SUBMUCOUS RESECTION AS THE SURGICAL ARMAMENTARIUM FOR THE DEVIATED NASAL SEPTUM - THOUGH SEEMS THEORETICAL BUT STILL IS MOST COMMONLY USED SURGERY

Background: Nasal obstruction is a symptom rather than a diagnosis. There is a wide range of medical and structural problems that could cause such a symptom. A deviated septum is a common structural condition of nose that involves a displacement of the nasal septum to one or both sides of nasal cavity causing unilateral or bilateral nasal obstruction respectively.About 80 percent of people have a deviated nasal septum which often develops as a result of an injury to the nose.Various surgical modalities like septoplasty,submucous resection are available for deviated nasal septum correction but because easy to perform and with satisfactory results submucous resection is still widely practiced. Material and methods:The study was conducted at drulhaspatil medical college jalgaon . A total of 230 patients were included in the study including both males and females.The age of patients included in the study ranges from 19 years to 65 years.All the operated patients were followed up at 6 months to 2 years postoperatively.Most of the patients about more than 76 percent achieved achieved short term relief of nasal obstruction and about 30 percent of people had persistent or recurrent nasal obstruction on long term follow up. Results:The nasal obstruction was the most consistent symptom present in 100% of patients . Nasal obstruction was relieved in 76% of patients after SMR and in 73% of cases after septoplasty.Patients having postoperative associated symptoms of snoring , headache, rhinorrhoea , sneezing ,hyposmia , epistaxis were improved of these symptoms after SMR to 60%,62%,31%,30%,30%, and13 respectively.The rates of short term and long term complivcations were relatively very low including septalhaematoma 3%, epistaxis 2%, external nasal deformity 2% and septal perforation 3% of cases. Conclusion:SMR, being relatively easy to perform and having similar complication and patient satisfaction rate as septoplasty, should be retained in surgical modilities for the deviated nasal septum.