Conventional Septoplasty Research Articles

262 - Differential effect of panic on the methylation of the glucocorticoid receptor gene promoter 1F region in chronic subjective tinnitus

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.

Surgical outcome comparison between endoscopic septoplasty and conventional septoplasty among patients with nasal septal deviation

<p class="abstract"><strong>Background:</strong> When compared with standard head light technique, endoscopic septoplasty provides important advantages which include adequate visualization, room for instrumentation during functional endoscopic sinus surgery, access to para nasal sinuses and for other surgeries like trans-septal approach to the sphenoid sinus, visualization and stoppage of post-nasal bleeds. The aim of the study was to assess and compare the surgical outcome between endoscopic septoplasty and conventional septoplasty techniques in terms of anatomical correction and its complications.</p><p class="abstract"><strong>Methods:</strong> A prospective clinical study was conducted on hundred patients with nasal obstruction. Group A patients (n=50) underwent conventional septoplasty and group B (n=50) patients were operated by endoscopic septoplasty technique. Patients were subjected to diagnostic nasal endoscopy examination before and after surgery. Post-operative complications like trauma to lateral wall of nose, injury to cribriform plate, post-operative epistaxis, post-operative septal hematoma and septal abscess if occurred were noted. </p><p class="abstract"><strong>Results:</strong> Post-operatively diagnostic nasal endoscopy results show that there was a statistically significant improvement in endoscopic septoplasty group compared to conventional septoplasty and similarly the mean nasal obstruction symptom evaluation score. The most common post-operative complications which were occurred are synechiae and septal perforation and both these complications were more common among the conventional septoplasty group and the difference was found to be statistically significant.</p><p class="abstract"><strong>Conclusions:</strong> The study showed a better surgical outcome with a lesser complication among the endoscopic septoplasty as compared to conventional septoplasty. The only disadvantage of using endoscopic septoplasty was of binocular vision and repeated cleaning of the endoscope.</p>

A comparative study of endoscopic septoplasty and conventional septoplasty

<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>The aim of the study was to study the advantages and disadvantages of endoscopic septoplasty and conventional septoplasty and to co-relate the two procedures in terms of intra-operative visualization, duration of surgery, procedural difficulties, hospital stay and complications.</p><p class="abstract"><strong><span lang="EN-US">Methods: </span></strong>It is a prospective study done during November 2017 to April 2019 on 50 patients with symptomatic deviated nasal septum. Patients were randomly divided into conventional septoplasty and endoscopic septoplasty groups of 25 each. Surgery was performed as according to the division. Followed up on 1st week, 15th day, 1st month and 3rd month. </p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>In endoscopic septoplasty group, septal pathology, precise correction of the pathology, with less complications were seen. Hospital stay and duration of surgery were significantly less in endoscopic group.</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>For minimal and posterior deviations of the septum, endoscopic septoplasty is better, whereas for anterior deviations, conventional septoplasty could be better choice.</p>

A comparative study of endoscopic and conventional septoplasty

Objective: Nasal obstruction due to deviated nasal septum is a common problem encountered by otolaryngologist. The standard surgical treatment for symptomatic deviated septum is septoplasty which has gone through several modifications since its inception. Study objectives were to compare the endoscopic and conventional septoplasty and to evaluate the advantage, disadvantage and complication of both the procedures. Materials and Methods: Prospective observational study was conducted in department of ENT and Head-Neck-Surgery of a tertiary care teaching hospital. Sixty patients undergoing either endoscopic septoplasty or conventional septoplasty were studied prospectively for a period of 3 months to compare the efficacy of both the techniques. Objective assessment was done by doing nasal endoscopy 90 days after the operation to note the following points- (1) Persistence of deviation (2) Spur (3) Formation of synechiae (4) Septal perforation. Result: In this study the endoscopic approach showed better overall clinical result as compared to conventional technique with lesser complication. It was noted that endoscopic septoplasty group had minimum blood loss and shorter operative time than conventional method, but difference was not statistically significant. Conclusion: Endoscopic septoplasty was founded with distinct advantage over conventional method due to better illumination, improve accessibility to remote area was founded. Further surgical experience and larger similar studies will help in coming to a greater consensus.

