Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-23T15:38:49.990Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Published online by Cambridge University Press:  02 December 2008

R Bothra  and
N N Mathur
R Bothra
Affiliation:
Department of ENT, Lady Hardinge Medical College and Smt SK & KS Children's Hospital, New Delhi, India
N N Mathur*
Affiliation:
Department of ENT, Lady Hardinge Medical College and Smt SK & KS Children's Hospital, New Delhi, India
*
Address for correspondence: Dr Neeraj N Mathur, 173 AGCR Enclave, Delhi 110092, India. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To compare the procedure, results and complications of conventional septoplasty with those of endoscopic septoplasty, in cases of limited septal deviation and septal spurs.

Design:

Prospective study; interventional type; randomised block design; comparative clinical trial.

Methods:

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.

Result:

Post-operative complications such as haemorrhage, infraorbital oedema, nasal pain and in-patient hospital was slightly more in the conventional septoplasty group.

Conclusion:

No statistically significant difference was found between the conventional and endoscopic septoplasty groups, as assessed by subjective and objective evaluation.

Keywords

Nasal SeptumSeptoplastyEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 7 , July 2009 , pp. 737 - 741
Copyright
Copyright © JLO (1984) Limited 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Brennan, HG, Parkes, ML. Septal surgery: the high septal transfixion. Int Surg 1973;58:732–4Google Scholar
2 Chung, BJ, Batra, PS, Citardi, MJ, Lanza, DC. Endoscopic septoplasty: revisitation of the technique, indications, and outcomes. Am J Rhinol 2007;21:307–11CrossRefGoogle Scholar
3 Castelnuovo, P, Pagella, F, Cerniglia, M, Emanuelli, E. Endoscopic limited septoplasty in combination with sinonasal surgery. Facial Plast Surg 1999;15:303–7Google Scholar
4 Cantrell, H. Limited septal surgery for endoscopic sinus surgery. Otolaryngol Head Neck Surg 1997;116:274–7CrossRefGoogle ScholarPubMed
5 Hwang, PH, McLaughlin, RB, Lanza, DC, Kennedy, DW. Endoscopic septoplasty indication, technique and results. Otolaryngol Head Neck Surg 1999;120:678–82CrossRefGoogle ScholarPubMed
6 Makitie, A, Aaltonen, LM, Hytonen, M, Malmberg, H. Postoperative infection following nasal septoplasty. Acta Otolaryngol 2000;120(suppl 543):165–6CrossRefGoogle Scholar
7 Fairley, JW, Yardley, MPJ, Durham, LH. Reliability and validity of nasal symptom questionnaire in clinical research and audit of functional endoscopic sinus surgery. Clin Otolaryngol 1993;18:436–7Google Scholar
8 Stoksted, P, Gutierrez, C. The nasal passage following rhinoplastic surgery. J Laryngol Otol 1983;97:49–54CrossRefGoogle ScholarPubMed
9 Peacock, MR. Submucous resection of the nasal septum. J Laryngol Otol 1981;95:341–56CrossRefGoogle ScholarPubMed
10 Nayak, DR, Balakrishnan, R, Murty, KD. An endoscopic approach to the deviated nasal septum; a preliminary study. J Laryngol Otol 1998;112:934–9Google Scholar
11 Broms, P, Jonson, B, Malm, L. Rhinomanometery IV. A pre and postoperative evaluation in functional septoplasty. Acta Otolaryngol 1982;94:523–9CrossRefGoogle Scholar
12 Holmstorm, M, Kumlien, J. A clinical follow-up of septal surgery with special attention to the value of preoperative rhinomanometric examination in the decision concerning operation. Clin Otolaryngol 1988;13:115–20CrossRefGoogle Scholar
13 Jones, AS, Lancer, JM. Rhinomanometry. Clin Otolaryngol 1987;12:233–6CrossRefGoogle ScholarPubMed
14 Goumas, P, Strambis, G, Antonakopoulos, L, Helidonis, E. Long term result of nasal surgery in children. Ear Nose Throat J 1988;67:294–6Google ScholarPubMed
15 Yanagisawa, E. Endoscopic view of a high septal deviation. Ear Nose Throat J 2001;80:68–70CrossRefGoogle ScholarPubMed
16 Getz, AE, Hwang, PH. Endoscopic septoplasty. Curr Opin Otolaryngol Head Neck Surg 2008;16:26–31Google Scholar