Abstract
Abstract Nasal obstruction is a very common complaint, which may be caused by various causes, one of the most important being septal deviation. Many techniques have been described to correct these septal deviations since the middle of 19th century. There have been several modifications since its inception. The application of endoscopic techniques to correct septal deformities was initially described by both Lanza and colleagues and by Stammberger in 1991. Comparing the efficacy of endoscopic septoplasty with traditional septoplasty in the treatment of cases with septal deviations. Thirty cases complaining mainly of nasal obstruction due to significant septal deviations were selected. They were randomly divided into two groups: group A patients underwent endoscopic septoplasty and group B underwent traditional septoplasty. The Nasal Obstruction Symptom Evaluation (NOSE) scale was an important step in assessment. The two procedures are suitable to correct septal deformities, with a slight upper hand for the endoscope in particular cases. We highlight in this study the advantages and disadvantages of the use of the nasal endoscope to correct nasal septal deviation. Although mainly used in sinus surgery, the endoscope has also found its way in nasal septal surgery as it facilitates accurate identification of the pathology due to better illumination, improved accessibility to remote areas and magnification. It allows precise resection of the pathological areas without the need of an extended dissection. Endoscopic septoplasty is associated with a significant reduction in the patient’s morbidity in the postoperative period due to limited extent of flap dissection and limited manipulation and resection of the septal framework. However, the endoscope has its own limitations which include loss of binocular vision and the need for frequent cleaning. The NOSE scale also correlates well with the postoperative results of the study.
Highlights
The repair of nasal septal deviation is a time-honoured treatment for nasal airway obstruction
Patients and methods The study was conducted within the premises of the ENT Department of the Fayoum University Teaching Hospital on 30 patients presenting with nasal obstruction secondary to deviated nasal septum
There was no significant difference in both the groups in the Nasal Obstruction Symptom Evaluation (NOSE) scale preoperatively (P = 0.9) and in the associated symptoms; Headache (P = 0.7), postnasal drip (P = 0.7), and sneezing (P = 0.6)
Summary
The repair of nasal septal deviation (septoplasty) is a time-honoured treatment for nasal airway obstruction. It is among the three most commonly performed procedures in otolaryngology [1]. Many techniques have been described previously to accomplish this goal [2]. Surgery of the septum, which started in its earlier days as a more radical surgery, later evolved into a more mucosal and cartilage framework preservation surgery [3]. Poor illumination, accessibility and magnification demanded the use of a large exposure and the elevation of flaps on both sides of the septum. The introduction of the nasal endoscope has allowed for unnecessary over exposure and manipulation of the septal framework and better preservation of the nasal mucosa
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