A clinical study of deviated nasal septum with special reference to conventional and endoscopic septoplasty

Khan, Mohammad Nizamuddin; Nath, Kripamoy; Uddin, Shams

doi:10.18203/2320-6012.ijrms20163985

Cited by 9 publications

(12 citation statements)

References 7 publications

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“…Other studies have reported significantly less number of septal perforations in the endoscopic group as compared to the conventional septoplasty group. [7][8][9] Park et al in their study conducted in 1998 observed that the synechiae formation was significantly less in patients of endoscopic septoplasty group as compared to conventional group; similar results were found in the study conducted by Jain et al and Gulati et al 7,16,17 This is in agreement with our study where the synechia formation was observed in 20% patients with conventional septoplasty and only in 2% patients with endoscopic septoplasty.…”

Section: Discussionsupporting

confidence: 92%

“…Other studies have also reported similar symptoms. 7,8 In our study 69 patients (91%) were relieved of nasal obstruction after septoplasty. Of these 32 out of 37 patients (86%) got relief by conventional septoplasty, whereas 37 out of 39 patients (95%) patients got relief by endoscopic septoplasty.…”

Section: Discussionmentioning

confidence: 47%

“…Khan et al have reported better control of nasal discharge in endoscopic group as compared to conventional septoplasty. 8 Epistaxis may also be one of the presenting symptoms in patients with DNS as reported in various studies. In our study 5 patients had presented with epistaxis.…”

Section: Discussionmentioning

confidence: 93%

“…Similar results were reported by Sathyaki et al and Khan et al in their study. 8,9 Two (4%) patients in Group A had septal perforation whereas no patient in Group B had septal perforation. Other studies have reported significantly less number of septal perforations in the endoscopic group as compared to the conventional septoplasty group.…”

Section: Discussionmentioning

confidence: 99%

“…Khan et al have reported similar results wherein hyposmia was relieved in 87.5% of the cases in the endoscopic group but there was no relief of hyposmia in conventional septoplasty group. 8 Success of septoplasty depends to a great extent on anatomical correction of the deviation. In our study we found better anatomical correction of the DNS in Group B patients who had undergone endoscopic septoplasty.…”

Section: Discussionmentioning

confidence: 99%

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Singh

Galagali³

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Deviated nasal septum is one of the most common disorders in human beings, which may lead to symptoms of nasal obstruction, headache, epistaxis, hyposmia, and post nasal drip. DNS correction may also be required to gain access during intranasal procedures like endoscopic sinus surgery, endoscopic dacryocystor-hinostomy and skull base surgery. The technique of septoplasty has evolved over the decades with a tendency towards more conservative and precise surgery. Over the last few decades endoscopic septoplasty has become increasingly popular.Methods: It was a cross-sectional comparative study done to compare the efficacy of endoscopic septoplasty with conventional septoplasty, conducted at a tertiary care centre over a period of 3 years. Records of 100 patients of nose and PNS disorders with DNS who were operated either by conventional or by endoscopic technique were studied. The patients were studied for the improvement in their symptoms, anatomical correction and intra-operative/post-operative complications. Results: Endoscopic septoplasty group patients showed better symptomatic relief, lesser incidence of residual anterior /posterior deviation and persistent spur and less complications as compared to the conventional septoplasty group.Conclusions: In our study we found more clientele satisfaction and lesser rate of complications in endoscopic septoplasty group. We recommend all ENT specialists to be trained in nasal endoscopic septoplasty technique as it offers many advantages such as more precision in post nasal spurs with less flap tears, it can be tailor made according to the disease and can be combined with various endoscopic surgeries.

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