Comparative Evaluation of Endoscopic Vs. Conventional Septoplasty in the Management of Deviated Nasal Septum
Authors/Creators
- 1. Senior Resident, Department of ENT, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
- 2. Senior Resident, Department of ENT, Madhubani Medical College, Madhubani, Bihar, India
- 3. Associate Professor, Department of ENT, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
Description
Background: Deviated nasal septum (DNS) is a prevalent condition that can significantly impact nasal function and quality of life. Surgical intervention, typically in the form of septoplasty, is often required to correct symptomatic deviations. While conventional septoplasty has long been the standard procedure, endoscopic septoplasty has emerged as a minimally invasive alternative, potentially offering reduced surgical time, lower postoperative pain, and faster recovery. Despite its growing adoption, the comparative effectiveness of endoscopic versus conventional septoplasty remains a topic of ongoing research. Aim: This study aims to evaluate and compare the outcomes of endoscopic septoplasty versus conventional septoplasty in the management of deviated nasal septum, focusing on intraoperative parameters, postoperative recovery, symptom resolution, and complication rates. Methods: A study was conducted over six months, involving 100 patients diagnosed with symptomatic DNS. Participants were randomly assigned to undergo either endoscopic septoplasty (Group A, n=50) or conventional septoplasty (Group B, n=50). Data were collected on surgical duration, intraoperative complications, postoperative pain, recovery time, and symptom resolution over a 3-month follow-up period. Statistical analysis was performed using SPSS version 23.0, with significance set at p < 0.05. Results: Endoscopic septoplasty demonstrated a significantly shorter mean surgical duration (45.3 ± 8.4 minutes) compared to conventional septoplasty (62.7 ± 10.1 minutes, p < 0.001). Patients in the endoscopic group reported lower pain scores at 1 week post-surgery (p < 0.01) and returned to normal activities more quickly (p < 0.01). Symptom resolution at 3 months was comparable between the two groups (p = 0.92). The overall complication rates were low and did not differ significantly between the groups (p = 0.55). Conclusion: Endoscopic septoplasty offers advantages over conventional septoplasty in terms of shorter surgical duration, reduced postoperative pain, and quicker recovery, without compromising long-term symptom resolution or increasing complication rates. These findings suggest that endoscopic septoplasty may be the preferred approach for managing deviated nasal septum. Recommendations: Further research with larger sample sizes and longer follow-up periods is recommended to validate these findings and assess the long-term outcomes of endoscopic septoplasty. Training programs for ENT surgeons should also emphasize the benefits of endoscopic techniques to encourage broader adoption.
Abstract (English)
Background: Deviated nasal septum (DNS) is a prevalent condition that can significantly impact nasal function and quality of life. Surgical intervention, typically in the form of septoplasty, is often required to correct symptomatic deviations. While conventional septoplasty has long been the standard procedure, endoscopic septoplasty has emerged as a minimally invasive alternative, potentially offering reduced surgical time, lower postoperative pain, and faster recovery. Despite its growing adoption, the comparative effectiveness of endoscopic versus conventional septoplasty remains a topic of ongoing research. Aim: This study aims to evaluate and compare the outcomes of endoscopic septoplasty versus conventional septoplasty in the management of deviated nasal septum, focusing on intraoperative parameters, postoperative recovery, symptom resolution, and complication rates. Methods: A study was conducted over six months, involving 100 patients diagnosed with symptomatic DNS. Participants were randomly assigned to undergo either endoscopic septoplasty (Group A, n=50) or conventional septoplasty (Group B, n=50). Data were collected on surgical duration, intraoperative complications, postoperative pain, recovery time, and symptom resolution over a 3-month follow-up period. Statistical analysis was performed using SPSS version 23.0, with significance set at p < 0.05. Results: Endoscopic septoplasty demonstrated a significantly shorter mean surgical duration (45.3 ± 8.4 minutes) compared to conventional septoplasty (62.7 ± 10.1 minutes, p < 0.001). Patients in the endoscopic group reported lower pain scores at 1 week post-surgery (p < 0.01) and returned to normal activities more quickly (p < 0.01). Symptom resolution at 3 months was comparable between the two groups (p = 0.92). The overall complication rates were low and did not differ significantly between the groups (p = 0.55). Conclusion: Endoscopic septoplasty offers advantages over conventional septoplasty in terms of shorter surgical duration, reduced postoperative pain, and quicker recovery, without compromising long-term symptom resolution or increasing complication rates. These findings suggest that endoscopic septoplasty may be the preferred approach for managing deviated nasal septum. Recommendations: Further research with larger sample sizes and longer follow-up periods is recommended to validate these findings and assess the long-term outcomes of endoscopic septoplasty. Training programs for ENT surgeons should also emphasize the benefits of endoscopic techniques to encourage broader adoption.
Files
IJPCR,Vol16,Issue5,Article479.pdf
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Additional details
Dates
- Accepted
-
2024-05-18
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue5,Article479.pdf
- Development Status
- Active
References
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