A study of comparison between the efficacy of endoscopic septoplasty and traditional septoplasty

Abstract

Background: Endoscopic septoplasty is a minimally invasive technique that helps to correct deformity of septum under excellent visualization. This study was undertaken to evaluate the results of endoscopic septoplasty and correlated its efficacy with the traditional septoplasty operation for the correction of various nasal septal deformities. Methods: The present hospital based one year study was conducted among 52 patients undergoing surgery for nasal septal deformity correction at the department of otorhinolaryngology, CSM Medical University, Lucknow, India to evaluate the results of endoscopic septoplasty and correlate its efficacy with the traditional septoplasty operations for the corrections of various nasal septal deviations. Results: Maximum patients of DNS were males (73.07%). Majority (61.54%) presented with left sided DNS having most common symptom to be nasal obstruction (90.38%). Intraoperative complications were found to be higher in traditional septoplasty group as compared to endoscopic group. Maximum post-operative complications occurred in traditional septoplasty as compared to endoscopic septoplasty group. Nasal obstruction and headache were relived in endoscopic septoplasty group as compared to traditional group. Maximum patients (61.53%) of traditional group required longer stay in hospital after surgery. Endoscopic group of septoplasty showed more improvement and less complication in posterior deviations and spurs as compared to anterior deviations. Conclusions: Overall this study showed better results and less complications in endoscopic septoplasty as compared to traditional septoplasty group as endoscopic septoplasty gave better illumination and improved access to high deviated nasal septum and allowed limited incision, limited flap elevation and achieved correction with least resection.