Conventional Septoplasty Research Articles

What nasal endoscope adds in septoplasty

A study was conducted to assess the advantages of endoscopic septoplasty over the conventional septoplasty.Sixty patients having symptomatic deviated nasal septal were randomly divided into two groups of 30 patients each. One group underwent conventional septoplasty and the other group underwent endoscopic septoplasty. The groups were compared regarding the relief of symptoms after surgery and complications.The symptoms postoperatively and the objective assessment were significantly less in endoscopic septoplasty group.Endoscopic septoplasty is a fast developing concept and gaining popularity as it provides a direct targeted approach to the septal anatomic deformity, allowing a minimally invasive procedure with limit septal mucosal flap dissection and removal of small cartilaginous and/or bony deformity.

The effectiveness of final intraoperative endoscopic control in conventional septoplasty

Objective. Septoplasty operation is a very common procedure and can be performed with endoscopic or conventional techniques. In some cases, preoperative nasal endoscopy can not be performed due to severe anterior deviations, and computerized tomography assessment causes to radiation exposure and increased cost. Our aim was to investigate the effectiveness of final endoscopic control in conventional septoplasty operations. Methods. Fifty-one subjects who underwent conventional septoplasty with intraoperative endoscopic control and thirty age-sex matched patients who were being performed conventional septoplasty without endoscopic control were enrolled in this prospective study. Surgeon satisfaction intraoperatively and patient satisfaction 3 months later from surgery obtained with using 5 point Likert scale. Additional pathologies which observed by using intraoperative endoscopy and the rate of performed additonal surgeries were recorded. Results . Using this technique, surgeon satisfaction improved ( p =0.02), but there was no significant difference on patient satisfaction ( p =0.642). Additional pathologies were seen in 25% of patients and additonal surgeries performed in 21% of patients. All observed additonal pathologies were diagnosed and treated with endoscope easily. Conclusion . Final intraoperative endoscopic control in conventional septoplasty is an effective method and improves the surgeon satisfaction in surgery.

Comparative Study of Endoscopic Septoplasty vs Conventional Septoplasty

ABSTRACTNasal obstruction due to deviated nasal septum (DNS) is a common problem encountered by otolaryngologists. A variety of surgical procedures have been tried in the treatment of the same. This study was conducted to evaluate the outcomes and complications of endoscopic and conventional septoplasty. This prospective, randomized study was conducted on 50 patients with symptomatic DNS, 25 of whom underwent conventional septoplasty, and the rest underwent endoscopic septoplasty. It was found that it is easier to correct posterior deviations and isolated spurs with endoscopic septoplasty with less complications and good results.How to cite this articleYadav A, Mohan C, Srivastava A. Comparative Study of Endoscopic SeptoplastyvsConventional Septoplasty. Int J Adv Integ Med Sci 2016;1(2):49-51.

As the Nasal Spine Goes, So Goes the Septum.

"As the septum goes, so goes the nose". A well-known phrase by Maurice Cottle forms the pillar of septoplasty. Since the inception of septal surgeries, numerous methods of septoplasty have been described. But, if not performed meticulously, may lead to deformity. For a successful surgery, understanding the anatomy and addressing the anterior nasal spine and maintaining the tip integrity is vital. To study the outcomes of "ROUND ABOUT technique" to correct deviated nasal septum which focuses on the importance of anterior spine and hence maintain the tip integrity. This was a prospective, single-centre outcome study of 35 patients with symptomatic nasal obstruction. Here, we describe a method of elevating the mucoperichondrial and mucoperiosteal flaps bilaterally, without transecting the quadrilateral cartilage of the septum. The Sino Nasal Outcome Test-22 (SNOT-22) Questionnaire was administered pre-operatively and after 3 months following surgery. The post-operative follow-up period ranged from 3 to 6 months (mean= 4.5 months) to evaluate the functional and aesthetic outcomes of the performed procedure. A total of 35 patients underwent surgery by this technique who presented with deviated nasal septum and variable degrees of nasal obstruction. To assess the statistical outcome, Paired t-test was applied. Mean SNOT-22 scores decreased significantly from 40.02 pre-operatively to 18.65 three months after surgery. The results sustained after 6 months (p-value <0.0001), 85% of these patients had improved breathing post-operatively and none of the patients complained any aesthetic criticisms. The patients were content and the requirement of medications post-operatively were minimal. The ROUND ABOUT technique is a very effective and safe method in correcting the septal deviations especially the ones with caudal or dorsal deflections. It also helps in maintaining the tip integrity and addressing the anterior nasal spine. It avoids the complications of conventional septoplasty.

