Study to Compare and Evaluate Traditional vs. Endoscopic Septoplasty (original) (raw)
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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.
Conventional Septoplasty verses Endoscopic Septoplasty: A Comparative Study
2020
Abstract: The study was carried out to compare the postoperative morbidity among patients of conventional and endoscopic septoplasty and to assess the efficacy and use of endoscopic septoplasty with other endoscopic surgeries. The present prospective study was conducted among 100 patients of deviated nasal septum, admitted in the department of Otorhinolaryngology, of Sawai Man Singh Medical College and hospital, Jaipur, Rajasthan. Patients were selected by simple random sampling procedure and were divided into group A and B, with 50 cases in each group. Group A underwent conventional septoplasty and group B underwent endoscopic septoplasty. Deviated nasal septum was commonly associated with inferior turbinate hypertrophy (75%) and concha bullosa (26%). Postoperatively, a significant relief from the symptoms of nasal obstruction (96%), nasal discharge (88%), headache (100%) and post nasal drip (67%) was observed in endoscopic septoplasty. Posterior deviations were best corrected by e...
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.
Endoscopic-assisted septoplasty versus traditional septoplasty: assessment by the NOSE scale
The Egyptian Journal of Otolaryngology, 2016
Nasal obstruction is a very common complaint, which may be caused by various causes, one of the most important being septal deviation. Many techniques have been described to correct these septal deviations since the middle of 19th century. There have been several modi cations since its inception. The application of endoscopic techniques to correct septal deformities was initially described by both Lanza and colleagues and by Stammberger in 1991. Aims Comparing the ef cacy of endoscopic septoplasty with traditional septoplasty in the treatment of cases with septal deviations.
Endoscopic versus conventional septoplasty in the treatment of obstructive nasal septal deviation
Romanian Journal of Rhinology
BACKGROUND. Nasal septum deviations are disorders in which the nasal septum has an abnormal conformation that affects nasal breathing. Surgical correction of the deviated nasal septum, performed by various techniques, is one of the methods of repermeabilization of the upper airway. The aim of the present study was to evaluate the efficacy of endoscopic surgical treatment of the nasal septum deviation on the nasal obstruction, as well as to evaluate the frequency of postoperative complications compared to classical septoplasty. MATERIAL AND METHODS. A retrospective longitudinal study was performed on a group of 92 patients diagnosed with nasal septal deviation, between 2014-2018. 32 patients were excluded from the study after the exclusion criteria were applied. Two groups of 30 patients each were formed: Group I, endoscopic septoplasty was performed; Group II, the conventional septoplasty was used. An objective endoscopic and rhinomanometric evaluation, as well as a subjective asses...
An endoscopic approach to the deviated nasal septum – a preliminary study
The Journal of Laryngology & Otology, 1998
The authors have used the nasal endoscope for the precise identification of pathological abnormalities of the nasal septum in relation to the lateral nasal wall including the osteo-meatal complex and in its ultraconservative management. The aim of the study was to compare the efficacies of endoscope-aided septoplasty (EAS) over traditional septoplasty (TS) in treating the pathological septum and turbinates, performed in 30 cases each. The subjective assessment was carried out by visual analogue scores and objective assessment by nasal endoscopy. This study demonstrates the superiority and limitations of the endoscopic approach in managing a deviated nasal septum and the turbinates. The endoscope-aided technique was found to be more effective in relieving the contact areas and nasal obstruction (p = ≤0.05). The authors advocate a combined approach – an endoscopic approach for inaccessible posterior deviation and the conservative traditional technique for accessible anterior deviation...
The Comparative Study of Conventional Septoplasty and Endoscopic Septoplasty
Journal of Evolution of medical and Dental Sciences, 2015
The study was carried out to compare the post op morbidity amongst the patients of conventional and endoscopic septoplasty and to assess the efficacy of endoscopic septoplasty. The prospective and comparative study is conducted among 60 patients of deviated nasal septum, admitted in the department of ENT, in LLRM Medical College, Meerut. The patients were selected by random sampling procedure, and were divided into two groups-group A and group B, with 30 patients in each group. Group A underwent conventional septoplasty and Group B underwent endoscopic septoplasty. The duration of study was from July 2014 to January 2015. We have seen from above results that clinically the endoscopic septoplasty has come up with better results in relation to postoperative symptoms relieved. But there was no significant association found in respect to duration of stay and post op symptoms relieved.
Conventional Versus Endoscopic Assisted Septoplasty for Management of Severe Nasal Septal Deviation
The Medical Journal of Cairo University, 2018
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.
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.
A comparative study of endoscopic versus conventional septoplasty
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2020
Background: Deviated nasal septum is one of the common causes of nasal obstruction. Correction of deviated nasal septum has been performed by a variety of techniques of which Septoplasty is the most popular one. With the advent of endoscopes and their successful use in endoscopic sinus surgery endoscopes have been tried in septoplasty for better visualization of 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: It was a prospective observational study conducted on 50 patients with deviated nasal septum, who presented to ENT department of SPMC, Bikaner, patients were randomly divided equally in two groups for conventional and endoscopic septoplasty respectively. Data collected on a prestructured prof...