Endoscopic septoplasty
S. Conticello2003, International Congress Series
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Abstract
First proposed in 1991 (Lanza et al.; Stammberger), endoscopic septoplasty is an alternative to conventional and/or microsurgical approaches that permits the correction of septal deviations under excellent visualization and optimal control with minimal trauma. The literature reports numerous advantages to this technique, including better visualization and wider, unobstructed visual field, reduced operation times, more accurate identification of the septal area to be corrected with limited extent of the excision, the possibility of using combined approaches, control of bleeding, more possibilities for limited surgical revision after septoplasty and septal perforations, concurrent surgical endoscopy of paranasal sinuses. Based on our experience, our results from the use of this procedure combined with conventional and/or microsurgery confirm the advantages stated above, especially as regards the enhanced possibility of controlling the segments to be corrected and the limited extent of surgery. Lastly, endoscopic septoscopy can also be considered an effective teaching tool. In fact, when viewed over a monitor, the procedure provides an excellent opportunity for recording and studying anatomy, pathology and surgical techniques in the training of Assisting Surgeons, graduate Specialists and Medical students.
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International Journal of Otorhinolaryngology and Head and Neck Surgery, 2020
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Comparative study of endoscopic aided septoplasty and traditional septoplasty in posterior nasal septal deviations
Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India, 2005
Patients with deviated nasal septum are advised surgery, which has seen several modifications since its inception. This recent technique of using nasal endoscopes gives better illumination and access to posterior septal deviations. The aim of the study was to identify the nasal septal pathology in relation to lateral nasal wall in a precise way and to correct this with minimal exposure, limited manipulation and least resection. Twenty five patients underwent endoscope aided and 25 conventional septoplasty. Results were graded on subjective and objective improvement. Endoscopic aided septoplasty (Otolaryngol Head Neck Surg, 1999; 120, 678; Laryngoscope 1994, 104, 1507; J Laryngol Otol 1998, 112, 934; Ear Nose Throat J 1997, 76, 622) was found to be safe, effective and conservative approach with better patient compliance, shorter recovery time and greater stability of remaining septum.
Endoscopic Septoplasty Versus Conventional Septoplasty: Study of 60 Cases
Online Journal of Otolaryngology and Rhinology, 2020
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.
A comparative study of endoscopic versus conventional septoplasty: an analysis of 50 cases
International Journal of Otorhinolaryngology and Head and Neck Surgery
Nasal obstruction is the most common complaint in rhinologic practice and a deviated nasal septum is the most common cause of nasal obstruction. A significantly deviated nasal septum has been implicated in epistaxis, sinusitis, obstructive sleep apnea and headache attributable to contact points with structures of the lateral nasal wall. 1 Surgical correction of deviated nasal septum has been performed by a variety of techniques of which sub mucous resection and Septoplasty procedures of surgical correction of nasal septum play a prime role in management of patients of nasal obstruction. After the invention of nasal endoscopes tremendous changes have evolved in the field of septal surgery. Now a day's endoscopes are being used in performing septal surgery ABSTRACT Background: Nasal obstruction is the most common complaint in ENT practice. Surgical correction of deviated nasal septum has been performed by a variety of techniques of which sub mucous resection and Septoplasty procedures of surgical correction of nasal septum play a prime role in management of patients of nasal obstruction. Nasal endoscope is very useful tool to visualize posterior part of septum and do the surgery more precisely and with less complication as compare to conventional method. The objectives of the study were to compare the outcomes of conventional and endoscopic septoplasty, to evaluate the advantages, disadvantages and complications of both endoscopic and conventional septoplasty Methods: 50 cases (between (Oct. 2014-March 2016) of deviated nasal septum selected in this prospective study and they were randomly divided equally in 2 groups for endoscopic (A) and conventional (B) septoplasty respectively. Results: The study included 50 cases. Majority of patients in this study were males 84% (n=42) and 16% (n=18) were female. 46% (n=23) patients had DNS to right side and 54% (n=27) patients had left side, anterior deviation (48%). C and S shaped deviations (14%). Spur was present in 22% (n=11) of cases and 10% (n=5) patients presented with thickening. After completing 2 months of follow up 92% (n=23) of group A and 88% (n=22) of group B were relieved from nasal discharge, while nasal obstruction was absent in 96% (n=24) patients of group A and 80% (n= 20) of group B. 4% cases (n=1) in endoscopic septoplasty was having persistent deviated nasal septum and 16% (n=4) patients of conventional septoplasty belong to this group. Conclusions: Endoscopic septoplasty has an obvious edge over the conventional approach due to better illumination which enables to identify the pathology accurately, excise the deviated part of septum precisely and realignment of the cartilage for best results.
Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur
The Journal of Laryngology & Otology, 2009
Objective:To compare the procedure, results and complications of conventional septoplasty with those of endoscopic septoplasty, in cases of limited septal deviation and septal spurs.Design:Prospective study; interventional type; randomised block design; comparative clinical trial.Methods:We included in the study 80 patients presenting with limited septal deviation, septal spur with nasal obstruction, or deviated septum with septal correction was required in order to access the ostio-meatal complex (OMC) for functional endoscopic sinus surgery. Of these 12 were children with septal deviation producing significant nasal obstruction. All patients were divided into two groups- with one undergoing conventional and the other endoscopic septoplasty. Post-operative assessment was carried out one month, three months and one to two years after the procedure.Result:Post-operative complications such as haemorrhage, infraorbital oedema, nasal pain and in-patient hospital was slightly more in the...
Microscopic Endonasal Surgery of the Paranasal Sinuses and the Parasellar Region
Archives of Otolaryngology - Head and Neck Surgery, 1989
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A Comparative Study between Endoscopic Septoplasty and Conventional Septoplasty
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Background: Conventional nasal septal surgery depending on head light improves the nasal airway but leaves some complications, but with recent advancement in endoscopic approach limits the complication and improves the outcome. This is due to better visualization, improved illumination, avoiding unnecessary manipulation, limited exposure and scope for second surgery if required. Aim and objective: To assess the functional outcome of endoscopic septoplasty over conventional septoplasty. Material and method: This study was carried out in the department of Otolaryngology – Head & Neck Surgery of Bangladesh Medical College Hospital and Popular Medical College Specialized Hospital over a period of 5 years (20142019). Ethical clearance was obtained from Hospital authority. All consecutive patients with symptomatic deviated nasal septum who were refractory to medical treatment were included in the study. Patients were equally divided into two groups of conventional and endoscopic septoplas...
Compare Conventional Septoplasty Method With Endoscopic Septoplasty
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Study to Compare and Evaluate Traditional vs. Endoscopic Septoplasty
Kathmandu University Medical Journal, 2017
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Advantages and Limitations of Endoscopic Septoplasty: Experience of 120 Cases
International Journal of Innovative Science and Research Technology, 2020
Objective: Traditional surgeries for the deviated nasal septum improves 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 lessen the complication. This study is done to see the advantages and limitations of endoscopic septoplasty Method: Total 120 cases of symptomatic deviated nasal septum, refractory to conservative medical treatment were randomly selected on the basis of clinical examination in a single institute. It was a prospective study, performed to see the advantages and limitations of endoscopic septoplasty. Informed written consent was taken in all cases. All the patients underwent endoscopic septoplasty under general anesthesia after proper evaluation. Results: There was a slight male predominance. 13 year child was the youngest patient and 58 was the oldest. During endoscopic septoplasty a large number of patients needed some additional surgery like, inferior turbinoplasty in 27 (22.5%), functional endoscopic sinus surgery in 11 patients (9.16%) etc. The complication rate was minimum (4.16%). Patient's satisfaction was high. Though there were some limitations but we observed so many advantages of this procedure. Conclusion: Though conventional Septoplasty is widely practiced by most ENT surgeons till now, the endoscopic approach can be considered as a better alternative.
Endoscopic-assisted septoplasty versus traditional septoplasty: assessment by the NOSE scale
The Egyptian Journal of Otolaryngology, 2016
Nasal obstruction is a very common complaint, which may be caused by various causes, one of the most important being septal deviation. Many techniques have been described to correct these septal deviations since the middle of 19th century. There have been several modi cations since its inception. The application of endoscopic techniques to correct septal deformities was initially described by both Lanza and colleagues and by Stammberger in 1991. Aims Comparing the ef cacy of endoscopic septoplasty with traditional septoplasty in the treatment of cases with septal deviations.
