Septoplasty and septoplasty with inferior turbinoplasty in the management of nasal septal deviation with inferior turbinate hypertrophy

Abstract

<p class="abstract"><strong>Background:</strong> Nasal obstruction is a highly prevalent problem caused by nasal septal deviation, with or without inferior turbinate hypertrophy. Nasal septoplasty and inferior turbinoplasty can improve the nasal airways. This study was designed to assess the efficacy of septoplasty alone and septoplasty with inferior turbinoplasty in cases having nasal septal deviation with inferior turbinate hypertrophy.</p><p class="abstract"><strong>Methods:</strong> A total 70 cases clinically diagnosed with the deviated nasal septum and inferior turbinate hypertrophy were randomly divided into two groups. Group 1 cases were under septoplasty alone and group 2 cases were under septoplasty with inferior turbinoplasty. Symptom improvement scores was assessed by sino nasal outcome test-20 (SNOT-20). </p><p class="abstract"><strong>Results:</strong> The mean reduction symptom score of nasal obstruction was 1.73 in septoplasty with inferior turbinoplasty group, while in septoplasty group it was 1.06. The mean reduction symptom score in group 2 was statistically significant. All the cases of group 2 had adequate first pass diagnostic nasal endoscopy (DNE). While in group 1, majority cases had inadequate first pass DNE. </p><p class="abstract"><strong>Conclusions:</strong> First pass DNE findings were favourable in the cases under septoplasty with inferior turbinoplasty Septoplasty with inferior turbinoplasty is effective in the reduction of nasal obstruction, facial pain, sleep difficulty, decrease in attentiveness and irritability in cases having deviated nasal septum with inferior turbinate hypertrophy.</p>

Septoplasty versus septoplasty with turbinate reduction for nasal obstruction due to deviated nasal septum: a systematic review and meta-analysis

“…After removing duplicates, 793 records were screened by titles and abstracts, resulting in 20 studies eligible for full-text evaluation. Overall, twelve RCTs fulfilled our criteria and were included in the current review (9,10,(19)(20)(21)(22)(23)(24)(25)(26)(27)(28) . Five studies were excluded from the meta-analysis because of insufficient information provided (20,21,24,27,28) .…”

“…Overall, twelve RCTs fulfilled our criteria and were included in the current review (9,10,(19)(20)(21)(22)(23)(24)(25)(26)(27)(28) . Five studies were excluded from the meta-analysis because of insufficient information provided (20,21,24,27,28) . Figure 1 2.…”

A Comparison of Symptom Improvement and Outcomes After Septoplasty Alone Versus Septoplasty With Turbinoplasty

“…In septal deviation to one nostril, compensatory inferior turbinate hypertrophy is thought to protect the airways from extra air entering via that nostril and its potential negative effects [ 6 ]. As a result, septoplasty, which is one of the most common procedures performed in the otorhinolaryngology department, is performed to enhance the nasal airways [ 7 , 8 ]. The most common complication of septoplasty is excessive bleeding, but other complications, such as septal hematomas, perforations, infections, nasal blockage, intranasal adhesions, and numbness or sensitivity of the upper teeth or lip, may occur [ 8 ].…”