A comparative study of conventional septoplasty versus endoscopic septoplasty

Introduction:A deviated septum can be asymptomatic or can cause functional and cosmetic abnormalities. Different studies have been proposed for the correction of deviated septum, but septoplasty has been the treatment of choice. Septoplasty is a more conservative surgery and endoscopic septoplasty has become increasingly popular over the past few decades.Materials and Methods:The study was carried out to compare the post-operative results among patients of conventional and endoscopic septoplasty and to assess the efficacy of endoscopic septoplasty with other surgeries. The present study was conducted among 40 patients of deviated nasal septum admitted in the Department of Otolaryngology of Adesh Institute of Medical Sciences and Research, Bathinda. Patients were selected by simple random sampling and were divided into Groups A and B, with 20 patients in each group. Group A underwent conventional septoplasty and Group B underwent endoscopic septoplasty.Results:The male-to-female ratio in the present study was 3:1. Deviated nasal septum was commonly associated with inferior turbinate hypertrophy (45%) and concha bullosa (27.5%). Postoperatively, a significant relief from the symptoms of nasal obstruction (85%), nasal discharge (25%), headache (30%), and postnasal drip (55%) was observed in endoscopic septoplasty. Complication rate was higher in conventional septoplasty. The endoscopic approach facilitates proper alignment by limited and precise resection of pathological areas.Conclusion:Endoscopic septoplasty provides precise resection of the pathological areas and better illumination with limited flap dissection and exposure.

Endoscopic Assisted Septoplasty Versus Conventional Septoplasty;a Prospective Study

Background and objectives: Correction of deviated nasal septum underwent many modifications. Traditionally, it has been performed by using a headlight and nasal speculum and recently, endoscopic techniques have been used for septal surgery. As a consequence, the present study aimed to compare the efficacy of conventional and endoscopic septoplasty in treating septal deformity. Methods:the study was conducted on fifty patients planned for septoplasty; they were randomly selected and divided into two groups; Group I undertaken conventional septoplasty and Group II via endoscopic septoplasty with twenty-five patients in each group. Postoperative symptom analysis and complications with objective anatomical evaluation by endoscopic examination were explained in this study. Results: Septal deviation was commoner in males than females in a ratio of 1.4: 1. Age ranged from 18 to 58 years with mean age ± SD (stand- ard deviation) 33.42± 10.42. Nasal septum deformity commonly associated with inferior turbinate hypertrophy (76%), concha bullosa (24%) and mucosal disease (26%). Postoperatively, subjective assessment of relieving symptoms was noticed in endoscopic septoplasty including nasal obstruction (96%), nasal discharge (88%), post nasal drip (92%) and headache (80%). Endoscopic septoplasty was superior in correction of posterior deflections in comparison to conven- tional technique while there was no significant difference regarding anterior deviations. Eventually lesser complication rates were observed in endoscopic technique. Conclusions: Endoscopic septoplasty is a viable alternative method for correcting septal deviation, and is more effective in relieving symptoms. It can be performed in conjunction with endoscopic sinus surgery.

Endoscopic versus conventional septoplasty: objective/subjective data on 276 patients.

