scholarly journals Septoplasty versus non-surgical management for nasal obstruction due to a deviated nasal septum in adults: A modelling study of cost-effectiveness

2018 ◽  
Vol 44 (1) ◽  
pp. 53-62 ◽  
Author(s):  
Machteld M. H. T. van Egmond ◽  
Jan J. Rongen ◽  
Carien J. T. Hedeman ◽  
Niels van Heerbeek ◽  
Maroeska M. Rovers
Keyword(s):  
Cost Effectiveness ◽  
Surgical Management ◽  
Nasal Obstruction ◽  
Nasal Septum ◽  
Deviated Nasal Septum ◽  
Modelling Study

An endoscopic approach to the deviated nasal septum – a preliminary study

1998 ◽  
Vol 112 (10) ◽  
pp. 934-939 ◽  
Author(s):  
Dipak Ranjan Nayak ◽  
R. Balakrishnan ◽  
K. Deepak Murthy
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Objective Assessment ◽  
Subjective Assessment ◽  
Endoscopic Approach ◽  
Lateral Nasal Wall ◽  
Combined Approach ◽  
Deviated Nasal Septum ◽  
Nasal Endoscope ◽  
Preliminary Study

AbstractThe authors have used the nasal endoscope for the precise identification of pathological abnormalities of the nasal septum in relation to the lateral nasal wall including the osteo-meatal complex and in its ultraconservative management. The aim of the study was to compare the efficacies of endoscope-aided septoplasty (EAS) over traditional septoplasty (TS) in treating the pathological septum and turbinates, performed in 30 cases each. The subjective assessment was carried out by visual analogue scores and objective assessment by nasal endoscopy. This study demonstrates the superiority and limitations of the endoscopic approach in managing a deviated nasal septum and the turbinates. The endoscope-aided technique was found to be more effective in relieving the contact areas and nasal obstruction (p = ≤0.05). The authors advocate a combined approach – an endoscopic approach for inaccessible posterior deviation and the conservative traditional technique for accessible anterior deviation of the nasal septum.

scholarly journals The Common Clinical Presentation of Patients Selected for Septoplasty in Northern Saudi Arabia

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Abdullah D. Alotaibi ◽  
Bassam Ahmed Almutlaq ◽  
Fahad Nashmi Alshammari ◽  
Hussain Gadelkarim Ahmed
Keyword(s):  
Saudi Arabia ◽  
Nasal Obstruction ◽  
Nasal Septum ◽  
Clinical Presentation ◽  
Critical Role ◽  
Deviated Nasal Septum ◽  
Clinical Presentations ◽  
Common Clinical Presentation ◽  
The Common ◽  
Almost All

Background. Nasal septal deviation (NSD) plays a critical role in nasal obstruction symptoms, aesthetic look of the nose, increased nasal resistance, and occasionally snoring. Septoplasty is the most common method for correction of deviated nasal septum (DNS). Therefore, the aim of the present study was to assess the association between initial clinical presentations of patients selected for septoplasty and demographical characteristics in Northern Saudi Arabia.Methodology. Archives related to all patients selected for septoplasty between 2012 and 2017 were retrieved from ENT Department at King Khalid Hospital in Hail, Northern Saudi Arabia. Only adults over 18 years of age were included in this study.Results. With regard to the clinical presentations, almost all patients presented with variable degrees of nasal congestions, nasal blockages, breathing troubles, sleeping troubles, and exercise problems.Conclusion. Nasal obstruction is prevalent in Northern Saudi Arabia with peaks being in the years 2016 and 2014 with the most etiological factor being DNS.

scholarly journals Prevalence and clinical features of nasal septum deviation: a study in an urban centre

2017 ◽  
Vol 3 (4) ◽  
pp. 842 ◽  
Author(s):  
Vinnakota Sriprakash
Keyword(s):  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Nasal Septum ◽  
Critical Role ◽  
Geographical Area ◽  
Nasal Discharge ◽  
Deviated Nasal Septum ◽  
Septum Deviation ◽  
Aesthetic Appearance ◽  
Nasal Septum Deviation

