Objective: The aim of this study was to evaluate efficacy of endoscopic septoplasty compared with traditional one. Methods: This study was carried on patients complaining mainly of persistence nasal obstruction and presented to the ENT outpatient clinic in Benha university hospital. Out of these patients 40 cases were diagnosed to have nasal septal deviations during the period from July 2010 to April 2011. 20 patients underwent endoscopic septoplasty and the other 20 patients underwent traditional septoplasty. Pre and postoperative evaluations were done in the form of history taking, clinical examination and nasal endoscopy. Endoscopic septoplasty was done for different types of septal deformities to show the technique and to compare efficacy with traditional septoplasty. Results: It was found that endoscopic septoplasty is more effective than traditional septoplasty in treating nasal obstruction, correction of posterior deviations and septal spurs and prevention of contact between septum and lateral nasal wall. Conclusion: We conclude from our study that symptomatized deviated septum can be corrected by different techniques. Endoscopic septoplasty provides an excellent alternative to traditional head light one with many advantages as easy, safe, rapid, limited dissection of the flaps, good access to posterior and high deviations, good illumination and visualization, less complications(odema, tear, perforation, hematoma, crustation), easy for revision and good teaching tool if used with monitors. Also this technique can avoids splints, packing and stitches so it can decrease the post-operative period and pain. |
