endoscopic view of a high septal deviation. Ear Nose Throat J 2001;80:6870CrossRefGoogle ScholarPubMed
16 Getz, AE, Hwang, PH. Endoscopic septoplasty. Curr Opin Otolaryngol Head Neck Surg 2008;16:2631Google Scholar