Abstract
Abstract The purpose of this study was to reveal the role of septoplasty in improving the subjective outcome of chronic rhinosinusitis (CRS) in patients with significant septal deviation. This prospective study involved 24 patients with CRS and septal deviation. The patients were randomly divided into two groups according to the applied surgical proceures. In the first and second groups, septoplasty and septoplasty plus endoscopic sinus surgery were applied, respectively. Subjective questionnaire of success rates were used to analyze the results. At 6 months follow-up period, the subjective score in group 1 dropped significantly from 57.6 to 23.1 (P <0.05). In group 2 the score also dropped significantly from 64.1 to 28.4 (P <0.05), with no significant difference between the 2 groups regarding the improvement of their scores. We suggest that septoplasty alone can be adequate for the treatment of CRS with septal deviation.
Highlights
Chronic rhinosinusitis (CRS) represents an important healthcare problem in the world
We suggest that septoplasty alone can be adequate for treatment of CRS with septal deviation
Sun et al [11] found that 47% of the patients with septal deviation had ipsilateral or bilateral osteomeatal complex (OMC) disease with severity correlated to the angle of deviation
Summary
Chronic rhinosinusitis (CRS) represents an important healthcare problem in the world. Anatomic variations can lead to obstruction of OMC, which can be enhanced by inflammation and result in compromised mucocilliary clearance; this may result in chronic or recurrent rhinosinusitis. The most frequent OMC anatomic variation is septal deviation, which is one of the causes of the nasal obstruction and may affect the nasal mucociliary clearance negatively [4]. Type 1 is characterized by the vertical septal deflection in the valve area. Type 3 is characterized by the vertical septal deflection in the close neighborhood of the head of the middle turbinate. Type 4 is characterized by two vertical septal deflections, one in the valve area on one side and another in the neighborhood of the head of the middle turbinate on the opposite side. Type 7 is very variable and can consist of various combinations and is almost always bizarre [5]
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