Comparative study of outcomes of conventional and endoscopic septoplasty

Abstract

<p><strong>Background: </strong>Literature and other available research states lots of comparison between endoscopic and conventional septoplasty. The study helps conclude the merits and demerits of both techniques and compares the superiority of one method over the other on various aspects from surgeon’s and patient’s point of view. The objective of the study was to compare outcomes of conventional and endoscopic septoplasty.<strong></strong></p><p><strong>Methods: </strong>Study included 48 patients having symptomatic deviated nasal septum willing for surgery randomly divided into two groups of 24 each who underwent endoscopic septoplasty and conventional septoplasty. All the patients selected for study, were assessed for subjective and objective evaluation pre-operatively and post-operatively on 7<sup>th</sup> day, 1 month and 3 months. The study was conducted at Surat Municipal Institute of Medical Education and Research (SMIMER), Surat.</p><p><strong>Results: </strong>There are technical advantages of using endoscope during septoplasty as it is definitely superior from surgeon’s point of view but there is no significant difference in terms of functional outcome, complications and post-operative hospital stay.</p><p><strong>Conclusions: </strong>There are technical advantages of using endoscope being superior in terms of illumination, preciseness and surgery, visualization of deeper parts of nasal cavity and resection of posterior deviation and spur especially in isolated septal spur and in achieving hemostasis. The study helps us conclude that endoscopic septoplasty has merits over conventional septoplasty on various aspects.</p>

Efficacy and safety of endoscopic septoplasty for treating nasal septal deviations compared with conventional septoplasty: A systematic review and meta‐analysis

“…We used a standardised form 7–9 . The analysed outcomes were the post‐treatment NOSE scale and the percentage of patients who fully recovered from NSD or complications of septoplasty 6,10–46 . These results were compared between the endoscopic septoplasty and control (conventional septoplasty) groups.…”

Lessons from Self-Assessment of Post-Rhinoplasty Complaints; Analysis of 192 Candidates of Secondary Rhinoplasty

“…According to the “International Society of Aesthetic Plastic Surgery” (ISAPS) Up to 15% of all patients re-consult a doctor for a revision because they are dissatisfied with their final rhinoplasty result such as functional problem or appearance 8 . The responsible rhinosurgeon has to regard all anatomical and physiological details and to consider ethical and psychological aspects in the preselection and postoperative care of the patient.…”

Septoplasty: Comparison of adrenaline with normal saline as submucoperichondrial infiltration solution.

“…Nasal obstruction is one of the most common 1,2 complaints in ENT clinic and DNS (deviated nasal septum) is usually the cause. Symptomatic DNS usually require surgery in the form of septoplasty.…”