Comparison of pre and post-operative nasal obstruction in endoscopic septoplasty and conventional septoplasty
Journal Title: Medpulse International Journal of ENT - Year 2018, Vol 8, Issue 3
Abstract
Apart from nasal obstruction, a significantly deviated nasal septum has been involved in epistaxis, sinusitis, obstructive sleep apnea, and headaches. These conditions are also accepted indications for septoplasty, although some, such as facial pain or headache, may be controversial. Additionally, if the deviated nasal septum impairs access to the middle meatus, it is necessary to perform septoplasty during endoscopic sinus surgery. Methods: It was a prospective and comparative type study. Study was conducted form sep 2017 to May 2018. The present study included 60 cases. Clinical assessment was done in all 60 patients after dividing them into 2 groups out of which 30 underwent endoscopic septoplasty and 30 conventional septoplasty. Age range varied from (>13 years) with a mean age of 27 years. Results: 33.3% of patients had DNS to left side, 53.3% patients to right side and 13.3% of patients had S shaped DNS in endoscopic group. In case of conventional septoplasty the percentage for left side, right side and S shaped DNS are 36.7%, 53.3% and 10% respectively. Pre and post operative nasal airflow in endoscopic septoplasty group showed that there were 4 patients belonging to 0-1 cm2 group preoperatively and post operatively we found no patients in this group, 16 patients belonging to 2-3 cm2 group preoperatively and the number of patients decreased in this group to 4 post operatively. Conclusion: We conclude from this study that Endoscopic Septoplasty is a safe, effective and more conservative approach with better results and less complications as compared to the Conventional Septoplasty.
Authors and Affiliations
Mukul Kumar Sinha, Pawan Kumar Lal
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