Sub-mucous resection of the nasal septum

Peacock, M. R.

doi:10.1017/s0022215100090812

Cited by 43 publications

(43 citation statements)

References 9 publications

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“…Furthermore, our observation time is much longer than Stoksted' s [7], Comparing our results with submucous resection, as re ported by Sloth and Kolendorf [8], the dissat isfaction percentage was exactly the same (35%), but they gave no detailed information about the airways. Peacock [9], in a qestionnairc review, found that 47% of the patients had nasal obstruction postoperatively after submucous resection (we had 57% with this complaint). 27% of the patients replied that the operation did not help.…”

Section: Discussionmentioning

confidence: 79%

Long-Term Results of Septoplastic Operations

Dommerby

Rasmussen

Rosborg³

1985

ORL

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161 patients treated with septoplastic operations for nasal stenosis were examined 25–64 months postoperatively. Surgery was inadequate in 32 cases (20%); in 23 this was due to the septum operation itself, in 9 to unsatisfactory or no correction of the alar insufficiency. Preoperative anterior dislocations were corrected in 64 of 76 cases, deflection of the nose in 43 of 75 cases. Late complications were few: anterior dislocations in 3 cases; small columellar retractions in 7 cases; small septal perforations in 4 cases, and saddle nose deformity in 3 cases. 35% of the patients were not satisfied with the result, but in 14 patients (9%) this was not justified according to our examination. In a further 11 % the reasons for dissatisfaction were not related to the result of the operation.

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Section: Discussionmentioning

confidence: 79%

Long-Term Results of Septoplastic Operations

Dommerby

Rasmussen

Rosborg³

1985

ORL

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“…We know that many authors consider headache as an associated symptom of nasal obstruction, and it is the secondary most common cause presented by these patients 15,[22][23][24] . Regardless of the anatomical variation that causes obstruction, nasal poor ventilation and consequently complementary oral breathing lead to other pathophysiological mechanisms, such as absence of nasopulmonary reflex, with ventilation repercussion of pulmonary expansion, in addition to posture affections, reaching areas that go beyond the care provided by Otorhinolaryngologists.…”

Section: Discussionmentioning

confidence: 99%

“…There is a retrospective study of 913 patients treated of nasal obstruction caused by septal deviation in which the authors observed the frequency of 23% of patients with facial pain associated with nasal obstruction, which were reduced to 22.2% after submucous resection of the septum 23 . Other report described the reduction of frequency of …”

Section: Therapeutic Aspectsmentioning

confidence: 99%

Dor craniofacial e anormalidades anatômicas das cavidades nasais

Mendonça¹,

Filho²

2005

Rev. Bras. Otorrinolaringol.

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The causal relation between anatomical variations of the nose and headaches and facial pain is analyzed through literature review of the topic. The pathogenesis that can be involved in this relation proves to be wider than simple alteration of nasal septum and turbinates that can cause mechanical stimulus through contact between these structures, which covers infectious factors, neurogenic inflammation, correlation with migraines and the role of nasal obstruction. The clinical findings of a lot of authors including the test with topical anesthetic to prove this causal relation, the indication of surgical treatment, in addition to good results of this treatment, are reported. The mechanism of pain relief obtained through surgical correction of nasal septum and turbinate is discussed. These data make us conclude that there are multiple etiologic factors involved, which makes us question the fundamental role of the mechanical aspect.

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“…These were also in accordance to the observation done by Salama and Peacock (Table 1). 11,12 Nasal discharge was present in 52% cases of Group A and 48% cases of Group B. Headache were seen in both the groups (20%) in each group. Thus both our study groups were comparable and homogenous in terms of the patient symptomatology.…”

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confidence: 89%

A comparative study of endoscopic versus conventional septoplasty: an analysis of 50 cases

Chandra¹,

Baisakhiya²

2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Nasal obstruction is the most common complaint in ENT practice. Surgical correction of deviated nasal septum has been performed by a variety of techniques of which sub mucous resection and Septoplasty procedures of surgical correction of nasal septum play a prime role in management of patients of nasal obstruction. Nasal endoscope is very useful tool to visualize posterior part of septum and do the surgery more precisely and with less complication as compare to conventional method. The objectives of the study were to compare the outcomes of conventional and endoscopic septoplasty, to evaluate the advantages, disadvantages and complications of both endoscopic and conventional septoplastyMethods: 50 cases (between (Oct. 2014 - March 2016) of deviated nasal septum selected in this prospective study and they were randomly divided equally in 2 groups for endoscopic (A) and conventional (B) septoplasty respectively. Results: The study included 50 cases. Majority of patients in this study were males 84% (n=42) and 16% (n=18) were female. 46% (n=23) patients had DNS to right side and 54% (n=27) patients had left side, anterior deviation (48%). C and S shaped deviations (14%). Spur was present in 22% (n=11) of cases and 10% (n=5) patients presented with thickening. After completing 2 months of follow up 92% (n=23) of group A and 88% (n=22) of group B were relieved from nasal discharge, while nasal obstruction was absent in 96% (n=24) patients of group A and 80% (n= 20) of group B. 4% cases (n=1) in endoscopic septoplasty was having persistent deviated nasal septum and 16% (n=4) patients of conventional septoplasty belong to this group.Conclusions: Endoscopic septoplasty has an obvious edge over the conventional approach due to better illumination which enables to identify the pathology accurately, excise the deviated part of septum precisely and realignment of the cartilage for best results.

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Sub-mucous resection of the nasal septum

Cited by 43 publications

References 9 publications

Long-Term Results of Septoplastic Operations

Long-Term Results of Septoplastic Operations

Dor craniofacial e anormalidades anatômicas das cavidades nasais

A comparative study of endoscopic versus conventional septoplasty: an analysis of 50 cases

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