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

Bothra, Rajendra; Mathur, N. N.

doi:10.1017/s0022215108004192

Cited by 60 publications

(52 citation statements)

References 13 publications

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“…However, post-operative complications such as hemorrhage, infraorbital edema and nasal pain were slightly more in the conventional septoplasty group. 5 We conducted the current study to compare the usefulness and outcomes of endoscopic septoplasty with conventional septoplasty in terms of relief of symptoms, anatomical correction and complications in patients with DNS who had undergone septoplasty by conventional or endoscopic technique at our tertiary care centre.…”

mentioning

confidence: 99%

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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mentioning

confidence: 99%

Septoplasty techniques- conventional versus endoscopic: our experience

Rajguru¹,

Singh

Galagali³

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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“…13 Another study from New Delhi showed that complications of septoplasty like haemorrhage, infraorbital edema and nasal pain were lower in patients who underwent endoscopic septoplasty than patients who had conventional procedures. 14 Studies done in other developing nations also showed similar efficacy for endoscopic septoplasty. A study from Nepal showed that the procedure is effective in reduction of symptoms associated with DNS such as rhinorrhoea, nasal obstruction and headache.…”

Section: Discussionmentioning

confidence: 84%

Efficacy of septoplasty with endoscopic osteomeatal clearance in the management of headaches due to chronic sinusitis secondary to Deviated nasal septum

Babu

Reynolds

Pillai

2016

Int J Otorhinolaryngol Head Neck Surg

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Background: Deviated nasal septum (DNS) is a common condition which affects most children and adults. Several surgical procedures are available for DNS. Endoscopic septoplasty is a minimally invasive surgical technique which can minimise trauma to the nasal septum and decrease post-operative morbidity. The present study was aimed to study the efficacy of septoplasty with endoscopic osteomeatal clearance, on headache due to sinusitis secondary to DNS. Methods: The study was longitudinal in nature and involved patients undergoing septoplasty with endoscopic osteomeatal clearance at Government Medical College Hospital, Kottayam, Kerala, India. Patients with significant nasal obstruction due to DNS, and having recurrent sinusitis causing headache, were included into the study. Patients were discharged after 3 days and were called up for review at 2 weeks, 6 weeks, 3 months, 6 months, and 1 year and evaluated for change in headache as assessed by visual analogue score (VAS). Results: A total of 50 participants were enrolled into the study over a period of 2 years. Maxillary sinus was involved in almost 96% of the cases while frontal sinus was affected in 46% and ethmoid sinus in 50% of participants. Seventy four percent participants had subjective symptomatic improvement at 2 weeks after surgery. The mean (SD) VAS score pre-operatively was 6.54 (1.5) and it improved to 4.18 (1.8) at 2 weeks following surgery (p <0.05). Conclusions: Septoplasty with endoscopic osteomeatal clearance is a procedure which is highly efficacious and well tolerated in treating headache due to sinusitis secondary to DNS.

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“…In another study conducted by Bothra et al minor complications like hemorrhage, infraorbital edema and nasal pain were more in patients who underwent conventional septoplasty. 9 Synechae persisted in two patients of each group. In this study, two patients in conventional septoplasty group had intraoperative hemorrhage and only one patient in the endoscopic septoplasty group had this.…”

Section: Discussionmentioning

confidence: 88%

Comparison between Endoscopic Septoplasty and Conventional Septoplasty: Our Experience

Tukaram¹

2015

An International Journal Clinical Rhinology

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Introduction: Nasal obstruction due to deviated nasal septum is a common problem encountered by otolaryngologists. A variety of surgical procedures have been tried in the treatment of the same.Objective: This study was conducted to evaluate the outcomes and complications of endoscopic and conventional septoplasty. Materials and methods:This is a prospective, randomized study done in Government Medical College, Latur in which 52 patients with symptomatic deviated nasal septum were included in the study. Eighteen of them underwent conventional septoplasty and the rest had endoscopic septoplasty. Results:The difference in the functional outcome of both the surgeries was insignificant. Endoscopic septoplasty had better outcome with respect to complications and proved as an easier method to correct posterior deviations and isolated spurs. Conclusion:Endoscopic septoplasty allows accurate, conservative repair of obstructive nasal septum deviations, with fewer complications and better functional results compared to conventional septoplasty.

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

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

Cited by 60 publications

References 13 publications

Septoplasty techniques- conventional versus endoscopic: our experience

Septoplasty techniques- conventional versus endoscopic: our experience

Efficacy of septoplasty with endoscopic osteomeatal clearance in the management of headaches due to chronic sinusitis secondary to Deviated nasal septum

Comparison between Endoscopic Septoplasty and Conventional Septoplasty: Our Experience

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