KUMJ | VOL. 19 | NO. 3 | ISSUE 75 | JULY - SEPT. 2021
Comparison of Outcomes of Conventional Septoplasty Versus Endoscopic Septoplasty using Freer�s Incision in Symptomatic Deviated Nasal Septum
Khadgi S, Gurung U, Pradhan B, Tripathi P
Abstract: Background
Septoplasty techniques have evolved over the years with endoscopic septoplasty
gaining popularity in the recent times.
Objective
To compare the outcomes of conventional septoplasty with endoscopic septoplasty
using Freer�s incision in symptomatic deviated nasal septum.
Method
It was a prospective, randomized and comparative study done at Department of ENT-
Head and Neck Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
from July 2018 to August 2019. A total of 70 patients with symptomatic deviated nasal
septum were allocated randomly into two groups. Group A underwent conventional
septoplasty whilst Group B underwent endoscopic septoplasty using Freer�s incision.
Sino-nasal outcome test (SNOT-10) score was recorded pre-operatively and post
-operatively between four to six weeks of surgery. Paired and independent �t� test for
mean was used as a statistical tool.
Result
Out of 70 patients, 57(81.43%) were males and 13(18.57%) females. The age group
mostly affected was in the third and fourth decades with total 47 patients (67.14%).
In the conventional group, the pre-op mean SNOT-10 score was 11.46 (SD�3.6) while
post-op mean SNOT-10 score was 2.60 (SD�1.9), the difference being statistically
significant (p value 0.00001). Similarly, in the endoscopic group, pre-op mean SNOT10
score
was
12.06
(SD�4.88)
and
post-op
mean
SNOT-
10
score
was
3.37
(SD�2.71)
with
the difference being statistically significant (p value 0.00001). Comparison of
post-operative mean SNOT-10 score between two techniques was not statistically
significant (p value 0.17).
Conclusion
Both conventional and endoscopic septoplasty techniques using Freer�s incision
were equally effective in improving symptoms due to deviated nasal septum.
Keyword : Conventional septoplasty, Deviated nasal septum, Endoscopic septoplasty, Freer�s incision