<p class="abstract"><strong>Background:</strong> Considerably large nasal septum plays a critical role in the obstruction of the nasal cavity, leading to snoring, and other symptoms, aesthetic appearance of the nose, and increased nasal resistance. This study was performed with an aim to investigate the prevalence of nasal septum deviation in our geographical area.</p><p class="abstract"><strong>Methods:</strong> 446 patients who attended the ENT department in the study period were evaluated for the nasal septum deviation. General demographic details were obtained from all of them. Detailed physical exam was performed on all the patients. Disposable nasal speculum and otoscope was used to observe the interior of the nasal cavity.  </p><p class="abstract"><strong>Results:</strong> Out of 446 patients visiting the ENT department of our hospital, 138 (30.9%) of them had DNS. The C shaped NSD was the most common type to be encountered in our study, with 57 patients showing this disorder. Nasal obstruction was the predominant symptom observed in 119 (86.2%) of the patients, followed by rhinitis and nasal discharge (34.8%).</p><p><strong>Conclusions:</strong> Deviated nasal septum is a very prevalent condition in our area, with severe symptoms such as nasal obstruction and rhinitis. Most of the patients had C shaped deviated septum.</p>

scholarly journals Extracorporeal Septoplasty for anterior septal deviation and deviated nose

2020 ◽  
Vol 13 (2) ◽  
pp. 144-148
Author(s):  
Brihaspati Sigdel
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Septal Deviation ◽  
P Value ◽  
Deviated Nasal Septum ◽  
Deviated Nose ◽  
Extracorporeal Septoplasty ◽  
Airway Function ◽  
The Aesthetic ◽  
The Right

Background: Deviated nose and septum is challenging, which results in functional and cosmetic problems. It blocks the nose and makes person ugly. The classical septoplasty approach becomes unsuitable for such severe deviations. Extracorporeal septoplasty is a surgical technique for correcting a severely deviated nasal septum, which also corrects the aesthetic part of the nose. The objective of this study was to describe extracorporeal septoplasty for Deviated nose and anterior septal deviation. Methods: A prospective observational outcome study was done in patients with Deviated nose and anterior septal deviation who underwent extracorporeal septorhinoplasty. Preoperative and postoperative evaluation was performed using a photographs, computerized tomography (CT) scan, and Nasal obstruction symptoms evaluation scale. Results: A total of 38 consecutive patients were enrolled, out of which majority were male (24, 63.2%) with only 14 (36.8%) female. The ratio of male female was 1.7:1. All the subjects had deviated nasal septum. Among these, nose deviation was externally noticeable in 20 (52.6%) cases, whereas in remaining cases it was inconspicuous. There were 21(55.3%) patients where Nasal Septum was deviated to the right side followed by 17(44.7%) with left side deviation. There was a significant improvement in mean nasal obstruction symptoms evaluation postoperatively (71.2 versus 22.7 with p value equal to 0.01). According to the pre and postoperative photographs 17(44.7%) patients had good improvement, nine (23.6%) showed excellent improvement and the result was fair in six (15.7%) patients. Conclusions: Extracorporeal septoplasty is effective in improving both nasal airway function and aesthetics in patients with severe Nasal Septal deviation.  

