A Comparative Study of Endoscopic Septoplasty Versus Conventional Septoplasty

Sathyaki, D C; Chary, Geetha; Munishwara, G. B.; Mohan, M; Manjuanth, K.

doi:10.1007/s12070-013-0692-0

Cited by 44 publications

(97 citation statements)

References 11 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: 91%

“…12 In a study by Sathyaki et al, headache persisted in 2 of the 10 patients in conventional septoplasty group while none of the patients in the endoscopic septoplasty group complained of headache. 9 In our study headache persisted in 3 (20%) of the 15 patients' with conventional septoplasty and in 2(8%) of the 25 patients with endoscopic septoplasty.…”

Section: Discussionsupporting

confidence: 45%

“…Similar results were reported by Sathyaki et al wherein they had performed conventional septoplasty for patients with epistaxis with complete relief. 9 In either of the groups we did not get good relief of snoring following septoplasty as only 60% patients were relieved by conventional septoplasty and only 64% patients were relieved by endoscopic septoplasty.The literature regarding relief of snoring by septoplasty is controversial. Virkkula et al in their study observed that operative treatment of mainly structural nasal obstruction did not seem to decrease snoring intensity, snoring time, or sleep-disordered breathing.…”

Section: Discussionmentioning

confidence: 68%

“…In a similar study done by Sathyaki et al in 2014 conducted on 50 patients with nasal obstruction, 46 of the 50 patients were relieved of nasal obstruction of which 22 of the 25 patients belonged to conventional and 24 of the 25 patients belonged to endoscopic septoplasty group. 9 Various studies suggest that headache is one of the common symptoms in patients with nasal anatomical abnormalities such as septal deviation and usually responds well to surgical treatment. A study done by Ghazipour et al on 98 patients with nasal septal deviation who underwent septoplasty surgery revealed partial or complete recovery of headache in 82% patients at the end of two year follow up period.…”

Section: Discussionmentioning

confidence: 99%

“…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%

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Septoplasty techniques- conventional versus endoscopic: our experience

Rajguru¹,

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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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 45%

Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Septoplasty techniques- conventional versus endoscopic: our experience

Rajguru¹,

Singh

Galagali³

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

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Clinical application of suction-tube-assisted septal submucosal dissection for endoscopic septoplasty

Lai

Lin

Shih

et al. 2016

Eur Arch Otorhinolaryngol

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Endoscopic septoplasty has become the favored approach for the treatment of a deviated septum. Careful septal dissection results in less bleeding, clear endoscopic view, shortened operative time, and fewer postoperative complications. We describe our 5-year experience of using an 8 French Frazier suction tube for submucosal dissection compared with the traditional septoplasty. A total of 434 patients who underwent septoplasty were recruited. The patients in the study were divided into two Groups 1 and 2 based on the employed surgical techniques to treat deviated nasal septum: traditional septoplasty (Group 1: 105 patients) and suction-tube-assisted endoscopic septoplasty (Group 2: 329 patients). All the patients were followed up for a minimum of 6 months. No statistically significant differences could be traced between the groups in any demographic factor, regarding the gender, age, and the intraoperative and postoperative complications. A significantly shorter operative time was found in Group 2 (P < 0.001). The overall incidence of minor complications was 6.6% in Group 1 and 4.6% in Group 2. The suction-tube-assisted dissection technique is found to be a surgical alternative, effective with a significantly shorter operating time, and economical option in septal surgery.

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