To compare the effectiveness of endoscopic septoplasty and Conventional septoplasty in the treatment of deviated nasal septum at a tertiary care centre

Abstract

Background: To compare the effectiveness of endoscopic septoplasty and conventional septoplasty in the 
treatment of deviated nasal septa. 
Materials and methods: The research comprised 100 patients, of either gender, between the ages of 18 and 65, who had symptomatic deviated nasal septum (DNS). Patients experiencing symptoms from a deviated nasal septum do not respond to non-invasive medical therapy. This research covered five symptoms for consideration: nasal obstruction, postnasal discharge, headache, epistaxis, and hyposmia. The research excluded individuals with allergic or vasomotor rhinitis, nasal masses, nasal polyps, and revision patients. Group A consisted of 50 patients who received endoscopic septoplasty (ES), whereas Group B consisted of another 50 instances that underwent conventional septoplasty (CS) under local anaesthesia. 
Results: The current investigation revealed that the most common symptom before surgery was nasal blockage, affecting 91% of the participants. This was followed by headache (55%), postnasal drip (50%), hyposmia (48%), and epistaxis (31%). Haemorrhage occurring during a surgical procedure: The mean blood loss in millilitres (ml) for the conventional septoplasty (CS) group was 88.67±6.78, while the endoscopic septoplasty (ES) group had a mean blood loss of 54.35±4.37 ml. The amount of blood loss was greater in the CS group. The present study find out, 93.02% reduction in nasal blockage, 81.48% improvement in nasal headache, and a 72% improvement in postnasal drip. The occurrence of hyposmia was seen in 84.61% of patients in the endoscopic 
septoplasty (ES) group. Epistaxis was reported in 76.92% of patients in the same group. In contrast, the traditional septoplasty group showed improvements in nasal obstruction (60.41%), headache (53.57%), postnasal drip (PND) (32%), hyposmia (63.63%), and epistaxis (61.11%).