COMPARATIVE STUDY ON IMPROVEMENT OF NASAL SYMPTOMS FOLLOWING SEPTOPLASTY WITH PARTIAL INFERIOR TURBINECTOMY VS SEPTOPLASTY ALONE IN ADULTS WITH DEVIATED NASAL SEPTUM

2021 ◽  
pp. 62-65
Author(s):  
Subhadeep Chowdhury ◽  
Tithi Debnath ◽  
Sweta Verma
Keyword(s):  
Comparative Study ◽  
Nasal Obstruction ◽  
Nasal Septum ◽  
Tertiary Care ◽  
Inferior Turbinate ◽  
Deviated Nasal Septum ◽  
Nose Scale ◽  
Nasal Symptoms ◽  
Group A ◽  
Group B

BACKGROUND: Nasal obstruction is a common presenting symptom which otolaryngologists encounter in daily clinical practice. One of the most common cause of nasal obstruction is deviated nasal septum(DNS). DNS to one side is associated with overgrowth of inferior turbinate on the contralateral side. Septoplasty alone or septoplasty with inferior turbinate reduction is the mode of treatment but that depends upon the decision of the operative surgeon. In this study we aim to collect data and come to a conclusion as to which surgery is benecial for the patients. AIMS AND OBJECTIVES: (1) To compare the symptomatic improvement of nasal symptoms following septoplasty with partial inferior turbinectomy versus septoplasty alone by NOSE Scale. (2) To corroborate the subjective ndings of NOSE Scale by rhinomanometry and nasal endoscopy. METHODOLOGY: A prospective and comparative study was done on 60 patients over a period of 1 year in a tertiary care centre. Patients were alternatively divided into two surgical groups Group A- septoplasty with partial inferior turbinectomy and Group B- septoplasty alone. Nasal Obstruction Symptom Evaluation(NOSE) was used for subjective evaluation of nasal symptoms. Rhinomanometry was used as a tool for objective evaluation of symptoms. Data was analysed using tables, graph and percentage and test of signicance. Post operative improvement RESULTS: following both group A septoplasty with partial inferior turbinectomy and group B Septoplasty alone was signicant at post op 1,3 and 6 months respectively. When both groups were compared those undergoing partial inferior turbinectomy with septoplasty had highly signicant results by NOSE scale as well as rhinomanometry and endoscopy. This study showed tha CONCLUSION: t hypertrophied turbinate need to be addressed in chronic cases of nasal obstruction with deviated nasal symptom with contralateral turbinate hypertrophy. Thus we can conclude that partial inferior turbinectomy should be done in addition to septoplasty as it is a highly effective modality for treatment of nasal obstruction in patients of nasal obstruction in patients with deviated nasal septum.

scholarly journals Evaluation About the Requirement to Use a Pack After Septoplasty with Turbinectomy

2011 ◽  
Vol 15 (02) ◽  
pp. 168-171 ◽  
Author(s):  
Lisandra Megumi Arima ◽  
Romualdo Suzano Louzeiro Tiago ◽  
Rui Carlos Ortega Filho ◽  
Antonini de Oliveira e Sousa ◽  
Leandro Castro Velasco
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Direct Visualization ◽  
Deviated Nasal Septum ◽  
Nasal Pack ◽  
Surgical Bleeding ◽  
Nasal Bleeding

Summary Introduction: Septoplasty associated with a partial inferior turbinectomy is one of the most frequent surgeries performed in patients with nasal obstruction. The nasal pack has been used to control primary bleeding in these surgeries. Several complications have been related to the nasal pack, besides causing pain and a relevant discomfort. Some studies have investigated both the efficiency of the nasal pack to control bleeding and the complications after septoplasty and turbinectomy. Objective: To compare the degree of nasal bleeding among patients submitted to septoplasty with partial bilateral inferior turbinectomy, whether using the nasal pack or not. Method: An outlook study was performed to evaluate 60 patients diagnosed of a deviated nasal septum with an inferior concha hypertrophy. The patients were submitted to bilateral turbinectomy septoplasty under direct visualization. They were divided into 2 groups: without pack and with pack (Merocel* and protective sheath). These were evaluated after surgery, based on the evaluation of bleeding intensity. Result: It was observed that the post-surgical bleeding degree of the group submitted to partial bilateral inferior turbinectomy, who used the nasal pack, was lower than the group not using a pack. Conclusion: Patients submitted to septoplasty with partial bilateral inferior turbinectomy, not using a post-surgical nasal pack, appeared to bleed more than patients using a nasal pack.

