A retrospective analysis of endoscopic septoplasty

Amarnath SB, Sushma SG, Kuppam RD, Guthi VR

Pdf Page Numbers :- 157-161

Amarnath SB^1,*, Gouthami Sushma S¹, Divya Raana Kuppam² and Visweswara Rao Guthi³

¹Department of Otorhinolaryngology, SVIMS-Sri Padmavathi Medical College for Women, Tirupati, Andhra Pradesh 517507, India

²Department of Otorhinolaryngology, Sri Balaji Medical College and Hospital, Tirupati, Andhra Pradesh 517520, India

³Department of Community Medicine, SVIMS-Sri Padmavathi Medical College for Women, Tirupati, Andhra Pradesh 517507, India

*Corresponding author: Dr. SB Amarnath, MS (ENT), Professor and Head of Department, Department of Otorhinolaryngology, SVIMS-Sri Padmavathi Medical College for Women, Tirupati, Andhra Pradesh-517507, India. Email: doc_amarnath@yahoo.co.in

Received 26 November 2024; Revised 11 February 2025; Accepted 24 February 2025; Published 3 March 2025

Citation: Amarnath SB, Sushma SG, Kuppam RD, Guthi VR. A retrospective analysis of endoscopic septoplasty. J Med Sci Res. 2025; 13(2):157-161. DOI: http://dx.doi.org/10.17727/JMSR.2024/13-27

Copyright: © 2025 Amarnath SB et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Introduction: Septal deviation is a frequently found structural deformity causing nasal obstruction, headache, postnasal drip and snoring etc. With the advent of endoscopes, conventional headlight surgeries have been largely replaced. Endoscopic septoplasty is a minimally invasive targeted approach for septal correction.

Materials and methods: A retrospective study was carried out of all the cases who underwent septoplasty at SVIMS-SPMCW, Tirupati. The case files of all these patients were reviewed for indications, findings and complications.

Results: Septoplasty with endoscopic sinus surgery is the commonest procedure performed for deviated nasal septum (DNS) with chronic rhinosinusitis and sinonasal polyposis followed by septoplasty alone for symptomatic DNS, septoplasty with turbinate reduction for DNS with turbinate hypertrophy, septoplasty with endo DCR (Dacryocystorhinostomy) for DNS with chronic dacryocystitis and revision septoplasty for persistent deviation.Overall complication rate is around 1.2% which includes 1 case of each bleeding, synaechae and septal perforation.

Conclusion: Endoscopic septoplasty is a minimally invasive surgery that can be performed either alone or as a concurrent procedure along with other nasal surgeries with good postoperative outcomes.

Keywords: endoscopic septoplasty; nasal obstruction; nasal septum; breathing disorders