The effectiveness of final intraoperative endoscopic control in conventional septoplasty

Year 2016, Volume: 2 Issue: 3, 177 - 181, 04.11.2016

Cem Bayraktar , Sedat Dogan

https://doi.org/10.18621/eurj.2016.5000197749

Abstract

Objective. Septoplasty operation is a very common procedure and can be performed with endoscopic or conventional techniques. In some cases, preoperative nasal endoscopy can not be performed due to severe anterior deviations, and computerized tomography assessment causes to radiation exposure and increased cost. Our aim was to investigate the effectiveness of final endoscopic control in conventional septoplasty operations. Methods. Fifty-one subjects who underwent conventional septoplasty with intraoperative endoscopic control and thirty age-sex matched patients who were being performed conventional septoplasty without endoscopic control were enrolled in this prospective study. Surgeon satisfaction intraoperatively and patient satisfaction 3 months later from surgery obtained with using 5 point Likert scale. Additional pathologies which observed by using intraoperative endoscopy and the rate of performed additonal surgeries were recorded. Results. Using this technique, surgeon satisfaction improved (p=0.02), but there was no significant difference on patient satisfaction (p=0.642). Additional pathologies were seen in 25% of patients and additonal surgeries performed in 21% of patients. All observed additonal pathologies were diagnosed and treated with endoscope easily. Conclusion. Final intraoperative endoscopic control in conventional septoplasty is an effective method and improves the surgeon satisfaction in surgery.

Keywords

Endoscopy, septoplasty, conventional

References

• Sedaghat AR, Busaba NY, Cunningham MJ, Kieff DA. Clinical assessment is an accurate predictor of which patients will need septoplasty. Laryngoscope 2013;123:48-52.
• Champagne C, Ballivet de Regloix S, Genestier L, Crambert A, Maurin O, Pons Y. Endoscopic vs. conventional septoplasty: a review of the literature. Eur Ann Otorhinolaryngol Head Neck Dis 2016;133:43-6.
• Mladina R, Cujic E, Subaric M, Vukovic K. Nasal septal deformities in ear, nose, and throat patients: an international study. Am J Otolaryngol 2008;29:75-82.
• Hwang PH, McLaughlin RB, Lanza DC, Kennedy DW. Endoscopic septoplasty: indications, technique, and results. Otolaryngol Head Neck Surg 1999;120:678-82.
• Bothra R, Mathur NN. Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur. J Laryngol Otol 2009;123:737-41.
• Aziz T, Biron VL, Ansari K, Flores-Mir C. Measurement tools for the diagnosis of nasal septal deviation: a systematic review. J Otolaryngol Head Neck Surg 2014;43:11.
• Han JK, Stringer SP, Rosenfeld RM, Archer SM, Baker DP, Brown SM, et al. Clinical Consensus Statement: Septoplasty with or without Inferior Turbinate Reduction. Otolaryngol Head Neck Surg 2015;15:708-20.
• Chaitanya VK, Janardhan N, Kumar SR, Rakesh G. Does the use of an endoscope in conventional septal surgery provide benefit in patients of deviated nasal septum? Sch J App Med Sci 2014;2:1824-27.
• Karatas D, Yuksel F, Senturk M, Dogan M. The contribution of computed tomography to nasal septoplasty. J Craniofac Surg 2013;24:1549-51.
• Vural S, Tas E, Gursel AO. [Evaluation of septoplasty patients with health status scale, rhinomanometry and computed tomography]. Kulak Burun Bogaz Ihtis Derg 2008;18:166-70. [Article in Turkish]
• Sedaghat AR, Kieff DA, Bergmark RW, Cunnane ME, Busaba NY. Radiographic evaluation of nasal septal deviation from computed tomography correlates poorly with physical exam findings. Int Forum Allergy Rhinol 2015;3:258-62.
• Gunbey E, Gunbey HP, Uygun S, Karabulut H, Cingi C. Is preoperative paranasal sinus computed tomography necessary for every patient undergoing septoplasty? Int Forum Allergy Rhinol 2015;5:839-45.