An Endoscopic Approach to the Deviated Nasal Septum: A Prospective Study

Background Numerous medical descriptions are available regarding the pathology and the treatment of the deviated nasal septum. However, none of these descriptions have highlighted a complete surgical management of this condition to improve the nasal airway. Each surgical procedure has its limitations and cannot deal with all the variants of the deformities of the nasal septum, visualization and accessibility to the targeted deviated septum. Material& method 50 cases selected in our study were admitted in the ward of E. N. T. Department of R. N. T. Medical College and M. B. Hospital, Udaipur, and divided into two groups, titled group A and B containing 25 cases each. Group A had undergone conventional septoplasty and group B had undergone endoscopic septoplasty. Aims and Objectives We assessed endoscopic septoplasty as the better surgical procedure in correcting high deviations, familiarize with endoscopic anatomy of septum and mucoperichondrium, we assessed the efficacy and use of endoscopic septoplasty with other endoscopic surgeries for sinonasal pathology like chronic dacryocystitis, concha bullosa and sinusitis. Results Postoperatively significant relief from the symptoms of headache (100 %), nasal obstruction (90 %), nasal discharge (84 %), post nasal drip (67 %) and hyposmia (50 %) was observed more in endoscopic septoplasty group as compared to the conventional septoplasty group. Conclusion Postoperatively significant relief from the symptoms of headache (100 %), nasal obstruction (90 %), nasal discharge (84 %), post nasal drip (67 %) and hyposmia (50 %) was observed more in endoscopic septoplasty group as compared to the conventional septoplasty group.