Why Nasal Septal Surgery Alone is Not Sufficient to Relieve Nasal Obstruction in Case of Deviated Nasal Septum?. | [Journal of Medical Science • 2017]

Author(s):

1. Naseer Ahmad: Department of ENT Nowshera Medical College, Nowshera, Pakistan

2. Israrud Din: Department of ENT, Khyber Teaching Hospital, Peshawar, Pakistan

3. Islam Gul: Department of ENT, Khyber Teaching Hospital, Peshawar, Pakistan

4. Gul Rukh: Department of ENT, Pak international Medical College & Hospital, Peshawar, Pakistan

Abstract:

Objectives: To find out a surgical procedure for nasal obstruction caused by deviated nasal septum and inferior turbinate hypertrophy by comparison between septal surgery alone and in combinations with inferior turbinate minimum surgery. Material and Methods: It is a comparative study in nasal obstruction patients subjected to either septal surgery alone or with turbinate surgery to get good results. This study was conducted in ENT Department, Khyber Teaching Hospital, Peshawar, Pakistan from January 2012 to December 2014 for a period of two years. A total of 100 patients were selected with nasal obstruction and inferior turbinate hypertrophy. These were divided into two groups, in group 1 two procedures of septal surgery and inferior turbinate reduction were done and in group 2 only septal surgery were done to compare the results for airway assessment and complications. Results: In Group 1 almost 86% success rate from nasal obstruction while in Group 2 only 16.6% success while complications rate is almost similar in both groups. Conclusion: Nasal surgery is almost always successful when done in combination submucosal resection (SMR) or Septoplasty with inferior turbinate reduction but with minimal procedure to avoid complications.

Page(s): 115-118

DOI: DOI not available

Published: Journal: Journal of Medical Science, Volume: 25, Issue: 1, Year: 2017

Keywords:

Septoplasty , Inferior terbinates

References:

[1] GrayLP, 1978.Deviated nasal septum: Incidence and etiology,Ann Otol Rhinol Laryngol 50 3 -20

[2] 2000.Histopathology of the inferior turbinate with compensatory hypertrophy in patients with deviated nasal septum,Laryngoscope 110 2100 -05

[3] VelascoLC,ArimaLM,TiagoRS, 2011.Assessment of symptom improvement following nasal septoplasty with or without turbinectomy,Braz J Otorhinolaryngol 77 577 -83

[4] AkoglueE,KarazincirS,BalciaA,OkuyucuS,SumbasH,Daglia S, 2007.Evaluation of the turbinate hypertrophy by computed tomography in patients with deviated nasal septum,Otolaryngol Head Neck Surg 136 380 -84

[5] Dinesh KumarR,RajashekarM, 2016.Comparative Study of Improvement of Nasal Symptoms Following Septoplasty with Partial Inferior Turbinectomy Versus Septoplasty Alone in Adults by NOSE Scale: A Prospective Study,Indian J Otolaryngol Head Neck Surg 68 275 -84

[6] CookPR, 1997.Sinusitis and Allergy,Curr Opin Otolaryngol Head Neck Surg 5 35 -39

[7] EurArch Otorhinolaryngol, 2016.Quality of life before and after sinonasal surgery: a population-based matched cohort study,Eur Arch Otorhinolaryngol 16 4272 -72

[8] UluyolS,KilicaslanS,GurMH,KarakayaNE,BuberI,UralSG, 2016.Effects of Nasal Septum Deviation and Septoplasty on Cardiac Arrhythmia Risk,Otolaryngol Head Neck Surg 155 347 -52

[9] LuS,ZhangL,LiJ, 2016.Research progress on the management of no packing after septoplasty,Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 30 80 -83

[10] .Turbinate hypertrophy: evaluation of the nasal cavity 11., -

[11] 1990.by acoustic rhinometry,Archives of Otolaryngology - Head and Neck Surgery 116 283 -89

[12] GoodMittleman H., 1982.CO2 laser turbinectomies for chronic obstructive rhinitis,Laser Surg Med 2 29 -36

[13] ElwanyS,Abdel-moneim H, 1997.Carbon dioxide laser turbinectomy An Electronroscopic Study,J Laryngol Otology 111 931 -34

[14] GarzaroM,LandolfoV,PezzoliM,DefilippiS,CampisiP,GiordanoC, 2012.Radiofrequency volume turbinate reduction versus partial turbinectomy: clinical and histological features,Am J Rhinol Allergy 26 321 -25

[15] Dinesh KumarR,RajashekarM, 2016.Comparative Study of Improvement of Nasal Symptoms Following Septoplasty with Partial Inferior Turbinectomy Versus Septoplasty Alone in Adults by NOSE Scale: A Prospective Study,Indian J Otolaryngol Head Neck Surg 68 275 -84

[16] UluyolS,KilicaslanS,GurMH,KarakayaNE,BuberI,UralSG, 2016.Effects of Nasal Septum Deviation and Septoplasty on Cardiac Arrhythmia Risk,Otolaryngol Head Neck Surg 155 347 -52

[17] J.Laryngol, 1993.,Otol 107 413 -17

[18] 1997.Septoplasty and compensatory inferior turbinate hypertrophy: Long-term results after randomized turbino- plasty,Eur. Arch. Otorhinolaryngol 254 89 -92

[19] GandomiB,BayatA,KazemeiT., 2010.Outcomes of septoplasty in young adults: the Nasal Obstruction Septoplasty Effectiveness study,Am J Otolaryngol 31 189 -92

[20] RezaeianF,GubischW,JankuD,Haack S, 2016.New Suturing Techniques to Reconstruct the Keystone Area in Extracorporeal Septoplasty,Plast Reconstr Surg 138 374 -82

[21] NasseemT,F , Fattah,A , Ahmad,SH , Mohammad, 2009.,Med J. Cairo Univ 77 391 -95

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