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Difficult septal deviation cases: open or closed technique?

Sultan Şevik Eliçora1, Duygu Erdem1, Hüseyin Işık1

  • 1Zonguldak Bülent Ecevit University, Faculty of Medicine, Department of Otorhinolaryngology, Zonguldak, Turkey.

Brazilian Journal of Otorhinolaryngology
|May 24, 2016
PubMed
Summary
This summary is machine-generated.

Open technique septoplasty (OTS) and endonasal septoplasty (ENS) show similar functional outcomes for difficult septal deviation cases. Patient preference and surgeon experience should guide technique selection for severe septal deformities.

Keywords:
Cirurgia endoscópicaIntranasal surgeryNasal septumNasal surgical proceduresProcedimentos cirúrgicos nasaisSepto nasal

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Area of Science:

  • Otolaryngology
  • Surgical Techniques
  • Rhinology

Background:

  • Severe septal deviations present challenges in nasal obstruction management.
  • Comparing functional outcomes of different surgical approaches is crucial.

Purpose of the Study:

  • To compare the functional outcomes of open technique septoplasty (OTS) and endonasal septoplasty (ENS) in patients with difficult septal deviations.
  • To evaluate postoperative pain and symptom improvement in both surgical groups.

Main Methods:

  • A comparative study involving 60 patients with severe septal deformities.
  • Patients were divided into two groups: 30 underwent OTS and 30 underwent ENS.
  • Nasal Obstruction Symptom Evaluation (NOSE) scale and Visual Analog Scale (VAS) for pain were used for assessment.

Main Results:

  • Both OTS and ENS demonstrated significant improvement in NOSE scores.
  • No statistically significant difference was observed in symptom improvement or postoperative pain between the two techniques.
  • Mean NOSE scores decreased from baseline in both groups post-surgery.

Conclusions:

  • Endonasal septoplasty (ENS) is as effective as open technique septoplasty (OTS) for managing difficult septal deviations.
  • Surgical technique choice should be individualized based on surgeon expertise and patient preference for severe cases.