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Endoscopic versus conventional septoplasty: objective/subjective data on 276 patients

European Archives of Oto-Rhino-Laryngology volume 276, pages 1707–1711 (2019)Cite this article

Abstract

Purpose

Endoscopic approach represents a valid alternative to conventional septoplasty. The aim of this study is to analyze the objective and subjective data on 276 patients, who underwent traditional (147) or endoscopic (129) septoplasty.

Methods

This is a prospective observational study on 276 consecutive patients affected by deviated nasal septum (DNS), who underwent isolated septoplasty between 2011 and 2018. 147 of them were treated using an “open” approach, while 129 were treated with an endoscopic approach. The two groups were compared 3 months after surgery: the objective results (complications such as bleeding, hematoma, pain, synechiae, septal tears and incomplete correction), objective (rhinomanometric data) and subjective measurements (NOSE questionnaires).

Results

Both techniques are effective in decreasing nasal obstruction and discharge. Complications such as pain, synechiae, early postoperative bleeding, septal tears and incomplete correction are less frequent in the endoscopic group (p < 0.05). The rhinomanometric analysis reveal improvement in both groups without statistical differences. Subjective questionnaires show a good symptoms relief with an improved quality of life in all 276 patients without statistical difference between the two gropus.

Conclusions

Both techniques are effective in reducing nasal obstruction and related symptoms with fewer overall complications in the endoscopic approach. The endoscope provides improved field of view, less mucosal damages and a more anatomic dissection. Finally, such approach can be a valuable teaching tool for assistants, residents and students.

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Authors and Affiliations

  1. ENT Division, University of Eastern Piedmont, Novara, Italy

    Massimiliano Garzaro, Valeria Dell’Era & Paolo Aluffi Valletti

  2. ENT Division, Santa Croce Hospital, Moncalieri, Italy

    Giuseppe Riva

  3. ENT Division, Maria Vittoria Hospital, Turin, Italy

    Luca Raimondo

  4. ENT Division, University of Turin, Turin, Italy

    Giancarlo Pecorari

Authors
  1. Massimiliano Garzaro
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  2. Valeria Dell’Era
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  3. Giuseppe Riva
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  4. Luca Raimondo
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  5. Giancarlo Pecorari
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  6. Paolo Aluffi Valletti
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Correspondence to Valeria Dell’Era.

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Garzaro, M., Dell’Era, V., Riva, G. et al. Endoscopic versus conventional septoplasty: objective/subjective data on 276 patients. Eur Arch Otorhinolaryngol 276, 1707–1711 (2019). https://doi.org/10.1007/s00405-019-05393-w

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  • DOI: https://doi.org/10.1007/s00405-019-05393-w

Keywords

  • Endoscopic septoplasty
  • Septal deviation
  • Endoscopic septoplasty outcomes
  • Traditional septoplasty
  • Comparison