What nasal endoscope adds in septoplasty

Mandour, Zeyad

doi:10.1016/j.ejenta.2016.12.016

Cited by 5 publications

(11 citation statements)

References 12 publications

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“…According to them avoiding packing or splint does not increase the incidence of complications. In our study the sex distribution of male and female was 1.3:1.0 which was similar to that of Mandour ZM16 The age group of the patients in this study were maximum in 2nd to 3rd decade of life which was comparable to a study done by Mandour ZM; Dodia MN et al [16,17]. The most common complaints presented by patients in this study was nasal obstruction 51(78.46%) which was similar to the studies done by Rajguru R et al and Singla K et al [18,19].…”

Section: Discussionsupporting

confidence: 89%

“…The most common complaints presented by patients in this study was nasal obstruction 51(78.46%) which was similar to the studies done by Rajguru R et al and Singla K et al [18,19]. It was followed by post-nasal drip 20(30.76%), hyposmia 17 (26.15%), headache 15 (23.07%) and epistaxis 10 (15.38%) which was similar to study done by Mandour ZM; Gupta M and Motwani G but headache was the second common complaint in Gupta M and Motwani's study [16,20]. The types of DNS of the patients according to the Mladina classification, the commonest was type V in 29 (45%), type VI 12 (18%), type II and type IV 7(11%) each, type VII 6 (9%), type III 4 (6%) patients.…”

Section: Discussionsupporting

confidence: 88%

See 1 more Smart Citation

Endoscopic Septoplasty without Nasal Packing: An Experience in a Tertiary Hospital

Basnet¹,

Rajkumar²,

Ghimire³

et al. 2019

J Nobel Med Coll

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Background: Deviated nasal septum (DNS) is easily caused by trauma and septal surgeries have evolved from forceful fractures to endoscopic surgery being the leading trend now. Endoscopic surgery has lots of advantage over the conventional headlight method in alleviating symptoms and reducing complications. Endoscopic septoplasty without the nasal packing significantly shorten the surgery time and hospital stay thus reducing the financial burden. Hence this prospective study done in Nobel Hospital and Teaching Center was an Endeavour to see the indications, technique and outcome of the new surgical procedure. Materials and Methods: Sixty-five patients irrespective of sex in the age group of 18-60 years were enrolled in the study from December 2017 to December 2018. All symptomatic DNS confirmed by 00 and 300 rigid endoscope were enrolled. Informed consent from patients and ethical clearance was taken. Results: The maximum patients were in the age group of 18-30 years. The commonest symptoms of the patient was nasal obstruction in 51(78.46%), followed by post-nasal drip in 20(30.76%), hyposmia in 17(26.15%), headache in 15(23.07%) and epitasis in 10(15.38%). According to Mladina classification, the commonest deviated septum was type V in 29(45%), followed by type VI in12(18%), type II and IV in 7(11%) each, type VII in 6(9%) and least being type III in 4(6%) patients. There were no patients with Mladina type I DNS in this study. The improvement in symptoms were 90% in nasal obstruction, 88% in hyposmia, 85% in post nasal drip, 90% inepistaxis and 100% in headache. The complications were haemorrhage in 1(1.5%), synechia2(3.07%), mucosal tear 5(7.69%), haematoma 1(1.5%) and persistant DNS 5(7.69%). The average hospital stay was 48 hours. Conclusion: Endoscopic septoplasty without post-operative packing is very convenient to the patient. Endoscopic septoplasty with trans- septal suture is safe, cost effective and a better alternative.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 88%

Endoscopic Septoplasty without Nasal Packing: An Experience in a Tertiary Hospital

Basnet¹,

Rajkumar²,

Ghimire³

et al. 2019

J Nobel Med Coll

View full text Add to dashboard Cite

show abstract

“…NOSE score has emerged as a frequently used health related quality of life instrument specific to nasal obstruction in surgical patient 20 . In our study, there was a significant subjective improvement in the NOSE score postoperatively and the decline was 96.26%.Singh A et al 12 Several studies concluded that ES is beneficial in regards to illumination, avoiding unnecessary tissue handling, flap tear, septal perforations and hematoma 1,8,11 . We found that there are reduced chances of synechiae formation and flap tear which may be due to the limited extent of flap dissection along with limited manipulation and resection of septal framework.…”