Endoscopic approach represents a valid alternative to conventional septoplasty. The aim of this study is to analyze the objective and subjective data on 276 patients, who underwent traditional (147) or endoscopic (129) septoplasty. This is a prospective observational study on 276 consecutive patients affected by deviated nasal septum (DNS), who underwent isolated septoplasty between 2011 and 2018. 147 of them were treated using an "open" approach, while 129 were treated with an endoscopic approach. The two groups were compared 3 months after surgery: the objective results (complications such as bleeding, hematoma, pain, synechiae, septal tears and incomplete correction), objective (rhinomanometric data) and subjective measurements (NOSE questionnaires). Both techniques are effective in decreasing nasal obstruction and discharge. Complications such as pain, synechiae, early postoperative bleeding, septal tears and incomplete correction are less frequent in the endoscopic group (p < 0.05). The rhinomanometric analysis reveal improvement in both groups without statistical differences. Subjective questionnaires show a good symptoms relief with an improved quality of life in all 276 patients without statistical difference between the two gropus. Both techniques are effective in reducing nasal obstruction and related symptoms with fewer overall complications in the endoscopic approach. The endoscope provides improved field of view, less mucosal damages and a more anatomic dissection. Finally, such approach can be a valuable teaching tool for assistants, residents and students.

Comparison of pre and post-operative nasal obstruction in endoscopic septoplasty and conventional septoplasty

Comparison of pre and post-operative nasal obstruction in endoscopic septoplasty and conventional septoplasty

Case report: management of nasal septal deviation with endoscopic septoplasty

Septoplasty is a surgical procedure to alter the shape or position of a crooked septum by repairs its cartilaginous and bony part. Conventional septoplasty is performed under surgeon’s bare eyes and headlights guidance that can give a poor visualization. The operator often had difficulty in evaluating the most severe part of the septum deviation. It also results in excessive bone resection making it difficult to revise. In 1991 Stammberger applied endoscopic techniques to deal with nasal septal abnormalities which then led to the study of its effectiveness, which stated that this technique could visualize the nasal septum under enlargement of the video monitor so that it is helpful in dealing with posterior septal deformities and is more effective during teaching. In this article we present a case report of 23 years old woman with deviated septum whom underwent endoscopic septoplasty and has a good result without complication.

Assessment of the nasal obstruction after endoscopic septoplasty compared with conventional technique by computed tomography and Nasal Surgical Questionnaire

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.

COMPARATIVE STUDY OF ENDOSCOPIC SEPTOPLASTY VERSUS CONVENTIONAL SEPTOPLASTY

Background: Deviated nasal septum (DNS) is a very common condition which leads to nasal obstruction, headache, sinusitis, epistaxis and obstructive sleep apnea. Septoplasty is most frequent procedures carried out for DNS correction.&#x0D; Objective: To compare the surgical outcome of corrected deviated nasal septum with endoscopic septoplasty and conventional septoplasty.&#x0D; Method: It was a comparative study in which 60 patients with deviated nasal septum were randomly selected from ENT Department of Lahore General Hospital Lahore. Patients were divided into 2 groups like group A having 30 patients and group B another 30 patients. Group A patients underwent endoscopic septoplasty and Group B patients experienced conventional septoplasty.&#x0D; Results: Among 30 patients who underwent endoscopic septoplasty, 70.0% were males and 60.0% were upto 30 years old while among 30 patients who underwent conventional septoplasty, 76.7% were males and 56.7% were upto 30 years old. Among patients treated with endoscopic septoplasty, 10.0% had nasal blockage, 6.7% postnasal drip, 16.7% headache and 16.7% patients had septal deviation after surgery. Likewise among patients treated with conventional septoplasty, 13.3% had nasal blockage, 10.0% postnasal drip, 26.7% headache and 23.3% patients had septal deviation after surgery.&#x0D; Conclusion: Study concluded that endoscopic septoplasty is superior to conventional septoplasty and patients treated with endoscopic septoplasty had better outcome regarding nasal blockage, postnasal drip, headache and septal deviation.&#x0D;

To Compare the Indications, Procedures, Efficacy and Complications of Endoscopic over Conventional Septoplasty in cases of Pathological Nasal Septum at Tertiary Care Centre of Central India

To Compare the Indications, Procedures, Efficacy and Complications of Endoscopic over Conventional Septoplasty in cases of Pathological Nasal Septum at Tertiary Care Centre of Central India

