scholarly journals Will Septal Correction Surgery for Deviated Nasal Septum Improve the Sense of Smell? A Prospective Study

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Neelima Gupta ◽  
P. P. Singh ◽  
Rahul Kumar Bagla
Keyword(s):  
Nasal Septum ◽  
Small Sample Size ◽  
Small Sample ◽  
Septal Deviation ◽  
Olfactory Function ◽  
Deviated Nasal Septum ◽  
Sense Of Smell ◽  
Correction Surgery ◽  
Olfactory Impairment ◽  
A Prospective Study

Background and Objectives. Nasal obstruction due to deviated nasal septum is a common problem bringing a patient to an otorhinolaryngologist. Occasionally, these patients may also complain of olfactory impairment. We proposed to study the effect of septal deviation on the lateralised olfactory function and the change in olfaction after surgery of the septum (septoplasty).Methods. Forty-one patients with deviated nasal septum were evaluated for nasal airflow, olfactory score, and nasal symptomatology. Septoplasty was done under local anesthesia. Pre- and postoperative olfactory scores, airflow and olfactory scores, and nasal symptomatology and olfactory scores were compared and correlated.Results. The range of preoperative composite olfactory score (COS) on the side of septal deviation was 4–14 (mean7.90±2.234) and on the nonobstructed side was 9–18 (mean14.49±2.378). Severity of deviated nasal septum and preoperative COS of diseased side were correlated and the correlation was found to be significant (rho = −0.690,p=0.000(<0.001)). The preoperative mean COS (7.90±2.234) was compared with the postoperative mean COS (12.39±3.687) and the improvement was found to be statistically significant (p=0.000(<0.001)).Conclusion. We found improvement in olfactory function in 70.6% patients after surgery, no change in 20.1%, and reduced function in 7.6%. With the limitation of a small sample size and a potential repeat testing bias, we would conclude that correction of nasal septal deviation may lead to improvement in sense of smell.

scholarly journals A prospective study of deviated nasal septum giving rise to other ENT pathologies

2020 ◽  
Vol 6 (2) ◽  
pp. 303
Author(s):  
S. Ranga Pradheep Kumar ◽  
Seema V. Patel
Keyword(s):  
Prospective Study ◽  
Nasal Obstruction ◽  
Nasal Septum ◽  
Septal Deviation ◽  
Deviated Nasal Septum ◽  
Female Ratio ◽  
Nasal Symptoms ◽  
Group A ◽  
Group B ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> The deviated nasal septum (DNS) is a commonly occurring clinical condition that often causes nasal obstruction. This study, included two groups of subjects 100 each. The group A consists of subjects having DNS with nasal symptoms. The group B consists of subjects having DNS without nasal symptoms but with ear and throat symptoms. The present study makes an effort to review the types and its associated pathology.</p><p class="abstract"><strong>Methods:</strong> A prospective study was carried out in the Department of ENT, Government Medical College and Hospital, Nagpur from September 2016 to October 2018. Data was collected and analysed.  </p><p class="abstract"><strong>Results:</strong> The mean age 31.17 years in group A and 30.07 years in group B, with male to female ratio of 1.17:1 in group A and 1.04:1 in group B. Left-sided septal deviation was more common than right-sided deviation. The most common symptoms in group A was nasal obstruction (94%) and in group B was otorrhoea (80%)."C" shaped DNS was the most common type in both the groups. Out of total 200 subjects comprising both the groups, 70 (35%) subjects had significant sinonasal disease, 138 (69%) subjects had ear pathology, 69 (34.5%) had Eustachian tube dysfunction, 35 (17.5%) had throat pathology. In this study, “S” shaped deviation was more prone to be associated with ENT pathology.</p><p class="abstract"><strong>Conclusions:</strong> “S” shaped DNS was maximally associated with sinonasal pathology and there was a high correlation between the side of septal deviation to the side of ear pathology, particularly in asymptomatic DNS.</p><p> </p>

scholarly journals Efficiency of modified Goldman’s technique in open pediatric septoplasty

