Difficult septal deviation cases: open or closed technique?

Abstract Introduction: The aim of this study is to compare the functional aspects of open technique (OTS) and endonasal septoplasty (ENS) in "difficult septal deviation cases". Methods: 60 patients with severe nasal obstruction from S-shaped deformities, multiple deformities, high deviat...

Full description

Bibliographic Details
Main Authors: Sultan Şevik Eliçora, Duygu Erdem, Hüseyin Işık, Murat Damar, Aykut Erdem Dinç
Format: Article
Language:English
Published: Elsevier
Series:Brazilian Journal of Otorhinolaryngology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942017000300256&lng=en&tlng=en
_version_ 1818642086979698688
author Sultan Şevik Eliçora
Duygu Erdem
Hüseyin Işık
Murat Damar
Aykut Erdem Dinç
author_facet Sultan Şevik Eliçora
Duygu Erdem
Hüseyin Işık
Murat Damar
Aykut Erdem Dinç
author_sort Sultan Şevik Eliçora
collection DOAJ
description Abstract Introduction: The aim of this study is to compare the functional aspects of open technique (OTS) and endonasal septoplasty (ENS) in "difficult septal deviation cases". Methods: 60 patients with severe nasal obstruction from 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 for pain postoperatively with Visual Analog Scale (VAS). Results: The 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 following the two surgical techniques is similar and no statistically significant difference was found between both techniques. Also there was no statistically significant difference in postoperative pain between the OTS and ENS groups evaluated by VAS. Conclusion: ENS is as successful as the OTS in management 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.
first_indexed 2024-12-16T23:37:29Z
format Article
id doaj.art-fa52850b309e47078a68febe9d91bb93
institution Directory Open Access Journal
issn 1808-8686
language English
last_indexed 2024-12-16T23:37:29Z
publisher Elsevier
record_format Article
series Brazilian Journal of Otorhinolaryngology
spelling doaj.art-fa52850b309e47078a68febe9d91bb932022-12-21T22:11:43ZengElsevierBrazilian Journal of Otorhinolaryngology1808-868683325626010.1016/j.bjorl.2016.03.015S1808-86942017000300256Difficult septal deviation cases: open or closed technique?Sultan Şevik EliçoraDuygu ErdemHüseyin IşıkMurat DamarAykut Erdem DinçAbstract Introduction: The aim of this study is to compare the functional aspects of open technique (OTS) and endonasal septoplasty (ENS) in "difficult septal deviation cases". Methods: 60 patients with severe nasal obstruction from 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 for pain postoperatively with Visual Analog Scale (VAS). Results: The 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 following the two surgical techniques is similar and no statistically significant difference was found between both techniques. Also there was no statistically significant difference in postoperative pain between the OTS and ENS groups evaluated by VAS. Conclusion: ENS is as successful as the OTS in management 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942017000300256&lng=en&tlng=enNasal septumNasal surgical proceduresIntranasal surgery
spellingShingle Sultan Şevik Eliçora
Duygu Erdem
Hüseyin Işık
Murat Damar
Aykut Erdem Dinç
Difficult septal deviation cases: open or closed technique?
Brazilian Journal of Otorhinolaryngology
Nasal septum
Nasal surgical procedures
Intranasal surgery
title Difficult septal deviation cases: open or closed technique?
title_full Difficult septal deviation cases: open or closed technique?
title_fullStr Difficult septal deviation cases: open or closed technique?
title_full_unstemmed Difficult septal deviation cases: open or closed technique?
title_short Difficult septal deviation cases: open or closed technique?
title_sort difficult septal deviation cases open or closed technique
topic Nasal septum
Nasal surgical procedures
Intranasal surgery
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942017000300256&lng=en&tlng=en
work_keys_str_mv AT sultansevikelicora difficultseptaldeviationcasesopenorclosedtechnique
AT duyguerdem difficultseptaldeviationcasesopenorclosedtechnique
AT huseyinisık difficultseptaldeviationcasesopenorclosedtechnique
AT muratdamar difficultseptaldeviationcasesopenorclosedtechnique
AT aykuterdemdinc difficultseptaldeviationcasesopenorclosedtechnique