Our approach to endoscopic septoplasty: Intra Nasal Endoscopic Septoplasty with NOSE score analysis

Deviation of the nasal septum is a common cause of nose obstruction, often requires surgical management with septoplasty, which can involve significant tissue manipulation and extended recovery time. This case series demonstrates the use of the Intra Nasal Endoscopic Septoplasty (INES) technique, a minimally invasive approach, for managing unilateral septal deviations. Six patients presenting with nasal obstruction underwent INES, with outcomes assessed pre- and postoperatively using the Nasal Obstruction Symptom Evaluation (NOSE) scale. Follow-up over 6 months evaluated changes in NOSE scores, complication rates, and patient satisfaction. Postoperative results demonstrated significant symptom improvement, with relief ranging from 84.6% to 100%. The cumulative NOSE score showed a statistically significant reduction (P = 0.034), though individual NOSE criteria did not reveal significant changes. The procedure yielded high patient satisfaction in a short period and no major complications. Larger studies are necessary to confirm these results and further explore the long-term efficacy of INES.