Introduction: Nasal obstruction due to deviated nasal septum is a common problem encountered by otolaryngologists. A variety of surgical procedures have been tried in the treatment of the same.Objective: This study was conducted to evaluate the outcomes and complications of endoscopic and conventional septoplasty. Materials and methods:This is a prospective, randomized study done in Government Medical College, Latur in which 52 patients with symptomatic deviated nasal septum were included in the study. Eighteen of them underwent conventional septoplasty and the rest had endoscopic septoplasty. Results:The difference in the functional outcome of both the surgeries was insignificant. Endoscopic septoplasty had better outcome with respect to complications and proved as an easier method to correct posterior deviations and isolated spurs. Conclusion:Endoscopic septoplasty allows accurate, conservative repair of obstructive nasal septum deviations, with fewer complications and better functional results compared to conventional septoplasty.

Aim: To demonstrate the functional voice outcomes following external medialization thyroplasty using autologous cartilage from the nasal septum. Materials and methods:The study included four patients (three males and one female) who presented to the ENT outpatient department diagnosed with unilateral vocal fold paralysis. Medialization thyroplasty type I was performed for all the patients using autologous nasal septal cartilage with the patients under local anesthesia. Results: All four patients showed significant improvement in the form of glottis closure on laryngoscopic examination. Complete glottis closure was achieved in three patients while one patient had a small posterior glottis gap. The maximum phonation duration improved significantly in three patients, i.e., average 13.33 seconds; while one patient with the small posterior glottis gap showed minor improvement, i.e., 7.1 seconds. However, the complaint of aspiration of liquids was relieved in all the four patients. Conclusion: External medialization thyroplasty using an autologous nasal septal cartilage graft is considered safe and efficient phonosurgical procedure and provides proper positional adjustment of the paralyzed vocal fold with significant improvement in the subjective and objective functional voice outcomes.