Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The objective of this study is to compare the outcomes of Conventional and Endoscopic Septoplasty. A total of 100 patients presenting with symptomatic deviated nasal septum were recruited and allocated into two groups of 50 individuals each. In the conventional group, 2 patients (4%) reported nasal discharge, while this symptom was noted in 8 patients (16%) within the endoscopic group. Hyposmia, often overlooked, was observed in 7 patients (14%) from the conventional group compared to 2 patients (4%) in the endoscopic group. Although epistaxis is commonly associated with deviated nasal septum, it was absent in all participants of this study. Among the 100 patients, 28 individuals (38.88%) exhibited a spur, with equal distribution of 14 patients (50%) in both the conventional and endoscopic groups. Hypertrophied turbinates were identified in 22 patients (44%) in the conventional group and 24 patients (48%) in the endoscopic group. The nasal valve area emerged as a critical factor for the success of septal surgery in alleviating nasal obstruction. Endoscopic septoplasty facilitated the release of adhesions and the correction of the nasal valve area, as well as addressing high and posterior deviations of the nasal septum. This technique also proved beneficial for isolated spurs, allowing for limited incisions and minimizing unnecessary mucosal trauma. The incision employed in conventional septoplasty was Freer’s Hemitransfixation Incision, whereas the endoscopic approach utilized an incomplete transfixation or an incision along the floor of the nasal cavity. In the conventional group, inferior turbinate cautery was performed in 22 cases and bilateral polypectomy was conducted in 3 instances. Conversely, in the endoscopic group, functional endoscopic sinus surgery was performed in 5 patients, inferior turbinate cautery in 9 patients, endonasal dacryocystorhinostomy in 2 patients and polypectomy in 1 patient. Postoperatively, both groups utilized ribbon gauze with soframycin ointment to pack the nasal cavities for 2T hours, while packs for functional endoscopic sinus surgery were maintained for 48 hours. The improvement in nasal obstruction was reported at 95% for the conventional group and 98% for the endoscopic group. Both groups experienced a complete resolution of headache symptoms, with a 100% benefit rate. However, no significant differences were observed between the two groups regarding other symptoms such as nasal discharge, post‐nasal discharge and hyposmia. Hemorrhage emerged as the most prevalent complication, occurring in three cases (6%) within the conventional group and one case (2%) in the endoscopic group. Mucosal tears were noted in three patients from the conventional group and two from the endoscopic group. Synechiae were identified in one case (2%) in the conventional group, while none were reported in the endoscopic group. No additional complications, such as external deformities or septal issues, were observed in either group. The synechiae were effectively managed through release under local anesthesia, followed by nasal packing with ribbon gauze for 24 hours.
How to cite this article:
Haseena Mohammed. A Comparative Study Between Endoscopic Septoplasty and Conventional Septoplasty.
DOI: https://doi.org/10.36478/10.36478/makrjms.2020.275.280
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2020.275.280