Functional Outcome of Endoscopic Septal Surgery in Comparisonto Conventional Septoplasty

Abstract

Objective: Conventional septal surgery based 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, unnecessary manipulation, limited exposure and scope for second surgery if required.
Material and method: A prospective study was done on 120 patients of symptomatic deviated nasal septum who were refractory to medical treatment underwent septal surgery. Patients were equally divided into two groups with 60 patients each. Patients were randomly selected on each group.
Results: In this prospective study, though the complication rate is higher in conventional septoplasty group but there was a significant difference in functional outcome in the endoscopic septoplasty group.
Conclusion: The use of endoscope in septal surgery improves visualization, illumination, and thus reduces complication with improved functional outcome. It can be performed in other diseases of nose and para nasal sinus diseases in the perspective of functional endoscopic sinus surgery.