Abstract
Nasal septal deviation is a condition which is frequently encountered in the general population. Surgical correction of this problem has been the mainstay of treatment for over a century.This study is to compare SMR with Single sided mucoperichondral resection. This new technique in Septal Surgery is found without complication whereas complications were noted in SMR.The study to compare the Single sided mucoperichondrial resection versus conventional SMR was carried out in the Department of Otorhinolaryngology at AJ Institute of Medical Sciences and Research Centre, Mangalore, Karnataka during the period from 1 October 2018 to 31 September 2019.A total of 20 cases with symptomatic DNS were included in the study, after randomization 10 cases underwent conventional SMR and 10 cases Single sided mucoperichondrial resection.Among 10 patients who underwent conventional SMR, Septal hematoma and septal perforation were the most common complications. None of the patients who underwent Single sided mucoperichondrial resection had any complications.In conventional SMR, retention of both mucoperichondrial flaps results in many recognized post op complications. In Single sided mucoperichondrial resection, no complications were seen in comparison.
Highlights
Nasal septal deviation is a condition which is frequently encountered in the general population
A total of 20 cases with symptomatic DNS were included in the study; out of which 10 cases were planned for conventional submucous resection (SMR) and 10 cases were for Single sided mucoperichondrial resection
The results of 10 cases of conventional SMR and 10 cases of single sided mucoperichondrial resection were assessed under following headings
Summary
Nasal septal deviation is a condition which is frequently encountered in the general population. The chief symptom is nasal obstruction causing difficulty in breathing. Surgical correction of this problem has been the mainstay of treatment for over a century. Freer and Killian, credited with the concept of submucous resection (SMR) form the basis of most techniques. They proposed that to correct the abnormality, the cartilage and the bone should be carefully identified between the layers of the mucous membrane and removed, with retention of both dorsal and caudal struts of cartilage. The procedure is completed by replacing the mucoperichondrial flap. In Single sided mucoperichondrial resection, in contrast to SMR, the mucoperichondrial flap is resected
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