COMPARATIVE STUDY OF ENDOSCOPIC SEPTOPLASTY VERSUS CONVENTIONAL SEPTOPLASTY

Abstract

Background: Deviated nasal septum (DNS) is a very common condition which leads to nasal obstruction, headache, sinusitis, epistaxis and obstructive sleep apnea. Septoplasty is most frequent procedures carried out for DNS correction.

Objective: To compare the surgical outcome of corrected deviated nasal septum with endoscopic septoplasty and conventional septoplasty.

Method: It was a comparative study in which 60 patients with deviated nasal septum were randomly selected from ENT Department of Lahore General Hospital Lahore. Patients were divided into 2 groups like group A having 30 patients and group B another 30 patients. Group A patients underwent endoscopic septoplasty and Group B patients experienced conventional septoplasty.

Results: Among 30 patients who underwent endoscopic septoplasty, 70.0% were males and 60.0% were upto 30 years old while among 30 patients who underwent conventional septoplasty, 76.7% were males and 56.7% were upto 30 years old. Among patients treated with endoscopic septoplasty, 10.0% had nasal blockage, 6.7% postnasal drip, 16.7% headache and 16.7% patients had septal deviation after    surgery. Likewise among patients treated with conventional septoplasty, 13.3% had nasal blockage, 10.0% postnasal drip, 26.7% headache and 23.3% patients had septal deviation after surgery.

Conclusion: Study concluded that endoscopic septoplasty is superior to conventional septoplasty and patients treated with endoscopic septoplasty had better outcome regarding nasal blockage, postnasal drip, headache and septal deviation.