S. Surya Prakasa Rao
BACKGROUND The objectives of the study are- 1) To study the gender distribution of Deviated Nasal Septum (DNS). 2) To study the incidence of DNS in different age groups. 3) To compare the complications of septoplasty in endoscopic versus conventional type. MATERIALS AND METHODS: This study was conducted in Govt. ENT Hospital of Andhra Pradesh, during a period of 11 months from April 2017 to Feb 2018. The total number of surgeries performed during this period were 926 for ear, nose, throat & head and neck disorders. Out of this, 100 patients had undergone septoplasty for deviated nasal septum by endoscopic and conventional type, 50 each respectively. The study is performed in gender variation and age distribution for total population. The complications like synechiae, septal haematoma, abscess, perforation, saddle nose, tip collapse, residual deviation and rarely CSF rhinorrhoea are compared in these conventional and endoscopic septoplasties. RESULTS DNS affected more in males than in females in the ratio of 69:31. The age group of 15-24 yrs. (45%) was affected more, later 25-34 yrs. (30%) and the least was 55-64 yrs. (2%). Synechiae is the most common complication in both endoscopic and conventional septoplasty (E:10% :: C:12%). Residual deviation is the second most common complication (E:4%:: C:8%). Septal perforation (E:2% ::C:4%). Septal haematoma, Supratip depression and saddle nose resulted only in conventional septoplasty with each 2%. CONCLUSION Endoscopic septoplasty is found to be superior to conventional septoplasty as the complications are fewer. Hence it is advised to younger surgeons to start septoplasty with conventional technique and later turn to endoscopic septoplasty once they are experienced with endoscopes.
