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
