EFFECTIVENESS OF ENDOSCOPIC SEPTOPLASTY IN DIFFERENT TYPES OF NASAL SEPTAL DEFORMITIES: OUR EXPERIENCE WITH NOSE EVALUATION
Keywords:
Endoscopic septoplasty, Septal deviation, NOSE scale, Septal deformities, Cottle‘s areaAbstract
In rhinologic practice, septal abnormalities are a common complaint and the most common cause of nasal obstruction. The use of the endoscope to treat septal abnormalities has grown in popularity since Lanza et al.'s 1991 initial presentation. This study aims to assess the efficacy of endoscopic septoplasty in correcting each of the seven categories of septal abnormalities identified by Mladina's classification. As far as we are aware, this is the first study to analyze objective results obtained before and after surgery, as well as subjective results obtained from the validated NOSE questionnaire, in order to assess the remedial ability of this procedure for each
aberration. Even if endoscopic septoplasty is currently regarded as a dependable substitute for the traditional method, the optimal treatment option must be provided by correctly identifying the deformity prior to surgery.
References
1.Pannu KK, Chadha, Kaur IP. Evaluation of benefits of nasal septal surgery on nasal
symptoms and general health. Indian J Otolaryngol Head Neck Surg 2009;61:59-65.
2.Ahmadian A, Fathi Kazerooni A, Mohagheghi S, et al. A region-based anatomical
landmark configuration for sinus surgery using image guided navigation system: a
phantom-study. J Craniomaxillofac Surg 2014;42:816-24.
3.Chang M, Lee H, Park M, et al. Long-term outcomes of endoscopic endonasal
conjunctivodacryocystorhinostomy with Jones tube placement: a thirteen-year
experience. J Craniomaxillofac Surg 2015;43:7-10.
4.Lanza DC, Kennedy DW, Zinreich SJ. Nasal endoscopic and its surgical applications.
Lee KJ. ed. Essential otolaryngology, head and neck surgery. New York (NY): Medical
Examination Publisching Co.; 1991. p. 373-87.
5.Mladina R. The role of maxillar morphology in the development of pathological
septal deformities. Rhinology 1987;25:199-205.
6.Mladina R, Cujić E, Subarić M, et al. Nasal septal deformities in ear, nose, and throat
patients: an international study. Am J Otolaryngol 2008;29:75-82.
7.Killian G. Die submucose Fensterresektion der Nasenscheidewand. Archivies fur
Laryngologie und Rhinologie 1904;16:363.
8.Freer O. The correction of nasal septum with a minimum of traumatism. JAMA
1902;38:636.
9.Jammet P, Souyris F, Klersy F, et al. The value of Cottle’s technic for esthetic and
functional correction of the nose. Ann Chir Plast Esthet 1989;34:38-41.
10.Nayak DR, Balakrishnan R, Murty KD, et al. Endoscopicseptoturbinoplasty: our
update series. Indian J Otolaryngol Head Neck Surg 2002;54:20-4.
11.Lanza DC, Moran DT, Doty RL, et al. Endoscopic human olfactory biopsy
technique: a preliminary report. Laryngoscope 1993;103:815-9.
12.Giles WC, Gross CW, Abram AC, et al. Endoscopic septoplasty. Laryngoscope
1994;104:1507-9.
13.Cantrell H. Limited septoplasty for endoscopic sinus surgery. Otolaryngol Head
Neck Surg. 1997;116:274-7.
14.Yanagisawa E, Joe J. Endoscopic septoplasty. Ear Nose Throat J 1997;76:622-3.
15.Toffel PH. Depth of field image video enhancement for endoscopic sinus surgery.
Ear Nose Throat J 1998;77:549-51.
16.Hwang PH, McLaughlin RB, Lanza DC, et al. Endoscopic septoplasty: indications,
technique, and results. Otolaryngol Head Neck Surg 1999;120:678-82.
17.Bothra R, Mathur NN. Comparative evaluation of conventional versus endoscopic
septoplasty for limited septal deviation and spur. J Laryngol Otol 2009;123:737-41.
18.Skitarelic NB, Vukovic K, Skitarelic NP. Comparative evaluation of conventional
versus endoscopic septoplasty for limited septal deviation and spur. J Laryngol Otol
2009;123:939-40.
19.Gulati SP, Wadhera R, Ahuja N, et al. Comparative evaluation of endoscopic with
conventional septoplasty. Indian J Otolaryngol Head Neck Surg 2009;61:27-9.
20.Paradis J, Rotenberg BW. Open versus endoscopic septoplasty: a single-blinded,
randomized, controlled trial. J Otolaryngol Head Neck Surg 2011;40(Suppl 1):S28-33.
21.Kahveci OK, Miman MC, Yucel A, et al. The efficiency of Nose Obstruction
Symptom Evaluation (NOSE) scale on patients with nasal septal deviation. Auris
Nasus Laryn 2012;39:275-9.
22.Gandomi B, Bayat A, Kazemei T. Outcomes of septoplasty in young adults: the
nasal obstruction septoplasty effectiveness study. Am J Otolaryngol 2010;31:189-92.
23.André RF, Vuyk HD, Ahmed A, et al. Correlation between subjective and objective
evaluation of the nasal airway. A systematic review of the highest level of evidence.
Clin Otolaryngol 2009;34:518-25.
24.Janiszewska-Olszowska J, Gawrych E, Wędrychowska-Szulc B, et al. Effect of
primary correction of nasal septal deformity in complete unilateral cleft lip and palate
on the craniofacial morphology. J Craniomaxillofac Surg 2013;41:468-72.
25.Stewart MG, Witsell DL, Smith TL, et al. Development and validation of the Nasal
Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg
2004;130:157-63.
26.Uppal S, Mistry H, Nadig S, et al. Evaluation of patient benefit from nasal septal
surgery for nasal obstruction. Auris Nasus Larynx 2005;32:129-37.
27.Cottle MH, Loring RM, Fischer GG, et al. The maxilla-premaxilla approach to
extensive nasal septum surgery. AMA Arch Otolaryngol 1958;68:301-13.
28.Gupta N. Endoscopic septoplasty. Indian J Otolaryngol Head Neck Surg
2005;57:240-3.