Endoscopic vs. conventional septoplasty: A review of the literature

The aim of this review of literature was to compare conventional and endoscopic septoplasty in terms of operating time, functional efficacy and perioperative morbidity. A systematic review of the scientific literature was performed on the PubMed database, Google and Google Scholar, searching for randomized prospective trials comparing endoscopic and conventional septoplasty. The primary endpoint was operating time, and the secondary endpoints were intra- and postoperative complications, postoperative pain, hospital stay and functional result. Twenty-nine articles published between 1991 and 2012 compared conventional and endoscopic septoplasty, five of which were prospective randomized trials. Operating time was shorter with endoscopic surgery (P<0.001), with less mucosal damage (P<0.01); there was less synechia (P<0.01) and residual deformity (P<0.05); and postoperative pain was milder. Endoscopic septoplasty thus shortened surgery time and reduced perioperative complications, but the functional result was the same as with conventional septoplasty.

Comparison between Endoscopic Septoplasty and Conventional Septoplasty: Our Experience

ABSTRACT Introduction Nasal obstruction due to deviated nasal septum is a common problem encountered by otolaryngologists. A variety of surgical procedures have been tried in the treatment of the same. Objective This study was conducted to evaluate the outcomes and complications of endoscopic and conventional septoplasty. Materials and methods This is a prospective, randomized study done in Government Medical College, Latur in which 52 patients with symptomatic deviated nasal septum were included in the study. Eighteen of them underwent conventional septoplasty and the rest had endoscopic septoplasty. Results The difference in the functional outcome of both the surgeries was insignificant. Endoscopic septoplasty had better outcome with respect to complications and proved as an easier method to correct posterior deviations and isolated spurs. Conclusion Endoscopic septoplasty allows accurate, conservative repair of obstructive nasal septum deviations, with fewer complications and better functional results compared to conventional septoplasty. How to cite this article Tukaram KV, Lahane VJ, Mishra S, Prakash NP. Comparison between Endoscopic Septoplasty and Conventional Septoplasty: Our Experience. Clin Rhinol An Int J 2015;8(3):93-98.

A case of nasal septal deviation-induced rhinogenic contact point otalgia

Recently, the author experienced a case of intractable right-sided otalgia in a 17-year-old male patient. The pain was intermittent and frequently radiated to the right forehead and periorbital region. He had received unsuccessful medical treatments for migraine headache. The otoendoscopic examination revealed a normal tympanic membrane. Nasal endoscopy showed only an intranasal mucosal contact point between the septal crest and the right inferior turbinate, without other signs of sinus inflammation. Topical application of an anesthetic and vasoconstrictive solution-soaked cotton pledget at the intranasal contact area made the patient experience a significant improvement of symptoms. After surgical removal of the mucosal contact point by conventional septoplasty and turbinoplasty, he experienced significant relief of symptoms and complete recovery. Here, the author report a case of intractable otalgia induced by nasal septal deviation with review of literatures, and suggestion for new disease entity of rhinogenic contact point otalgia induced by nasal septal deviation is carefully made.

Sphenoid Sinus Injury Leading Pneumocephalus as a Complication of Conventional Septoplasty

Septoplasty is the most commonly performed operation in otolaryngology. Other than the more common complications such as hemorrhage, septal hematoma and abscess, perforation and postoperative deformities, the surgeon must also be aware of the rare but life-threatening ones such as skull base and intracranial injury, cerebrospinal fluid rhinorrhea, meningitis, pneumocephalus, subarachnoid hemorrhage, intracranial abscess and cavernous sinus thrombosis. Herein, we present the case of a sphenoid sinus posterior wall injury leading to pneumocephalus as a complication of conventional septoplasty treated with obliteration and a fascia lata graft endoscopically.

Correction of Deviated Nasal Septum: Conventional Vs Endoscopic Septoplasty

Background: Deviated nasal septum (DNS) is one of the most common causes for nasal block. Endoscopic approach under good illumination and magnification lessens the chances of injuring the vital structures and hence lessens the complications. An attempt was made to study and compare the results and complication of conventional septoplasty with that of endoscopic septoplasty. Methodology: Patients with DNS, attending a tertiary care hospital with presenting complaints of nasal obstruction, head ache, post nasal drip and hyposmia were included. A total of 150 patients were subjected to detailed clinical examination and investigations like X-ray of PNS, Telescopic examination of nose and CT scan were done. One group of 75 patients were subjected to endoscopic correction of septal spur and the rest 75 were subjected to conventional septoplasty. Intra operative and post operative findings were compared in the two groups. Results: Age distribution of the study population ranged from 15 to 40 years. Half of them were in the age group of 21- 30 years. Males were 53.3% and females were 46.7%. Incomplete septal correction was 13.3% with conventional septoplasty and 6.6% with endoscopic septoplasty. Septal flap tear was seen in 32% of those who underwent conventional septoplasty as compared to 20% with endoscopic septoplasty (Z=1.69; P >0.05) Conclusion: Though conventional septoplasty is practiced since ages, the endoscopic approach by far can be definitely be considered as a better alternative in the correction of Deviated Nasal Septum.

