Comparison of septoplasty with three high-tension line resection and two high-tension line resection

To compare the operation time, subjective and objective outcomes of septoplasty with three high-tension line resection and two high-tension line resection.

A prospective randomized controlled study was conducted to identify patients with septal deviation and symptomatic nasal obstruction. The patients were classified into a three high-tension line resection and senior physician group (Group A), a two high-tension line resection and senior physician group (Group B), a three high-tension line resection and junior physician group (Group C), a two high-tension line resection and junior physician group (Group D). In addition, according to whether there were the anterior deviation, some of patients were also divided into a three high-tension line resection and anterior deviation group (Group E) and a two high-tension line resection and anterior deviation group (Group F). The operation time was recorded. The patients completed the Nasal Obstruction Symptom Evaluation (NOSE) Scale (subjective symptom), nasal endoscopy (bodily sign) and rhinomanometry (objective examination) before and 6 months after septoplasty. The operation time and the efficacy were compared between three high-tension line resection operation and two high-tension line resection operation.

There was no significant difference in the operation time between the Group A and the Group B (t=0.724, P=0.799), but the operation time in the Group D was significant shorter than that in the Group C (t=4.200, P=0.017). There were no significant difference in the NOSE scale between the Group A and the Group B, the Group C and the Group D, the Group E and the Group F (t=0.481, -0.147, 1.369, all P>0.05). There was no significant difference in the nasal endoscopy scale between the Group A and Group B, the Group C and Group D, the Group E and the Group F (t=0.806, -0.111, -0.536, all P>0.05). There was no significant difference in rhinomanometry between the Group A and the Group B, the Group C and the Group D, the Group E and the Group F (t=0.472, 1.180, -0.225, all P>0.05)．.

The effect of septoplasty with two high-tension line resection is as good as septoplasty with three high-tension line resection. The septoplasty with two high-tension line resection is more suitable to junior physician because it is easier and the operation time is shorter.