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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
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Study to Compare and Evaluate Traditional vs. Endoscopic Septoplasty
I Shrestha1, M Pokharel1, A Dhakal1
1Department of ENT, Head & Neck surgery Dhulikhel Hospital, Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Kavre, Nepal.
Kathmandu University Medical Journal (KUMJ)
|December 9, 2015
Summary
Endoscopic septoplasty offers a safe and effective alternative to traditional surgery for deviated nasal septums. This method provides better subjective and objective outcomes for nasal obstruction and related symptoms.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Rhinology
Background:
- Deviated septum surgery has evolved from radical resection to preserving the septal framework.
- Traditional septoplasty techniques have undergone various modifications over time.
Purpose of the Study:
- To compare the efficacy of endoscopic septoplasty versus traditional septoplasty.
- To evaluate outcomes in treating pathological nasal septum and turbinates.
Main Methods:
- A prospective study involving 60 patients over two years.
- Symptom severity assessed using a visual analogue scale (VAS) pre- and post-operatively.
- Objective assessment via nasal endoscopy, with statistical analysis using the Z-test.
Main Results:
- Nasal obstruction was the predominant symptom (83.3%).
- Endoscopic septoplasty showed statistically significant improvements in subjective outcomes for nasal obstruction, headache, and rhinorrhea (p<0.01).
- Objective assessment revealed significant improvement in persistent contact with turbinates post-endoscopic surgery (p<0.01).
Conclusions:
- Endoscopic septoplasty represents an advancement in treating deviated nasal septum.
- It is a safe, effective, and conservative surgical option compared to conventional methods.