A comparative study of endoscopic septoplasty versus conventional septoplasty.

Nasal obstruction due to deviated nasal septum is a common problem encountered by otolaryngologists. A variety of surgical procedures have been tried in the treatment of the same. This study was conducted to evaluate the outcomes and complications of endoscopic and conventional septoplasty. This is a prospective, randomized study. Fifty patients with symptomatic deviated nasal septum were included in the study, 25 of them underwent conventional septoplasty and the rest underwent endoscopic septoplasty. The difference in the functional outcome of both the surgeries was insignificant. There was a significant difference with respect to complications. Endoscopic septoplasty had better outcome with respect to complications. It is easier to correct posterior deviations and isolated spurs with endoscopic septoplasty. Complications are lesser with endoscopic septoplasty.

Endoscopic vs Conventional Septoplasty: A Comparative Study

ABSTRACT Objective Traditional surgeries of the nasal septum improve the nasal airway but recent developments of endoscopic techniques have brought focus over several aspects of possible advantages over traditional techniques. These are due to better visualization and illumination, better accessibility and evaluation of exact pathology, lesser need of unnecessary manipulation, resection and overexposure of the septal framework and improving the scope for a revision surgery if required later. Materials and methods Sixty cases of deviated nasal septum (DNS) refractory to conservative medical treatment were divided into two groups of 30 patients and underwent correction surgery for nasal septal deformity using both endoscopic and conventional techniques. Results The postoperative follow-up was done at 1, 2, 4 weeks and 3 months. The clinical results of endoscopic septoplasty were found better as compared to conventional techniques with lesser complications and lesser period of hospitalization. However, the statistical analysis did not show a difference between the two groups. Conclusion The use of endoscopic techniques offers lesser complications and lesser period of hospitalization. However, this study of limited series needs further extensive evaluation to statistically establish the proposed results in future. How to cite this article Kaushik S, Vashistha S, Jain NK. Endoscopic vs Conventional Septoplasty: A Comparative Study. Clin Rhinol An Int J 2013;6(2):84-87.

Skull Base Injury Leading to Death After Conventional Septoplasty

Treatment of nasal obstruction with conventional septoplasty is a very common operation in otorhinolaryngology. There are considerable complications that may become even life threatening. We report a rare complication of septoplasty, namely, skull base injury. The possible mechanisms and treatment modality are discussed. Like other similar procedures, prevention of the skull base injury is more important than its treatment. Correct knowledge about anatomy of the region and meticulous manipulation and instrumentation are the most considerable topics.

Septal Batten Graft to Correct Cartilaginous Deformities in Endonasal Septoplasty

To evaluate the usefulness of septal batten grafts to correct cartilaginous septal deformities in endonasal septoplasty. Retrospective study. University medical center. Of 430 patients who underwent endonasal septoplasties from January 2006 to January 2011, 30 received septal batten grafts and were enrolled in the study. Twenty-eight patients were male and 2 were female. Thirty consecutive patients received septal batten grafts and were followed up for more than 6 months. Patterns of septal deformity, materials used for batten graft, surgical results, symptom improvement, findings of acoustic rhinometry, and surgical complications were investigated. Among the 30 patients, 5 were revision cases. Most of the deformities were characterized as moderate to severe degrees of curved or angulated deviations of the cartilaginous septum. The batten graft was performed with either septal cartilage (n = 21) or bony septum (n = 9). A straight septum was achieved in 90% of all procedures. Subjective symptoms of nasal obstruction were improved in all patients, as evaluated by the Nasal Obstruction Symptom Evaluation scale. Acoustic rhinometry revealed that after surgery the mean minimal cross-sectional area changed from 0.33 cm² to 0.42 cm² (P = .02) and the nasal volume from 4.71 mL to 6.28 mL (P = .02). There were no major complications, eg, septal perforation or saddle nose, and no revision surgery was needed. Endonasal septal batten graft is a safe, useful, and effective technique to straighten moderate to severe septal cartilage deformities that are otherwise not correctable via conventional septoplasty techniques.

Septoplasty can Change the Shape of the Nose

ENT surgeons are familiar with anatomy as well as physiology to improve the form and function of the nose. Conventional septoplasty is done to improve the function of the nose. The nasal septum contributes to the shape of the nose in many ways like it's height, length and position in the midline. And if septoplasty is extended to vary its' dimensions it can grossly contribute to the improvement of the shape of the nose and would truly be called septo-rhinoplasty. This fact that septal surgery alone can improve the shape of the nose shall encourage young ENT surgeons to practice these techniques and offer the resulting cosmetic advantages to their patients.