Section: Resultssupporting

confidence: 54%

“…It permits accurate identification of septal pathology and associated lateral wall abnormalities. It is a conservative procedure which provides adequate visualization, room for instrumentation, access to paranasal sinuses, visualization and stoppage of post nasal bleeds and also provides scope for revision surgeries [5][6][7][8] .…”

Section: Introductionmentioning

confidence: 99%

Key Considerations in Practices and Principles of Endoscopic Septoplasty: Lessons, Mistakes and Future

Haq

Bansal

Pandey

et al. 2021

Bangladesh J of Otorhinolaryngology

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Background: Conventional surgeries of the nasal septum improve the nasal airway but recent development and advancement of the knowledge about the endoscopic septoplasty has significantly changed the treatment modality and had brought focus over several aspects of possible advantages. This study aims to see the advantages, complications and limitations of endoscopic septoplasty. Methods: It was an observational prospective study conducted over 90 patients of symptomatic deviated nasal septum. It evaluated symptoms, anterior rhinoscopy and nasal endoscopy findings, objective and subjective improvement of symptoms using the nasal obstruction symptom evaluaiton (NOSE) score, post-operative pain using the visual analogue scale (VAS) and complication following the surgery. Results: Deviated nasal septum (DNS) either left or right side was the most common examination finding 97.78%. Post-operatively there was a good symptom relief and significant subjective improvement in NOSE scores with average decline in the score by 96.26%. Objective assessment of all patients showed improved airway. The complication rate was minimum 7.78%. Conclusion: Endoscopic septoplasty (ES) was found to have distinct advantages with good subjective and objective improvement of symptoms and lesser rate of complications. It should be an option offered to all patients requiring septoplasty. We also found that it helps in improving the learning curve and surgical skill of the trainees. Bangladesh J Otorhinolaryngol 2021; 27(2): 170-176

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“…A significantly deviated nasal septum cause nasal obstruction, prompt epistaxis, sinusitis, obstructive sleep apnea and headaches [1] . Numerous surgical techniques are available but each surgical procedure has its limitations and cannot deal with all the variants of the deformities of the nasal septum [2] . Endoscopic septoplasty is an attractive alternative to the traditional septoplasty.…”

Section: Introductionmentioning

confidence: 99%

Conventional Versus Endoscopic Assisted Septoplasty for Management of Severe Nasal Septal Deviation

Hasaballah¹,

Behery

Albirmawy³

et al. 2018

The Medical Journal of Cairo University

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Background: Endoscopic septoplasty is an attractive alternative to the traditional septoplasty. It ensures the minimum dissection of the tissue with less postoperative complications. Aim of Work:The aim of this work was to compare the efficacy of the conventional and the endoscopic assisted septoplasty in the management of cases with severe septal deviation.Patients and Methods: 60 patients with severe symptomatic deviated nasal septum, presented to the Otorhinolaryngology outpatient clinic at Tanta University Hospitals divided into two equal groups: Group A included 30 patients underwent endoscopic septoplasty and group B included 30 patients underwent traditional septoplasty. All participants evaluated regarding the nasal obstruction improvement, and the degree of the improvement, the accompanying symptoms and any complications.Results: There was a significant difference between both groups in duration of surgery, the intraoperative blood loss. In this study, the difference of the endoscopic group as compared to the conventional group was statistically insignificant regarding either early post-operative complications or in nasal synechiae development, pain, septal hematoma, septal perforation, or CSF leakage or in the intraoperative flap. The pre-operative nose score comparative evaluation revealed that all patients of both groups reported a severe problem in all parameters (nasal congestion and stuffiness, nasal blockage or obstruction, trouble breath in through the nose, trouble sleeping, and inability to get enough air through the nose during exercise or exertion. No statistically significant differences were detected between both groups. Conclusion:We concluded that, endoscopic septoplasty is superior to traditional septoplasty with better result and less complication.

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What nasal endoscope adds in septoplasty

Cited by 5 publications

References 12 publications

Endoscopic Septoplasty without Nasal Packing: An Experience in a Tertiary Hospital

Endoscopic Septoplasty without Nasal Packing: An Experience in a Tertiary Hospital

Key Considerations in Practices and Principles of Endoscopic Septoplasty: Lessons, Mistakes and Future

Conventional Versus Endoscopic Assisted Septoplasty for Management of Severe Nasal Septal Deviation

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