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Omar Sabry ◽  
Hazem Dewidar ◽  
Mosaad abdel Aziz ◽  
Amr Elemam ◽  
Ahmed Nassar
Keyword(s):  
Nasal Septum ◽  
Pediatric Population ◽  
Septal Deviation ◽  
Nasal Resistance ◽  
Deviated Nasal Septum ◽  
Assessment Protocol ◽  
Nose Scale ◽  
Detailed Assessment

Abstract Background Performing nasal surgery on children has been the subject of controversy among surgeons. Specifically, the indications for and timing of septoplasty in children have been debated for the last several decades. In this study, we access the efficacy of the modified Goldman’s technique in dealing with caudal septal deviation in pediatric population suffering from severe nasal obstruction and its effect on nasal functions postoperatively. In this study, 30 pediatric patients suffering from deviated nasal septum who are candidate for septoplasty were included and underwent open septoplasty using modified Goldman’s technique. They were subjected to detailed assessment protocol preoperatively including NOSE scale, anterior rhinomanometry, and CT scans. Follow-up assessment was done at second week postoperative including anterior rhinoscopy and nasal endoscopy and 3 months postoperative including NOSE scale and anterior rhinomanometry. Results There was a statistically significant decrease of the NOSE scale severity to none in 90% of cases. Three months postoperative, all of the patients performed postoperative anterior active rhinomanometry with statistically significant decrease in the postoperative total nasal resistance values with inspiratory values ranging from 0.1 to 0.5 Pa/cm3/s with mean of 0.26 Pa/cm3/s and expiratory nasal resistance values ranging from 0.1 to 0.6 Pa/cm3/s with mean of 0.31 Pa/cm3/s. Conclusions Open septoplasty in children using the modified Goldman’s technique has enabled accurate and conservative approach for correction of nasal septal deviation especially those located in the caudal septal region. The technique also offers a significant reduction of the nasal symptoms postoperatively with marked improvement of the nasal resistance and quality of life in severe cases of deviated nasal septum.

Septoplasty in Pediatric Population: A Ten Years' Experience

2020 ◽  
Vol 5 (2) ◽  
pp. 1040-1044
Author(s):  
Krishna Prasad Koirala
Keyword(s):  
Nasal Septum ◽  
Residual Disease ◽  
Pediatric Population ◽  
Adult Population ◽  
Septal Deviation ◽  
Facial Growth ◽  
Nasal Breathing ◽  
Deviated Nasal Septum ◽  
Female Ratio ◽  
Septal Surgery

Introduction: Septoplasty is a commonly performed surgical procedure worldwide in otorhinolaryngology. Septoplasty aims to correct the deviated nasal septum at the midline thereby opening the nasal airway in patients with long standing nasal obstruction secondary to septal deviation. Nasal breathing is important for proper facial growth and improvement of quality of life in children. Most surgeons are still reluctant to perform septoplasty in children. But septoplasty should be performed in children if there are severe breathing problems related to septal deviation. Objectives: The objectives of this study were to identify the incidence of children presenting with symptomatic nasal septal deviation and to analyze the early outcomes of septal surgery in children with regard to improvement in nasal symptoms, residual disease and need for revision surgery. Methodology: Children less than seventeen years of age who underwent septoplasty for symptomatic DNS from 1st January 2009 to 31st December 2018 were enrolled in the study. Patients having the follow up record of at least 6 months after surgery were included in the final analysis. Results: There were 37 male and 13 female children enrolled in the study. Male to female ratio was 2.84:1.Majority of children in the study were of 13 years (24%). Left sided DNS was seen in 28 children and right sided DNS in 22 children. Bleeding requiring re-packing, septal hematoma, recurrent DNS, synechia and septal perforation were the common complications, which were comparable to adult population. Conclusion: Early correction of the obstructed nose due to deviated nasal septum is essential to provide normal nasal breathing, relieve complications of mouth breathing and to promote normal craniofacial growth. Septoplasty can be performed in pediatric population with relatively good results without occurrence of nasal deformity and equal complications as that in adults.

