Abstract

BackgroundNasal obstruction is a common annoying symptom of septal deviation, and endoscopic septoplasty gives better illumination and accurate vision, and hence can provide markedly good dealing with posterior deviations, isolated spurs, and high deviations. Computed tomography (CT) scan and Nasal Surgical Questionnaire (NSQ) are important for accurate postoperative follow-up.ObjectiveThe aim of this study was to express our experience in the assessment of the nasal obstruction after endoscopic septoplasty compared with conventional septoplasty in patients with nasal septum deviation by measuring the size of the inferior turbinate with CT scan and measuring patient satisfaction by NSQ score.Patients and MethodsThis was prospective study of 100 patients, complaining mainly of nasal obstruction. They were divided into two groups: group A, who underwent endoscopic septoplasty, and group B, who underwent conventional septoplasty. All the patients underwent septoplasty alone without inferior turbinate surgery. Preoperative and postoperative CT scan and NSQ were the basic documentation for the results.ResultsEndoscopic septoplasty showed a better reduction in nasal obstruction than conventional septoplasty; however, the postoperative reduction on the size of the inferior turbinate and NSQ score were highly significant in both groups (P=0.001).ConclusionBoth endoscopic and conventional septoplasty without turbinate surgery in patients with nasal septum deviation were effective in improving the nasal obstruction. However, endoscopic septoplasty had better results in improving nasal obstruction.

Highlights

  • Chronic nasal obstruction is considered to be one of the most common symptoms of septal deviation [1]

  • The anterior tip of the inferior turbinate is found in the nasal valve region, and hypertrophy can cause an increase in airway resistance [2]

  • With regard to the size of the inferior turbinates, there was a significant reduction on the postoperative size of the inferior turbinate (P=0.001), as shown in Table 2, Figs 1 and 2

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Summary

Introduction

Chronic nasal obstruction is considered to be one of the most common symptoms of septal deviation [1]. Nasal obstruction is a common annoying symptom of septal deviation, and endoscopic septoplasty gives better illumination and accurate vision, and can provide markedly good dealing with posterior deviations, isolated spurs, and high deviations. Objective The aim of this study was to express our experience in the assessment of the nasal obstruction after endoscopic septoplasty compared with conventional septoplasty in patients with nasal septum deviation by measuring the size of the inferior turbinate with CT scan and measuring patient satisfaction by NSQ score. Patients and methods This was prospective study of 100 patients, complaining mainly of nasal obstruction. Preoperative and postoperative CT scan and NSQ were the basic documentation for the results

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