Introduction: Septoplasty is a surgical correction of the deviated nasal septum. It is the most common ear, nose, and throat (ENT) surgery performed in adults. The main indication to perform septoplasty is nasal obstruction. The effectiveness of septoplasty remains uncertain, whether to address only the deviated septum or turbinate, or both. The objective of the current study is to evaluate the effectiveness of conventional septoplasty (with or without concurrent turbinate surgery) compared to resection septoplasty surgery for nasal obstruction in adults with a deviated nasal septum.
Materials and methods: The study is designed as a comparative retrospective study of 100 cases: 50 cases of septoplasty for deviated nasal septum (2010–2013) and 50 cases of resection septoplasty for deviated nasal septum (2013–2016). A single surgeon operated on a total of 100 adults with nasal obstruction based on a deviated nasal septum. Conventional septoplasty was performed in one group and resection septoplasty in the other group. Follow-up visits will be scheduled at 0, 1, 3, 6, and 12 months. During each follow-up visit, a subjective visual analog scale (VAS) score will be performed.
Conclusion: The resection septoplasty procedure involves a reduction in the volume of the turbinate with a straight, centrally placed septum. Minimal mucosal injury over the turbinate with electrocautery does not significantly interfere with the nasal mucociliary clearance mechanism. This technique has better postoperative improvement in addressing nasal symptoms and nasal cavity volume.
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