Online ISSN: 2515-8260

Keywords : Deviated Nasal Septum

Preoperative Evaluation With Anterior Rhinoscopy And Diagnostic Nasal Endoscopy In Patients With Symptomatic Deviated Nasal Septum In North Indian Population.

Sanam Altaf,Mohd Shafi Bhat , Bashir Ahmad Malik, Nisar Hussain Dar .

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 3526-3533

Background: Symptomatic deviated nasal septum is one of the most common diagnosis in otolaryngology. Nasal obstruction is most common presentation of the symptomatic DNS. Diagnosis can be made reliably through patient symptoms and examination. The diagnostic accuracy can be increased greatly by anterior rhinoscopy and diagnostic nasal endoscopy (DNE) Aim: To evaluate Anterior Rhinoscopy and Diagnostic Nasal Endoscopy findings in patients with symptomatic Deviated Nasal Septum (DNS). Methods: A profile of 120 Patients with chief complaints of nasal obstruction and findings of deviated nasal septum with or without inferior turbinate hypertrophy on anterior rhinoscopy  attending the department of Otorhinolaryngology and Head and Neck Surgery, Government Medical College Srinagar, over a period of 18 months were included after fulfilling the inclusion criteria in this study. Results: In this study,120 patients were enrolled, majority of the patients (~80%) were young <30 years old. Most common presentation was nasal obstruction in 120(100%) patients. On examination C shaped DNS was seen in 93 (77.5%) patients followed by S shaped DNS in 17 (14.2%) patients and C/S shaped DNS with spur was noted in 10 (8.3%) patients, among 120 patients, 22 (18.3%) had hypertrophied inferior turbinate on anterior rhinoscopy. On DNE Most common type of DNS (Mladina classification) was type 2 in 52 (43.3%) patients, followed by type 3 in 35 (29.2%) patients, type 4 in 18 (15.0%) patients, type 5 in 6 (5.0%) patients, type 1 in 5 (4.2%) patients and type 6 in 4 (3.3%) patients. 10 (8.3%) had bullous middle turbinate. Middle meatus discharge was seen in 10 (8.3%) patients. Sphenoethmoidal recess secretions were seen in 1(0.8%) patient.  Paradoxical middle turbinate and accessory ostia were seen in 12 (10%) patients and 2 (1.7%) patients respectively. Conclusion: Preoperative evaluation with anterior rhinoscopy and diagnostic nasal endoscopy is adequate in most of the cases of symptomatic DNS. It is particularly important in developing countries were CT scans are not readily available and that x ray exposure can be avoided by a thorough clinical examination.

To Study the Effect of Septoplasty Inrelieving Nasal Obstruction and on Quality of Life

K.Ramesh, Benjamin Rajendrakumar, Prateek Raj

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 11071-11082

Background:Septoplasty (surgical correction of the deviated septum) is the most frequently
performed ear, nose, and throat operation in adults, but its effectiveness has long been
questioned. Nasal obstruction is the most common complaint in majority of these patients.
There are two potential ways to assess the outcome of surgery after septoplasty: objective and
subjective measures. Subjective assessment is done in our study with Nasalobstruction
symptom evaluation (NOSE) scoring. In the present study the effectiveness of septoplasty in
treating nasal obstruction and its effect on quality oflife was evaluated.
Materials and Methods: A prospective randomized study was done on 120 patients with
symptomatic deviated nasal septum. Follow up was done for a period of 6 months after
surgery. NOSE scoring was used to analyze the severity of symptoms both preoperatively and
postoperatively and diagnostic nasal endoscopy done to compare the results and to look for
residual deviations.
Results: Statistically significant improvement was observed in mean NOSE score duringthe
follow up visits. The mean value increment was 48.33 and 49.8 after 3 months and 6 months
respectively following surgery (p <0.0001). Each individual symptom score improvement
was also compared which showed a significant improvement in allthe four symptom scores
out of five. Diagnostic nasal endoscopic evaluation also showed promising results with less
residual deformity on follow up.
Conclusion: Septoplasty is an effective surgical procedure for deviated nasal septum which
produces significant symptomatic relief for the patient. Nasal obstruction symptom
evaluation (NOSE) questionnaire effectively assessed the improvement in quality of life
among the symptomatic patients.