DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20163985

A clinical study of deviated nasal septum with special reference to conventional and endoscopic septoplasty

Mohammad Nizamuddin Khan, Kripamoy Nath, Shams Uddin

Abstract


Background: Deviated nasal septum is a very common condition. It causes nasal obstruction, epistaxis, sinusitis, headache and obstructive sleep apnea. Septoplasty is one of the most common procedures performed for correction of deviated nasal septum. The aim of our study was to determine the incidence of DNS with respect to age, sex, type of septal deviation and presenting complaints and compare if endoscopic septoplasty is better than conventional septoplasty.

Methods: The present study was conducted among 115 cases of DNS for a period of one year. While detailed clinical study was done in 115 cases, surgery was performed in 60 cases. They were divided into group A and group B with 30 cases in each group. Conventional septoplasty was performed in group A while endoscopic septoplasty in group B.

Results: The male to female ratio was found to be 2.19:1. Majority (37.18%) patients were of age group 11-20 years with deviation to the left (54.78%). Nasal obstruction (58.26%) was the commonest presenting complaint. Postoperatively, a significant relief of symptoms were observed in endoscopic septoplasty in terms of nasal obstruction (93.33%) and hyposmia (87.5%). Post-operative complications were higher in conventional septoplasty with significant rate of residual deviation.

Conclusions: Our study showed that functional outcome was better and post-operative complications were less in endoscopic septoplasty. Endoscopic septoplasty provides better illumination which helps to identify septal deviation accurately while reducing the postoperative complications due to limited dissection and lesser trauma to septal cartilage.

 


Keywords


Conventional septoplasty, Deviated nasal septum, Endoscopic septoplasty

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References


Sheen JH. Aesthetic Rhinoplasty. St Louis, MO: CV Mosby Co. 1978:26.

Beekhuis GJ. Nasal fractures. In: Paparrella, Chumrick, Gluckman, Meyerhoff (eds): Otolaryngology, Vol. III (3rd Ed). WB Sanders Co, Harcourt Brace Jovanovich Inc, Philadelphia. 1991;1823-30.

Jazbi B. Subluxation of nasal septum in the newborn: Etiology, diagnosis and treatment. Otolaryngol Clin N Am. 1977;10(1):125-39.

Cottle MH. The Maxilla-Premaxilla Aproach to Ex-tensive Nasal Septal Surgery. AMA Arch Otolaryngol. 1958;68(3):301-13.

Maran AGD, Lund VJ. Trauma to nose and sinuses. In: 1st Edn.; Clinical rhinology. New York: Thieme, 1990:110-39.

Jain L, Jain M, Chouhan AN, Harshwardhan R. Conventional Septoplasty verses Endoscopic Septoplasty: A Comparative Study People’s J Scientific Research. 2011;4(2).

Gupta N. Endoscopic septoplasty. IJOHNS. 2005;57(3):240-3.

Ranjan GA, Rahul G, Jayman R Endoscopic Septoplasty;A novel technique-A case series of 19 cases. Clin Rhinol. 2009;2(3);11-3.

Min YG, Jung HW, Kim CS. Prevalence study of nasal septal deformities in Korea: results of nation-wide survey. Rhinol. 1995;33(2):61-5.

Sinha SN, Maheshwari VK. Clinical and Anatomical Study of deviated nasal septum. Indian J Otolaryngol. 1970;22(4):204-9.

Daghistani KJ. Nasal Septal Deviation in Saudi Patients: A Hospital Based Study J KAU Med Sci. 2002;10:39-46 (1422 AH).

Olphen AFV. The septum chapter 123 In:Gleeson M, Browning G G, Burton M J, Clarke R, Hibbert J, Jones N S, Lund V J, Luxon L M,Watkinson J C editors. Scott-Brown’s otorhinolaryngology, head and neck surgery. 7th ed. London: Hodder Arnold; 2008:1574-5.

Fischer AJ. Nasal Surgery In Children. Arch Otol. 1957;66:497.

Sessions RB, Toost T. The Nasal Septum. In Cummings CW, Fredrickson JM, Harker A, et al, Eds., Otolaryngology-Head and Neck Surgery. St. Louis: Mosby, 1993;1:786-93.

Iqbal SM, Hussain SI, Bhojani MJ. A Comparative Study Of Endoscopic Verses Conventional Septoplasty: An Analysis Of 110 Cases Pak J Surg. 2013;29(3):220-3.

Low WK, Willat DJ. Submucous resection for deviated nasal septum: a critical appraisal. Singapore Med J. 1992;33:617-9.

Moorthy PNS, Kolloju S, Madhira S, Jowkar AB. Clinical Study on Deviated Nasal Septum and Its Associated Pathology. IJOHNS. 2014;3:75-81.

Koo SK, Choi JW, Kim YJ, Kim YJ. Retrospective Analysis Of Endoscopic Septoplasty. Korean Otorhinolaryngol-Head Neck Surg. 2012;55(9):559-64.

Paradis J, Rotenberg BW. Open Versus Endoscopic Septoplasty: A Single-Blinded, Randomized, Controlled Trial. J Otolaryngol Head Neck Surg. 2011;40 Suppl 1:S28-33.

Sathyaki DC, Geetha C, Munishwara GB, Mohan M, Manjunath K. A Comparative Study Of Endoscopic Septoplasty Versus Conventional Septoplasty. IJOHNS. 2014;66(2):155-61.

Suligavi SS, Darde MK, Guttigoli B. Endoscopic Septoplasty; Advantages And Disadvantages; Clinical Rhinology. Int J. 2010;3(1):27-30.

Iqbal K, Khan MI, Amanullah A. Submucous resection versus septoplasty: complications and functional outcome in adult patients. Gomal J Med Sci. 2011;9(1):23-7.

Chitradurga MRSV. Is endoscopic septoplasty really superior than conventional septoplasty? National J Otorhinolaryngol, Head Neck Surg. 2013;1(10):16-8.

Chung BJ, Batra PS, Citardi MJ, Lanza DC. Endoscopic septoplasty: revisitation of the technique, indications and outcomes. Am J Rhinol. 2007;21:307-11.

Gupta M, Motwani G. Comparative Study Of Endoscopic Aided Septoplasty And Traditional Septoplasty In Posterior Nasal Septal Deviations; IJOHNS. 2005;57(4);309-11.