Comparison of post-operative outcomes and difficulties of endoscopic with conventional septoplasty with its advantages and complication: A comparative study at tertiary care center

Abstract

Introduction: Multiplicities in techniques are performed by the surgeon with operating improvement of deviated nasal septum. Procedure of septoplasty and resection of sub-mucous are a primary approach for the treatment of patients suffering from nasal obstruction. This study was begun to take assessment of benefits and complications, whether occurring throughoutseptoplasty andto correlate post-operative outcomes or difficulties of it related to conventional septoplasty. Materials and Methods: Criterias were made to take people in study and they were-age more than 18 years, symptomatic DNS, nasal obstruction, chronic rhinosinusitis, patients with complications like epistaxis, headache, snoring. Procedure done was rigid endoscopy. On the both sides of deviation, 2% xylocaine with adrenaline was infiltrated. Then an incision was made on the convex side of deviation and distal to the deviation. The patients in between the 18-40 years of age group were considered and proper consent was taken. Two groups were randomly formed with 40 patients in each group. Group A underwent endoscopic septoplasty, the other group underwent conventional septoplasty. Results: During post-operative chart, up of frequency of indications reassured after surgery amongst the patients. Nasal obstacle was relieved in 40% of cases of (group I) and in 80% of (group II). However, headache was relieved in 30% of cases of conventional septoplasty and 70% of cases of endoscopic septoplasty. Dorsal digression has been seen in thirteen cases of conservative septoplasty group and four cases of endoscopic group. In 9 and 7 cases that experienced conventional septoplasty spur synechia were persistedfor a long period respectively. Conclusion: It can be concluded from this study that the endoscopic Septoplasty is safer, effective and conservative approach with better results and has lesser postop complications as compared to the conventional group. It isrecommendedthat this technique be considered as the procedure of choice in these patients.