Conventional vs. endoscopic septoplasty: our experience

&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; &lt;span lang="EN-IN"&gt;A straight septum is the exception rather than the rule. A deviated septum can be asymptomatic or can cause functional and cosmetic abnormality. Different surgeries have been proposed for correction of deviated septum but septoplasty has been the procedure of choice. Septoplasty is a more conservative surgery with fewer complications and endoscopic septoplasty has become increasingly popular over the last few decades. &lt;/span&gt;&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; &lt;span lang="EN-IN"&gt;This is a comparative study conducted at a tertiary care centre over a period of 1 year on 100 cases to compare the efficacy of endoscopic septoplasty with conventional septoplasty. 50 cases underwent conventional septoplasty while the other 50 cases underwent endoscopic septoplasty. Relief from pre-operative symptoms, anatomical correction of deformity and intraoperative/postoperative complications were studied. &lt;/span&gt;&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results:&lt;/strong&gt; &lt;span lang="EN-IN"&gt;Patients belonging to endoscopic septoplasty group showed better symptomatic relief and lesser incidence of complications when compared to the conventional septoplasty group. &lt;/span&gt;&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; &lt;span lang="EN-IN"&gt;Endoscopic septoplasty has better illumination and additional magnification which aid in accurate identification of pathology and precise excision of the deviated septal part. It is also useful for correction of posterior and high deviations of septum and for revision surgeries. Coventional septoplasty has got its own merits like dealing with situations in which septal damage is more and post trauma. Though better patient compliance, better relief from symptoms and lesser rate of complications give an edge for endoscopic over conventional septoplasty, both the procedures need to be done together in some situations to achieve optimal results.&lt;/span&gt;&lt;/p&gt;

Comparison of pre and post-operative nasal obstruction in endoscopic septoplasty and conventional septoplasty

Comparison of pre and post-operative nasal obstruction in endoscopic septoplasty and conventional septoplasty

A comparative study of conventional versus endoscopic septoplasty at a tertiary teaching care hospital

A comparative study of conventional versus endoscopic septoplasty at a tertiary teaching care hospital

A comparative study of conventional and endoscopic septoplasty

A comparative study of conventional and endoscopic septoplasty

A comparative study of endoscopic versus conventional septoplasty: an analysis of 50 cases

&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; Nasal obstruction is the most common complaint in ENT practice. Surgical correction of deviated nasal septum has been performed by a variety of techniques of which sub mucous resection and Septoplasty procedures of surgical correction of nasal septum play a prime role in management of patients of nasal obstruction. Nasal endoscope is very useful tool to visualize posterior part of septum and do the surgery more precisely and with less complication as compare to conventional method. The objectives of the study were to compare the outcomes of conventional and endoscopic septoplasty, to evaluate the advantages, disadvantages and complications of both endoscopic and conventional&lt;strong&gt; &lt;/strong&gt;septoplasty&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; 50 cases (between (Oct. 2014 - March 2016) of deviated nasal septum selected in this prospective study and they were randomly divided equally in 2 groups for endoscopic (A) and conventional (B) septoplasty respectively. &lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results:&lt;/strong&gt; The study included 50 cases. Majority of patients in this study were males 84% (n=42) and 16% (n=18) were female. 46% (n=23) patients had DNS to right side and 54% (n=27) patients had left side, anterior deviation (48%). C and S shaped deviations (14%). Spur was present in 22% (n=11) of cases and 10% (n=5) patients presented with thickening. After completing 2 months of follow up 92% (n=23) of group A and 88% (n=22) of group B were relieved from nasal discharge, while nasal obstruction was absent in 96% (n=24) patients of group A and 80% (n= 20) of group B. 4% cases (n=1) in endoscopic septoplasty was having persistent deviated nasal septum and 16% (n=4) patients of conventional septoplasty belong to this group.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; Endoscopic septoplasty has an obvious edge over the conventional approach due to better illumination which enables to identify the pathology accurately, excise the deviated part of septum precisely and realignment of the cartilage for best results.&lt;/p&gt;