Conventional Versus Endoscopic Assisted Septoplasty for Management of Severe Nasal Septal Deviation
The Medical Journal of Cairo University, 2018
Background: Endoscopic septoplasty is an attractive alternative to the traditional septoplasty. It ensures the minimum dissection of the tissue with less postoperative complications. Aim of Work: The aim of this work was to compare the efficacy of the conventional and the endoscopic assisted septoplasty in the management of cases with severe septal deviation. Patients and Methods: 60 patients with severe symptomatic deviated nasal septum, presented to the Otorhinolaryngology outpatient clinic at Tanta University Hospitals divided into two equal groups: Group A included 30 patients underwent endoscopic septoplasty and group B included 30 patients underwent traditional septoplasty. All participants evaluated regarding the nasal obstruction improvement, and the degree of the improvement, the accompanying symptoms and any complications. Results: There was a significant difference between both groups in duration of surgery, the intraoperative blood loss. In this study, the difference of the endoscopic group as compared to the conventional group was statistically insignificant regarding either early post-operative complications or in nasal synechiae development, pain, septal hematoma, septal perforation, or CSF leakage or in the intraoperative flap. The pre-operative nose score comparative evaluation revealed that all patients of both groups reported a severe problem in all parameters (nasal congestion and stuffiness, nasal blockage or obstruction, trouble breath in through the nose, trouble sleeping, and inability to get enough air through the nose during exercise or exertion. No statistically significant differences were detected between both groups. Conclusion: We concluded that, endoscopic septoplasty is superior to traditional septoplasty with better result and less complication.
Endoscopic Septoplasty: A Retrospective Analysis of Indications and Outcome
Journal of the West African College of Surgeons , 2023
Background: Endoscopic septoplasty is a minimally invasive surgical procedure for the correction of nasal septal deformity. Globally, nasal septal surgeries are rarely performed, and in our country these procedures are even more scarcely undertaken, partly due to dearth of facilities and to some extent, the expertise of embarking on this specialised surgical procedure. Therefore, we aimed to document the indications and the outcome of endoscopic septoplasty in our environment. Materials and Methods: This was a retrospective study of all consecutive patients that had endoscopic septoplasty at a state tertiary hospital over three years period. Ethical approval was obtained before commencement of the study. Patients' medical records were retrieved. Biodata, clinical presentation, operative procedure and outcome were extracted and analyzed descriptively. Results: Fourteen patients had endoscopic septoplasty over the period under review, constituting 11 (78.6%) males and 3 (21.4%) females. Predominant clinical features were nasal obstruction (100%) and nasal septal deviation (100%). The main indication for procedure was deviated nasal septum. The outcome of the surgery was good, 2(14.3%) of the patients had nasal adhesions but no major complication was recorded. The length of hospital stay ranged between 3 and 5 days with a mean of 3.7 ± 0.9 days, and all the patients were discharged successfully. Conclusions: Endoscopic septoplasty is a safe surgery. The main indication for the procedure was deviated nasal septum, and the procedure has a favourable outcome among the operated patients.
Rhinoplasty Assisted by Endoscopic Septoplasty: Precise Job and an Educational Tool
ournal of Craniofacial Surgery. 31(3):847-850, May 2020., 2020
Background: Septoplasty is a crucial step during rhinoplasty to correct the nose function and nasal aesthetics. The idea is not investigated regarding the educational purposes. Objective of the study is to evaluate the efficiency of endoscopic septoplasty during full job rhinoplasty and to observe its educational benefit. Methods: Twenty-seven patients who submitted for prospective study of endoscopic septorhinoplasty operation; the analysis involves 16 female patients and 11 males. Results: Endoscopic septoplasty during rhinoplasty showed an efficient illumination and visualization, which improved the precision and has an educational benefit during the reform of the posterior septum, isolated septal spurs, anterior septum, and middle turbinate attachments. Conclusion: The procedure allows a precise septal job with excellent visualization of the anterior and posterior septum. It also has an intraoperative educational benefit and helps to soothe the time down of patient’s recovery. Key Words: Education, endoscopic septoplasty, outcome, rhinoplasty, septum deviation
A Comparative Study of Conventional versus Endoscopic Septoplasty
Bengal Journal of Otolaryngology and Head Neck Surgery
Introduction The standard surgical treatment for symptomatic deviated septum is septoplasty. This is usually done conventionally using the headlight. However, in recent years the endoscopic method has emerged as an alternative technique. This study aims to compare results of conventional and endoscopic septoplasty Materials and Methods A study comprising of 44 patients, randomly divided in two groups, was undertaken to compare the efficacy of both the techniques. This study evaluated parameters like postoperative subjective improvement in symptoms, using the NOSE questionnaire, intra-operative blood loss, duration of surgery, post-operative pain and complications across the two groups. Further, cases were subgrouped according to the site of deviation as anterior, posterior or combined and the efficacy of these two methods for correcting different sites of deviation was assessed, using the same parameters. Results The endoscopic approach showed better overall clinical results, irresp...
