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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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