Endoscopic Septoplasty Versus Conventional Septoplasty: Study of 60 Cases

Objective: Traditional surgeries of the nasal septum improve the nasal airway but recent development and advancement of the knowledge about endoscope has changed the treatment modality significantly. Endoscopic approach under good Illumination and magnification lessens the chance of injuring the vital structures and hence lessen the chance of complication. This study is done to compare the conventional method with endoscopic method.

Method: Total 60 cases of deviated nasal septum, refractory to conservative medical treatment were randomly selected ÷d into 2 equal groups. 30 patients underwent endoscopic Septoplasty and 30 patients by conventional method. All of them were followed up for 6 months.

Results: The age distribution was ranging from 16 to 60. Out of them 28 patients (93.33%) of endoscopic group and 25 patients (83.33%) on conventional group were relieved from symptom. In endoscopic Septoplasty group, along with Septoplasty functional endoscopic sinus surgery was carried out in 4 patients (13.33%). In conventional group 4 patients (16.67%) had intra and postoperative complications like excessive hemorrhage and septal perforation etc.7 patients (23.3%) of conventional Septoplasty group presented with recurrence or persistence of symptom within 6 months of surgery.

Conclusion: Though conventional Septoplasty is widely practiced by most ENT surgeons till now, the endoscopic approach can be considered as a better alternative.

Keywords: Deviated nasal septum; Endoscopic septoplasty; Conventional septoplasty