Endoscopic versus conventional septoplasty in the treatment of obstructive nasal septal deviation
Romanian Journal of Rhinology
BACKGROUND. Nasal septum deviations are disorders in which the nasal septum has an abnormal conformation that affects nasal breathing. Surgical correction of the deviated nasal septum, performed by various techniques, is one of the methods of repermeabilization of the upper airway. The aim of the present study was to evaluate the efficacy of endoscopic surgical treatment of the nasal septum deviation on the nasal obstruction, as well as to evaluate the frequency of postoperative complications compared to classical septoplasty. MATERIAL AND METHODS. A retrospective longitudinal study was performed on a group of 92 patients diagnosed with nasal septal deviation, between 2014-2018. 32 patients were excluded from the study after the exclusion criteria were applied. Two groups of 30 patients each were formed: Group I, endoscopic septoplasty was performed; Group II, the conventional septoplasty was used. An objective endoscopic and rhinomanometric evaluation, as well as a subjective asses...
Endoscopic Verses Conventional Septoplasty in the Treatment of Deviated Nasal Septum
The Egyptian Journal of Hospital Medicine, 2020
Background: Septum deviation is the major cause of nasal obstruction, which is the most common symptom in ENT practice. Surgical correction of the deviated nasal septum has been advanced over the years, from the radical removal of both mucosa and cartilage to submucous cartilage resection with preservation of the mucosa. Objective: To compare the efficacy of the conventional and the endoscopic septoplasty in the management of patients with symptomatic nasal deviation. Patients and methods: This study included 40 patients presented to the Otorhinolaryngology outpatient clinic at Assiut University Hospitals between May 2018 and December 2019, suffering from nasal obstruction due to a significant septal deviation, randomly divided into two groups: Group A: 20 patients underwent endoscopic septoplasty and Group B: 20 patients underwent conventional septoplasty. Results: In this study, no significant difference was detected in the preoperative results of both groups regarding the age, sex and types of septal deformities. So, the preoperative circumstances were similar between both groups. Hence, results of this study showed that these two procedures were suitable to correct septal deformities but the endoscopic septoplasty was superior to the traditional septoplasty in cases with isolated septal spur. Also, it was associated with the minimal re-occurrence rate. Conclusion: Endoscopic septoplasty is a valuable teaching tool, which is efficient in the management of different types of septal deformities.
The Comparative Study of Conventional Septoplasty and Endoscopic Septoplasty
Journal of Evolution of medical and Dental Sciences, 2015
The study was carried out to compare the post op morbidity amongst the patients of conventional and endoscopic septoplasty and to assess the efficacy of endoscopic septoplasty. The prospective and comparative study is conducted among 60 patients of deviated nasal septum, admitted in the department of ENT, in LLRM Medical College, Meerut. The patients were selected by random sampling procedure, and were divided into two groups-group A and group B, with 30 patients in each group. Group A underwent conventional septoplasty and Group B underwent endoscopic septoplasty. The duration of study was from July 2014 to January 2015. We have seen from above results that clinically the endoscopic septoplasty has come up with better results in relation to postoperative symptoms relieved. But there was no significant association found in respect to duration of stay and post op symptoms relieved.
Conventional Septoplasty verses Endoscopic Septoplasty: A Comparative Study
2020
Abstract: The study was carried out to compare the postoperative morbidity among patients of conventional and endoscopic septoplasty and to assess the efficacy and use of endoscopic septoplasty with other endoscopic surgeries. The present prospective study was conducted among 100 patients of deviated nasal septum, admitted in the department of Otorhinolaryngology, of Sawai Man Singh Medical College and hospital, Jaipur, Rajasthan. Patients were selected by simple random sampling procedure and were divided into group A and B, with 50 cases in each group. Group A underwent conventional septoplasty and group B underwent endoscopic septoplasty. Deviated nasal septum was commonly associated with inferior turbinate hypertrophy (75%) and concha bullosa (26%). Postoperatively, a significant relief from the symptoms of nasal obstruction (96%), nasal discharge (88%), headache (100%) and post nasal drip (67%) was observed in endoscopic septoplasty. Posterior deviations were best corrected by e...
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