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

Published online by Cambridge University Press:  29 June 2007

Dipak Ranjan Nayak ,
R. Balakrishnan  and
K. Deepak Murthy
Dipak Ranjan Nayak*
Affiliation:
Department of Otolaryngology, Kasturba Medical College Hospital, Manipal, Karnataka, India.
R. Balakrishnan
Affiliation:
Department of Otolaryngology, Kasturba Medical College Hospital, Manipal, Karnataka, India.
K. Deepak Murthy
Affiliation:
Department of Otolaryngology, Kasturba Medical College Hospital, Manipal, Karnataka, India.
*
Address for correspondence: Dr Dipak Ranjan Nayak, M.S., Associate Professor and Chief, Department of ENT, Kasturba Medical College & Hospital, Manipal-576119, Karnataka. India. Fax: 91 08252 70061 E-mail: info@mahe.ernet.in
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Abstract

The 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.

Keywords

Nasal septum, surgeryEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 10 , October 1998 , pp. 934 - 939
Copyright
Copyright © JLO (1984) Limited 1998

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References

Cottle, M. H., Fisher, G. G., Gaynon, I. E. (1958) The maxillapremaxilla approach to extensive nasal septum surgery. Archives of Otolaryngology 68: 301.Google Scholar
Davis, W. E., Nishioka, G. J. (1996) Endoscopic partial inferior turbinectomy using a power microcutting instrument. ENT Journal 75[1]: 49–59.Google Scholar
Freer, O. (1902) The correction of deflections of the nasal septum with a minimum of traumation. Journal of American Medical Association 38: 636.Google Scholar
Galloway, T. (1946) Plastic repair of the deflected nasal septum. Archives of Laryngology 44: 141.Google Scholar
Giles, W. C., Gross, C. W., Abraham, A. C., Greene, W. M., Avner, T. G. (1994) Endoscopic septoplasty. Laryngoscope 104: 1507–1509.CrossRefGoogle ScholarPubMed
Killian, G. (1904) Die submucosae Fensterresektion der Nasenscheidewand. Archiv fur Laryngologie und Rhinologie 16: 362.Google Scholar
Lamear, W. R., Davis, W. E., Templer, J. W., McKinsey, J. P., Del Porto, H. (1992) Partial endoscopic middle turbinectomy augmenting functional endoscopic sinus surgery. Otolaryngology – Head and Neck Surgery 107[3]: 382–389.CrossRefGoogle ScholarPubMed
Maran, A. G. D. (1974) Septoplasty. Journal of Laryngology and Otology 88: 393–402.Google Scholar
Meredith, G. M. (1988) Surgical reduction of hypertrophied inferior turbinates: A comparison of electrofulgeration and partial resection. Plastic Reconstructive Surgery 81: 892–897.Google Scholar
Metzenbaum, M. (1929) Replacement of the lower end of the dislocated cartilage versus submucous resection of the dislocated end of the septal cartilage. Archives of Otolaryngology 9: 282.Google Scholar
Murakami, W. T., Wong, L. W., Davidson, T. M. (1982) Applications of the biomechanical behavior of cartilage to nasal septoplastic surgery. Laryngoscope 92: 300–309.Google Scholar
Nayak, D. R., Murthy, K. D., Balakrishnan, R. (1995) Septal splint with wax plates. Journal of Postgraduate Medicine 41: 70–71.Google Scholar
Simpson, J. F., Groves, J. (1958) Submucosal diathermy of the inferior turbinate. Journal of Laryngology 72: 292.Google Scholar
Slavin, R. G., Friedman, W. H. (1987) Nasal allergy – medical and surgical treatment. In Advances in Otolaryngology – Head and Neck Surgery, vol. 1 (Myers, ed.) Year Book Medical Publishers, Inc, Chicago, pp 91–102.Google Scholar
Trevino, R. J., Gordon, B. R. (1993) Allergic rhinosinusitis: The total rhinologic disease. ENT Journal 72(2): 116–129.Google Scholar