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.  

scholarly journals Pediatric Tuberculosis in Young Children in India: A Prospective Study

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Sanjay K. Jain ◽  
Alvaro Ordonez ◽  
Aarti Kinikar ◽  
Nikhil Gupte ◽  
Madhuri Thakar ◽  
...  
Keyword(s):  
Young Children ◽  
Small Sample Size ◽  
Tertiary Hospital ◽  
Drug Susceptibility ◽  
Drug Susceptibility Testing ◽  
Small Sample ◽  
Vulnerable Population ◽  
Poor Outcomes ◽  
Pediatric Tuberculosis ◽  
A Prospective Study

Background. India has one of the highest tuberculosis (TB) burdens globally. However, few studies have focused on TB in young children, a vulnerable population, where lack of early diagnosis results in poor outcomes.Methods. Young children (≤5 years) with suspected TB were prospectively enrolled at a tertiary hospital in Pune, India. Detailed clinical evaluation, HIV testing, mycobacterial cultures, and drug susceptibility testing were performed.Results. 223 children with suspected TB were enrolled. The median age was 31 months, 46% were female, 86% had received BCG, 57% were malnourished, and 10% were HIV positive. 12% had TB disease (definite or probable), 35% did not have TB, while TB could not be ruled out in 53%. Extrapulmonary disease was noted in 46%, which was predominantly meningeal. Tuberculin skin test (TST) was positive in 20% of children with TB. Four of 7 (57%) children with culture-confirmed TB harbored drug-resistant (DR) strains of whom 2 (50%) were multi-DR (MDR). In adjusted analyses, HIV infection, positive TST, and exposure to household smoke were found to be significantly associated with children with TB (P≤0.04). Mortality (at 1 year) was 3 of 26 (12%) and 1 of 79 (1%), respectively, in children with TB and those without TB (P< 0.05).Conclusions. Diagnosis of TB is challenging in young children, with high rates of extra-pulmonary and meningeal disease. While the data on DR-TB are limited by the small sample size, they are however concerning, and additional studies are needed to more accurately define the prevalence of DR strains in this vulnerable population.

Effect of Deviated Nasal Septum Type on Nasal Mucociliary Clearance, Olfactory Function, Quality of Life, and Efficiency of Nasal Surgery

2016 ◽  
Vol 27 (5) ◽  
pp. 1151-1155 ◽  
Author(s):  
Güler Berkiten ◽  
Tolgar Lütfi Kumral ◽  
Ziya Saltürk ◽  
Yavuz Atar ◽  
Güven Yildirim ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nasal Septum ◽  
Mucociliary Clearance ◽  
Olfactory Function ◽  
Nasal Surgery ◽  
Deviated Nasal Septum ◽  
Nasal Mucociliary Clearance

Dotlike hemosiderin spots on T2*-weighted magnetic resonance imaging as a predictor of stroke recurrence: a prospective study

2004 ◽  
Vol 101 (6) ◽  
pp. 915-920 ◽  
Author(s):  
Toshio Imaizumi ◽  
Yoshifumi Horita ◽  
Yuji Hashimoto ◽  
Jun Niwa
Keyword(s):  
Magnetic Resonance ◽  
Small Vessel Disease ◽  
Small Sample Size ◽  
Pearson Correlation ◽  
Small Sample ◽  
Stroke Recurrence ◽  
Amyloid Angiopathy ◽  
Content Type ◽  
A Prospective Study ◽  
Fine Print

