Efficacy of septoplasty with endoscopic osteomeatal clearance in the management of headaches due to chronic sinusitis secondary to Deviated nasal septum (original) (raw)
Related papers
2019
This study examines the advantages of using endoscopic septoplasty among the patients with symptoms of deflected nasal symptoms. The research was done among the patients admitted in BHV hospital between the period of January 2018 and December 2018. It involved 100 patients, where 30 of them went through the conventional septoplasty whereas 70 underwent endoscopic septoplasty. Following the surgery, all the participants were asked to record their pain levels using visual analog scale (VAS). Statistically, the results confirmed a significant reduction of pain among the patients who went through endoscopic septoplasty of (p < 0.05) compared to those that underwent conventional septoplasty. It inferentially implies that endoscopic septoplasty is the best procedure for the treatment of nasal obstruction following the deviated nasal septum.
Sinus or nasal surgery alleviates headache symptoms: A prospective study
Archives of Otolaryngology and Rhinology, 2018
Introduction: The primary aim of this prospective study was to evaluate headache severity before and after surgery in patients with chronic rhinosinusitis without polyps (CRSsNP), chronic rhinosinusitis with polyps (CRSwNP), deviated nasal septum (DNS), and inferior turbinate hypertrophy (ITH). Our secondary aim was to compare the improvement of headache symptoms in these different patient groups. Methods: We enrolled 154 patients with CRSsNP, 130 patients with CRSwNP, 144 patients with DNS with or without ITH, and 69 patients with only ITH. Problems with headaches were reported on a visual analogue scale (VAS) preoperatively and six months postoperatively. Results: Patients with CRSsNP reported preoperatively signifi cantly more headaches on the VAS than the other patient groups. Headaches improved signifi cantly after surgery (p<0.001) but they improved more in CRSsNP patients than in other patient groups. Postoperatively, there were no signifi cant differences in headache problems between the groups. The CRSsNP group reported 50 (standard deviation [SD] 29) on the VAS preoperatively and 25 (SD 26) postoperatively, the CRSwNP group reported 28 (SD 30) versus 18 (SD 25), the DNS group reported 31 (SD 30) versus 17 (SD 24), and the ITH group reported 31 (SD 32) versus 19 (SD 25). Subgroup analyses identifi ed gender as a factor that has an infl uence on the headache. Female patients reported a mean VAS score of 49 (SD 31) preoperatively and 28 (SD 28) postoperatively. Male patients reported a mean VAS score of 29 (SD 29) preoperatively and 15 (SD 22) postoperatively. Conclusion: In this study, we have shown that patients with CRSsNP report more headache-related problems preoperatively than patients diagnosed with CRSwNP, DNS, or ITH. All patient groups exhibit a signifi cant improvement in their headache problems and report milder symptoms postoperatively. Female patients tend to report more headaches than men.
Indian Journal of Otolaryngology and Head & Neck Surgery, 2020
To assess the clinical outcome of endoscopic septoturbinal surgeries in patients with rhinogenic contact point headache. Retrospective audit of medical records. Retrospective audit of medical records of patients having undergone endoscopic surgical management for contact point headache between a period of May 2017 to May 2018 were included in the study. Patients who underwent functional endoscopic sinus surgery were excluded from the study. Pre operative pain score were compared with post operative pain score at interval of 1 month for 3 months consequently and at 1 year interval using Visual Analog scale (VAS). The difference between preoperative (mean 6.82) and post operative VAS pain scores after 1 month (mean 3.36), 2 months (mean 4.50), 3 months (mean 5.48), 1 year (mean 5.01) was statistically significant (p \ 0.001). Contact point headache is an important clinical entity that might be missed during evaluation and management of refractory headache. Surgical management under endoscopic guidance can help to ensure removal of mucosal contact point and aid in the treatment of refractory headache as noted in our study.
Endoscopic Verses Conventional Septoplasty in the Treatment of Deviated Nasal Septum
The Egyptian Journal of Hospital Medicine, 2020
Background: Septum deviation is the major cause of nasal obstruction, which is the most common symptom in ENT practice. Surgical correction of the deviated nasal septum has been advanced over the years, from the radical removal of both mucosa and cartilage to submucous cartilage resection with preservation of the mucosa. Objective: To compare the efficacy of the conventional and the endoscopic septoplasty in the management of patients with symptomatic nasal deviation. Patients and methods: This study included 40 patients presented to the Otorhinolaryngology outpatient clinic at Assiut University Hospitals between May 2018 and December 2019, suffering from nasal obstruction due to a significant septal deviation, randomly divided into two groups: Group A: 20 patients underwent endoscopic septoplasty and Group B: 20 patients underwent conventional septoplasty. Results: In this study, no significant difference was detected in the preoperative results of both groups regarding the age, sex and types of septal deformities. So, the preoperative circumstances were similar between both groups. Hence, results of this study showed that these two procedures were suitable to correct septal deformities but the endoscopic septoplasty was superior to the traditional septoplasty in cases with isolated septal spur. Also, it was associated with the minimal re-occurrence rate. Conclusion: Endoscopic septoplasty is a valuable teaching tool, which is efficient in the management of different types of septal deformities.
