Complications in septoplasty based on a large group of 5639 patients

Abstract

PurposeSeptoplasty is a common surgical procedure used for correction of the nasal obstruction caused by a deviated septum. The aim of the study was to identify complications in septoplasty and analyze incidence depending on the surgical technique, based on the material from 2009 till 2017.MethodsThe material consisted of 5639 medical records from patients aged 16–69, operated in the tertiary referral center. Patients were divided into two groups (2784 exclusively with septoplasty and 2855 with combined septoplasty and turbinoplasty). Z test for the equality of two proportions was made to investigate the assumption that the proportions from two populations are equal, based on two samples, one from each population.ResultsComplications were listed according to international standards. Among the whole study group, different types of complications were noted in 193 patients (3.42%). The most frequent complication was excessive bleeding. Significant differences were observed between the two investigated groups. In patients with combined septoplasty and turbinoplasty septal hematoma, hyposmia, prolonged healing due to infection, adhesions and temporary reduced visual acuity were significantly more often encountered.ConclusionsMeticulous attention to detail in identifying the appropriate anatomy and maintaining good visualization is the key to a safe and effective septoplasty, enabling for very low complication rate.

Assessment of postoperative relief and complications correlated with septoplasty and septoplasty with turbinectomy

“…1 Septal perforation was the second complication in our study observed in patients operated with septoplasty alone. This was in agreement with the study of Dąbrowska-Bień et al 6 The rate of septal perforation after septoplasty ranges from 1.6 to 6.7%. 7,8 Many rationales were related with incidence of septal perforations after septoplasty.…”

“…The other reason could be caused by healing complications due to infection, typically Staphylococcus aureus. 6 The rate of incidence of local infection and abscess in septoplasty ranges from 0.4 to 12%. 8 In our study, none of the patients with septoplasty reported septal abscess.…”

Nasal Airway Obstruction Study (NAIROS): a phase III, open-label, mixed-methods, multicentre randomised controlled trial of septoplasty versus medical management of a septal deviation with nasal obstruction

“…When surgery to straighten the septum is carried out, some surgeons also reduce the contralateral turbinate tissue. Potential complications of septoplasty include septal perforation, septal adhesions and bleeding [4]. Post-operative pain is common although this is reduced if sutures rather than nasal packing are used [4][5][6].…”

“…Potential complications of septoplasty include septal perforation, septal adhesions and bleeding [4]. Post-operative pain is common although this is reduced if sutures rather than nasal packing are used [4][5][6]. Patients typically are advised to take several days off work or usual activities after the operation.…”

“…Whilst it is recognised that that the evidence base for septoplasty is ambiguous [11], it is important to take into account the variations between men and women in relation to the operation. Firstly, septoplasty is more common in men [4,11] and, secondly, there is a known gender influence on response to nasal-patient reported outcome measures [1].…”