Septoplasty techniques- conventional versus endoscopic: our experience

&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; Deviated nasal septum is one of the most common disorders in human beings, which may lead to symptoms of nasal obstruction, headache, epistaxis, hyposmia, and post nasal drip. DNS correction may also be required to gain access during intranasal procedures like endoscopic sinus surgery, endoscopic dacryocystor-hinostomy and skull base surgery. The technique of septoplasty has evolved over the decades with a tendency towards more conservative and precise surgery. Over the last few decades endoscopic septoplasty has become increasingly popular.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; It was a cross-sectional comparative study done to compare the efficacy of endoscopic septoplasty with conventional septoplasty, conducted at a tertiary care centre over a period of 3 years. Records of 100 patients of nose and PNS disorders with DNS who were operated either by conventional or by endoscopic technique were studied. The patients were studied for the improvement in their symptoms, anatomical correction and intra-operative/post-operative complications. &lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results:&lt;/strong&gt; Endoscopic septoplasty group patients showed better symptomatic relief, lesser incidence of residual anterior /posterior deviation and persistent spur and less complications as compared to the conventional septoplasty group.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; In our study we found more clientele satisfaction and lesser rate of complications in endoscopic septoplasty group. We recommend all ENT specialists to be trained in nasal endoscopic septoplasty technique as it offers many advantages such as more precision in post nasal spurs with less flap tears, it can be tailor made according to the disease and can be combined with various endoscopic surgeries.&lt;/p&gt;

Comparison of post-operative outcomes and difficulties of endoscopic with conventional septoplasty with its advantages and complication: A comparative study at tertiary care center

Introduction: Multiplicities in techniques are performed by the surgeon with operating improvement of deviated nasal septum. Procedure of septoplasty and resection of sub-mucous are a primary approach for the treatment of patients suffering from nasal obstruction. This study was begun to take assessment of benefits and complications, whether occurring throughoutseptoplasty andto correlate post-operative outcomes or difficulties of it related to conventional septoplasty. Materials and Methods: Criterias were made to take people in study and they were- age more than 18 years, symptomatic DNS, nasal obstruction, chronic rhinosinusitis, patients with complications like epistaxis, headache, snoring. Procedure done was rigid endoscopy. On the both sides of deviation, 2% xylocaine with adrenaline was infiltrated. Then an incision was made on the convex side of deviation and distal to the deviation. The patients in between the 18-40 years of age group were considered and proper consent was taken. Two groups were randomly formed with 40 patients in each group. Group A underwent endoscopic septoplasty, the other group underwent conventional septoplasty. Results: During post-operative chart, up of frequency of indications reassured after surgery amongst the patients. Nasal obstacle was relieved in 40% of cases of (group I) and in 80% of (group II). However, headache was relieved in 30% of cases of conventional septoplasty and 70% of cases of endoscopic septoplasty. Dorsal digression has been seen in thirteen cases of conservative septoplasty group and four cases of endoscopic group. In 9 and 7 cases that experienced conventional septoplasty spur synechia were persistedfor a long period respectively. Conclusion: It can be concluded from this study that the endoscopic Septoplasty is safer, effective and conservative approach with better results and has lesser postop complications as compared to the conventional group. It isrecommendedthat this technique be considered as the procedure of choice in these patients.

Video‐Assisted Septoplasty: The Future in Teaching Septal Surgery—A Technical Note

Teaching and learning septoplasty is challenging due to the limited and intermittent visualization of the surgical site by the resident and the mentor. Our objective was to develop and test the surgical tools required to achieve optimal visualization of the surgical field during septal surgery without having to modify the way conventional septoplasty is performed. A flexible high-definition endoscope is mounted on a modified 50-mm nasal speculum. This allows real-time visualization of all steps of the surgery on the video monitor. The residents can follow all intranasal surgical steps on the monitor while the surgeon is operating. In the same way, the mentor can guide the resident through the surgery and provide more appropriate feedback. All steps of the septal surgery can be recorded for later educational use. Video-assisted septoplasty will help surgeons teach septal surgery more efficiently.