Study to Compare and Evaluate Traditional vs. Endoscopic Septoplasty
Kathmandu University Medical Journal, 2017
Background Surgery on a deviated septum has seen several modifications since its inception starting from radical septal resection to preservation of the possible septal framework. Objective To compare the efficacies of "Endoscope Septoplasty" over "Traditional Septoplasty" in treating pathological septum and turbinates, in terms of their outcome. Method Prospective descriptive study conducted on 60 patients who presented to the Department of ENT, Kathmandu University School of Medical sciences during a period of two years. The severity of the symptoms of the patients was scored using a visual analogue scale which was compared post operatively to subjectively evaluate the efficacy of either surgery. Objective assessment was done by nasal endoscopy. P value in case of subjective and objective evaluation was done by applying Z-test. Result The mean age ± SD was 29.5±1.2 .Maximum patients fell into age group of 21-30 with 31.7 % followed by 11-20 with 28.3% and then 31-40 with 25 %. There were total 35 males (58.3%) and 25 females (41.7%). Among the symptoms, nasal obstruction seems to be dominating with total of 83.3%, followed by postnasal drip with 66.6% and then headache with 60%. The types of dislocation was compared, there were 66.7% cases with DNS and Spur whereas only 10 % with isolated spur. C shaped deformity was seen in 30% and S shaped in 26.6 % cases. Significance in Z test, is seen in subjective assessment post surgery for nasal obstruction, headache and rhinorrhea and for objective assessment post surgery for persistent contact with turbinates. (p value set to 0.01) Conclusion Endoscopic surgery is an evolutionary step towards solving the problems related to deviated nasal septum. It is safe, effective and conservative alternative to conventional septal surgery.
The Laryngoscope, 2011
To determine if chronic rhinosinusitis (CRS)-specific health-related quality-of-life (HRQoL) outcomes are affected by concurrent septoplasty performed during endoscopic sinus surgery (ESS) for medically refractory CRS. Prospective, multicenter cohort study. A total of 221 patients with medically refractory CRS without nasal polyposis who elected primary ESS were included in this study. Patients were dichotomized into two cohorts: concurrent septoplasty (n = 108) or no septoplasty (n = 113) during ESS. The main outcomes of interest included two CRS-specific HRQoL instruments: the Rhinosinusitis Disability Index (RSDI) and the Chronic Sinusitis Survey (CSS). Symptom presentation was assessed using eight sinonasal visual analog scale (VAS) symptom scores. There were no differences in CRS-specific HRQoL improvements on all RSDI and CSS measures following ESS between cohorts with or without septoplasty (all P > .05). In patients with medically refractory CRS, the presence of septal de...
A comparative study of endoscopic versus conventional septoplasty: an analysis of 50 cases
International Journal of Otorhinolaryngology and Head and Neck Surgery
Nasal obstruction is the most common complaint in rhinologic practice and a deviated nasal septum is the most common cause of nasal obstruction. A significantly deviated nasal septum has been implicated in epistaxis, sinusitis, obstructive sleep apnea and headache attributable to contact points with structures of the lateral nasal wall. 1 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. After the invention of nasal endoscopes tremendous changes have evolved in the field of septal surgery. Now a day's endoscopes are being used in performing septal surgery ABSTRACT 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 septoplasty Methods: 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.
2015
Chronic rhino sinusitis is thought to be a disease secondary to obstruction caused by anatomic anomalies and reactive mucosal engorgement. The treatment of chronic rhino sinusitis aims at the re-establishment of proper aeration and drainage. In the present study patients who were observed to have sinusitis radiologically were treated either with septoplasty with functional endoscopic sinus surgery or functional endoscopic sinus surgery alone. Results were analyzed using CT scan of Para nasal sinuses and SNOT 20 test. Despite subjective improvement, many of the patients had evidence of residual sinus disease on radiological examinations in patients undergoing Functional Endoscopic Sinus Surgery alone. In conclusion where ever an anatomical abnormality was detected it is ideal to give a complete relief by performing Septoplasty along with Functional Endoscopic Sinus Surgery to give complete relief to the patients.
Journal of Nepalgunj Medical College
Introduction: Nasal obstruction is the most common symptom of deviated nasal septum. Septoplasty is a surgical procedure that corrects deformity of the nasal septum. Sinonasal outcome test 22 is a subjective questionnaire tool that include various nasal symptoms which is useful to measure patient`s symptoms outcome after septoplasty. Aims: To determine the symptomatologic outcome in patients with deviated nasal septum following septoplasty using Sinonasal outcome test 22. Methods: This prospective longitudinal study was done atNepalgunj Medical College and Teaching Hospital, Kohalpur including 60 patients of symptomatic deviated nasal septum who underwent septoplasty. Details of patient symptoms as per Sinonasal outcome test - 22 were graded from zero to five preoperatively and were compared one month following surgery. Results: Patients who underwent septoplasty were commonly in the age group 20-45 years and least in the age group 46-60 years with a mean age of 25.48. In the prese...