Advantages and Limitations of Endoscopic Septoplasty: Experience of 120 Cases

Abstract

Objective: Traditional surgeries for the deviated nasal septum improves the nasal airway but recent development and advancement of the knowledge about endoscope has changed the treatment modality significantly. Endoscopic approach under good Illumination and magnification lessen the complication. This study is done to see the advantages and limitations of endoscopic septoplasty Method: Total 120 cases of symptomatic deviated nasal septum, refractory to conservative medical treatment were randomly selected on the basis of clinical examination in a single institute. It was a prospective study, performed to see the advantages and limitations of endoscopic septoplasty. Informed written consent was taken in all cases. All the patients underwent endoscopic septoplasty under general anesthesia after proper evaluation. Results: There was a slight male predominance. 13 year child was the youngest patient and 58 was the oldest. During endoscopic septoplasty a large number of patients needed some additional surgery like, inferior turbinoplasty in 27 (22.5%), functional endoscopic sinus surgery in 11 patients (9.16%) etc. The complication rate was minimum (4.16%). Patient’s satisfaction was high. Though there were some limitations but we observed so many advantages of this procedure. Conclusion: Though conventional Septoplasty is widely practiced by most ENT surgeons till now, the endoscopic approach can be considered as a better alternative

Key Considerations in Practices and Principles of Endoscopic Septoplasty: Lessons, Mistakes and Future

“…NOSE score has emerged as a frequently used health related quality of life instrument specific to nasal obstruction in surgical patient 20 . In our study, there was a significant subjective improvement in the NOSE score postoperatively and the decline was 96.26%.Singh A et al 12 Several studies concluded that ES is beneficial in regards to illumination, avoiding unnecessary tissue handling, flap tear, septal perforations and hematoma 1,8,11 . We found that there are reduced chances of synechiae formation and flap tear which may be due to the limited extent of flap dissection along with limited manipulation and resection of septal framework.…”

“…We have found it to be a valuable teaching tool which provide excellent opportunity for recording and studying. By direct visualization on the monitors, it helps in improving the learning curve and surgical skill of the trainees 1,8,11,13 .…”