Endoscopic Septoplasty: Advantages and Disadvantages

Abstract Our study was conducted to assess the advantages and disadvantages of use of endoscopes use in septoplasty. Hundred patients with symptomatic deviated nasal septum were randomly divided into endoscopic septoplasty (ES) group and conventional septoplasty (CS) group of 50 patients each. The two groups were compared for technique, improvement in symptoms and complications. The postoperative symptoms and complications were significantly less in ES group due to better visualization and minimal dissection.

Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur

Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur

A Study on Clinical Profile of Deviated Nasal Septum and to determine the Efficacy of the Surgery

ABSTRACT Aim To study the clinical profile of deviated nasal septum and to assess the subjective efficacy of the surgical outcome using Likert scale. Materials and methods This study is a prospective, observational, single-center study from October 2013 to May 2015. The study was conducted in Sri Siddhartha Medical College, Tumkur, Karnataka, India. A detailed clinical history was taken and clinical examination of the patient was carried out. Sixty symptomatic patients were taken up. Patient scored their symptom-related severity using a Likert scale preoperatively. All patients underwent conventional septoplasty. Postoperatively, their symptoms were scored on 30th, 45th, and 90th day. Results Preoperative and Postoperative values were analyzed. Statistically significant improvement was observed in the entire population: Nasal obstruction (p&lt;0.001), headache (p&lt;0.001), nasal discharge (p&lt;0.001), facial pain (p&lt;0.001), and hyposmia (p&lt;0.001). Patient satisfaction was high and they used fewer nasal medications. Conclusion After surgical correction of the septum and analysis of the subjective scale, i.e., Likert scale showed improvement in all symptoms. The principal benefits of septal surgery relate to improvement in nasal symptoms. How to cite this article Mogarnad M, Mohta V. A Study on Clinical Profile of Deviated Nasal Septum and to determine the Efficacy of the Surgery. Clin Rhinol An Int J 2017;10(2):70-73.

Comparative evaluation of endoscopic with conventional septoplasty

A study was conducted to assess the merits and demerits of endoscopic septoplasty. Fifty patients having symptomatic DNS were randomly divided into two groups of 25 patients each. One group underwent endoscopic septoplasty and other group underwent conventional septoplasty. The groups were compared regarding the complaints with pack in postoperative period, relief of symptoms after surgery and complications. The symptoms complained by the patients with pack in postoperative period and complications after surgery were significantly less in endoscopic septoplasty group.

Endoscopic endonasal transseptal approach for localized sphenoid sinus diseases

Objective Surgery for localized sphenoid sinus disease can be performed in different ways. Direct (transnasal) and indirect (transethmoidal) approaches are now prevalent in endoscopic endonasal sinus surgery (ESS) because they are safe and effective. However, the identification or treatment of a sinus is occasionally difficult due to the anatomical variation, postoperative changes, or other reasons. In such difficult cases, we currently used an endoscopic endonasal transseptal approach (EETA) to the sphenoid sinus. The indications, procedures, and outcomes of this surgical method are presented here. Patients and methods Six of 11 patients with localized sphenoid sinus disease (mycetoma, n = 1; mucocele, n = 5) were treated using EETA. Surgery was performed under local anesthesia in all subjects. Following endoscopic conventional septoplasty, the sphenoid sinus was opened by perforating the anterior wall through the septoplasty wound. The sphenoid disease was treated through this opening, and then drained to the nasal cavity. Results The patients operated on using EETA had no surgical complications or disease recurrence, and the use of navigation or fluoroscopy systems was not required. The mean follow-up period of the patients was 27.7 months (range 18–48 months). Follow-up management included endoscopic examination and computed tomography. Conclusions A transseptal approach to the sphenoid sinus with a sublabial incision was once frequently performed in pituitary surgery. We modified the transseptal approach as EETA with the use of an endoscope and endonasal incision. This approach is practical and reliable for ESS, and may serve as an alternative for difficult-to-manage sphenoid sinus disease. EETA can be performed in the office as it can be achieved under local anesthesia without a navigation system.

Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur

To compare the procedure, results and complications of conventional septoplasty with those of endoscopic septoplasty, in cases of limited septal deviation and septal spurs. Prospective study; interventional type; randomised block design; comparative clinical trial. We included in the study 80 patients presenting with limited septal deviation, septal spur with nasal obstruction, or deviated septum with septal correction was required in order to access the ostio-meatal complex (OMC) for functional endoscopic sinus surgery. Of these 12 were children with septal deviation producing significant nasal obstruction. All patients were divided into two groups- with one undergoing conventional and the other endoscopic septoplasty. Post-operative assessment was carried out one month, three months and one to two years after the procedure. Post-operative complications such as haemorrhage, infraorbital oedema, nasal pain and in-patient hospital was slightly more in the conventional septoplasty group. No statistically significant difference was found between the conventional and endoscopic septoplasty groups, as assessed by subjective and objective evaluation.