Difficult septal deviation cases: is it open or closed technique?

Publication date: Available online 29 April 2016
Source:Brazilian Journal of Otorhinolaryngology
Author(s): Sultan Şevik Eliçora, Duygu Erdem, Hüseyin Işık, Murat Damar, Aykut Erdem Dinç
IntroductionAim of this study is to compare the functional aspects of open technique (OTS) and endonasal septoplasty (ENS) in "difficult septal deviation cases".Methods60 patients who have nasal obstruction because of S-shaped deformities, multiple deformities, high deviations etc. were included in the study. The OTS was used in 30 patients and the ENS was performed in 30 patients. The Nasal Obstruction Symptom Evaluation (NOSE) scale was administered preoperatively and at first month following surgery. Patients were also evaluated with Visual Analog Scale (VAS) for pain postoperatively.ResultsThe mean NOSE score was decreased 62.5–11.0 in the OTS group and 61.3–21.33 in the ENS group. Improvement of the symptoms in two surgical techniques is accepted agreeable and no statistically significant difference was found between both techniques. Also there was no statistically significant difference in postoperative pain degrees which was evaluated by VAS between the OTS and the ENS group.ConclusionAccording to our data the ENS is as successful as the OTS in management of difficult septal deviation cases. In patients with severe septal deformities type of the surgical technique should be selected according to the surgeon's experience and the patient's preference.



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