Object. Microangiopathy associated with hypertension is a notable cause of cerebral small vessel disease (SVD), including deep intracerebral hemorrhage (ICH) and lacunar infarct. Dotlike low-intensity spots (dotlike hemosiderin spots: dotHSs) on T2*-weighted magnetic resonance (MR) images have been histologically diagnosed as old cerebral microbleeds associated with lipohyalinosis, amyloid angiopathy, or other microangiopathies and located in deep or subcortical regions. The aim of this study was to determine whether dotHSs indicate the severity of microangiopathy, and if so, whether large numbers of deep dotHSs are associated with SVD recurrence. Methods. The authors prospectively analyzed the number of dotHSs in 337 patients—191 men and 146 women with a mean age of 66 ± 10.4 years (range 37–94 years)—with SVD (199 ICHs and 138 lacunar infarcts) who had been consecutively admitted to Hakodate Municipal Hospital. The follow-up period was 3.5 to 42 months (22.5 ± 13.1 months). Patients were divided into two groups based on the recurrence. The hazard ratio (HR) for recurrence was estimated based on the Cox proportional hazard model by using the number of deep and subcortical dotHSs as well as other factors. Of 337 patients, 20 were readmitted with recurrence. Results of a multivariate analysis revealed an elevated rate of recurrence in patients with many subcortical dotHSs (≥ 5, HR 4.36, p = 0.0019) or a history of ICH (HR 3.82, p = 0.014). A trend toward a positive correlation (Pearson correlation coefficient 0.548, p < 0.0001) was found between the number of deep and subcortical dotHSs. Conclusions. Although a small sample size limited the power of analyses, the findings indicate that a large number of subcortical dotHSs may predict SVD recurrence.

scholarly journals Advantages and Limitations of Endoscopic Septoplasty: Experience of 120 Cases

2020 ◽  
Vol 5 (7) ◽  
pp. 233-238
Author(s):  
Md. Ashraful Islam ◽  
Tareq Mohammad ◽  
Nazmul Hossain Chowdhury ◽  
Towsif Bin Mamoo ◽  
Farid Uddin Milki ◽  
...  
Keyword(s):  
Nasal Septum ◽  
Endoscopic Approach ◽  
Sinus Surgery ◽  
Deviated Nasal Septum ◽  
Patient’S Satisfaction ◽  
Male Predominance ◽  
Endoscopic Septoplasty ◽  
Additional Surgery ◽  
Number Of Patients ◽  
A Prospective Study

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

POST-OPERATIVE COMPLICATIONS FOLLOWING ARTHROSCOPIC ACL RECONSTRUCTION USING VARIOUS GRAFTS; A PROSPECTIVE STUDY

2021 ◽  
pp. 48-50
Author(s):  
Himanshu Patel ◽  
Kashif Iqbal ◽  
Deependra Chourey ◽  
Manoj Kumar ◽  
Abhishek Pathak
Keyword(s):  
Acl Reconstruction ◽  
Small Sample Size ◽  
Cruciate Ligament ◽  
Deep Infection ◽  
Small Sample ◽  
Bptb Graft ◽  
Operative Complications ◽  
A Prospective Study ◽  
Post Operative Complications

Anterior cruciate ligament tear is a common occurrence and with advent of arthroscopic ligament reconstruction, the surgery is minimally invasive with good functional outcomes. The aim of this study is to evaluate the post-operative complications following arthroscopic ACLreconstruction. In this study we tried to analyse the post-operative complications in patients with arthroscopic ACL reconstructions using various autografts. The autografts used in this study were Bone patellar tendon bone graft, hamstring graft and peroneus graft. 26 patients were included in the study. 2 patients lost to follow up. The study result comprised of 24 patients. there were 45.8% of the patients who were below the age of 25 years whereas 54.2% patients were older than 25 years. Only 3 females were recruited in the present study, accounting for 12.5% of the total patients of the study. Majority 87.5% were males. Majority of the recruited patients were having right sided knee injury (54.2%) whereas remaining (45.8%) were having left sided injury. Majority of the patients were treated using hamstring and peroneus grafts (41.7%). 16.7% patients were treated with BPTB graft. There were 16.7% patients who developed deep infection after the surgery. Out of these, 30% were with hamstring grafts and 25% were with BPTB graft. 41.7% patients didn't develop any complications afterwards. 12.5% patients complained of post-operative knee pain. 16.7% patients reported occurrence of supercial infection. There are no signicant differences among complications for different grafts used in this study. The study concluded that arthroscopic ACL reconstruction is a safe surgical procedure with no signicant differences for various autograft options in terms of complications. The study is limited by small sample size and short follow up.

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