scholarly journals A comparative study of endoscopic versus conventional septoplasty

2020 ◽  
Vol 6 (8) ◽  
pp. 1490
Author(s):  
Ramniwas Dhaka ◽  
Pooja Arya ◽  
Deep Chand ◽  
Vivek Samor ◽  
Ramchander Bishnoi ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Objective Assessment ◽  
Posterior Part ◽  
Sinus Surgery ◽  
Deviated Nasal Septum ◽  
Endoscopic Septoplasty ◽  
Surgery Patient ◽  
Group A ◽  
Group B

<p class="abstract"><strong>Background:</strong> Deviated nasal septum is one of the common causes of nasal obstruction. Correction of deviated nasal septum has been performed by a variety of techniques of which Septoplasty is the most popular one. With the advent of endoscopes and their successful use in endoscopic sinus surgery endoscopes have been tried in septoplasty for better visualization of 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.</p><p class="abstract"><strong>Methods:</strong> It was a prospective observational study conducted on 50 patients with deviated nasal septum, who presented to ENT department of SPMC, Bikaner, patients were randomly divided equally in two groups for conventional and endoscopic septoplasty respectively. Data collected on a prestructured proforma and results analysed.  </p><p class="abstract"><strong>Results:</strong> The study included 50 cases. Postoperatively significant relief from the symptoms of nasal obstruction (82%) in group A and (96%) group B, was seen. In objective assessment at the end of 3 months of surgery, patient had persistent posterior deviation 24% in group A and 3% in group B, spur 12% in group A and 0% in group B.</p><p class="abstract"><strong>Conclusions:</strong> 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.</p>

scholarly journals Comparing the outcome of septoplasty and septoplasty with turbinectomy in patients with deviated nasal septum

2019 ◽  
Vol 5 (5) ◽  
pp. 1185
Author(s):  
Nayanna Karodpati ◽  
Mayur Ingale ◽  
Sharad Rawat ◽  
Vinayak Kuradagi
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Inferior Turbinate ◽  
Symptom Improvement ◽  
Deviated Nasal Septum ◽  
Medical College ◽  
Turbinate Hypertrophy ◽  
Symptom Evaluation ◽  
Postoperative Symptoms ◽  
Inferior Turbinate Hypertrophy

<p class="abstract"><strong>Background:</strong> Deviated nasal septum is a bodily disorder results in nasal obstruction. Many surgical procedures are available in correcting the disorder. The present study aimed to compare the surgical outcome of septoplasty alone and septoplasty with turbinectomy in patients with deviated nasal septum.</p><p class="abstract"><strong>Methods:</strong> This prospective study was done on 50 patients attending to the department of ENT of Dr. D. Y. Patil Medical College and Hospital, DPU with complaints of nasal obstruction due to inferior turbinate hypertrophy with deviated nasal septum. The severity of nasal obstruction was assessed by NOSE (nasal obstruction symptom evaluation) scale. Of them, 25 patients were managed with septoplasty alone and other 25 patients with septoplasty and turbinectomy. The outcome of both the procedures was assessed statistically by using NOSE scale.  </p><p class="abstract"><strong>Results:</strong> Postoperative symptom improvement was seen in the both groups following surgery (p&lt;0.05). When the NOSE scores are compared between two groups, statistically significant improvement in the symptoms (NOSE score) was seen in the group of patients treated with septoplasty and turbinectomy compared to septoplasty alone (p&lt;0.05).</p><p class="abstract"><strong>Conclusions:</strong> This study re-iterates both septoplasty and concurrent turbinectomy are established mode of treatment in deviated nasal septum along with hypertrophy of inferior turbinates when the preoperative and postoperative symptoms are compared. However, the symptomatic outcomes and diagnostic nasal endoscopic findings are significantly better in patients who underwent septoplasty with concurrent resection of the inferior turbinate. </p>

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