Abstract
PurposeSeptoplasty is a common surgical procedure used for correction of the nasal obstruction caused by a deviated septum. The aim of the study was to identify complications in septoplasty and analyze incidence depending on the surgical technique, based on the material from 2009 till 2017.MethodsThe material consisted of 5639 medical records from patients aged 16–69, operated in the tertiary referral center. Patients were divided into two groups (2784 exclusively with septoplasty and 2855 with combined septoplasty and turbinoplasty). Z test for the equality of two proportions was made to investigate the assumption that the proportions from two populations are equal, based on two samples, one from each population.ResultsComplications were listed according to international standards. Among the whole study group, different types of complications were noted in 193 patients (3.42%). The most frequent complication was excessive bleeding. Significant differences were observed between the two investigated groups. In patients with combined septoplasty and turbinoplasty septal hematoma, hyposmia, prolonged healing due to infection, adhesions and temporary reduced visual acuity were significantly more often encountered.ConclusionsMeticulous attention to detail in identifying the appropriate anatomy and maintaining good visualization is the key to a safe and effective septoplasty, enabling for very low complication rate.
Highlights
Nasal airway obstruction is one of the most frequent presenting complaints reported to the otolaryngologist
Some of the patients developed more than one complication and that is why the overall complication rate is lower than the sum of all complications incidence
Excessive bleeding was most frequent complication in our study, what is similar to other studies [7, 11]
Summary
Nasal airway obstruction is one of the most frequent presenting complaints reported to the otolaryngologist. Deviations of the nasal septum are extremely common. Anatomic studies on human skulls revealed that 75–80% of all humans have a septal deviation to some degree [1, 2]. That septoplasty is one of the most frequently performed operation by otolaryngologists through the world [3,4,5,6,7]. Aesthetic indications (e.g. deviated dorsum) are not as common as functional [6]. The most important area for the airway is the Faculty, Medical University of Warsaw, Warsaw, Poland 4 Institute of Sensory Organs, Kajetany, Poland nasal vestibule and the valve region. From the functional point of view, correction of caudal part of the nasal septum is crucial
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