STUDY OF INDICATION, COMPLICATION AND FUNCTIONAL OUTCOME IN ENDOSCOPIC SEPTOPLASTY

Introduction of nasal endoscope has revolutionized the field of rhinology. Endoscopic septoplasty is a minimally invasive technique that helps us to correct the deformity of the septum under excellent direct visualization using an endoscope. AIMS: Studied indication, technique result and complication of endoscopic septoplasty. METHODS AND MATERIAL: It was a prospective study carried out at our institute from August 2011 to December 2013 RESULTS: 57 patients having nasal obstruction were selected for the study. In present study 24(42.1%) patients had only cartilagenous deviation, 9(15.7%) patients had bony deviation, 15(26.3%) had both bony and cartilage deviation, while 12(21%) had spur and 5(8.7%) had caudal dislocation. Minor complications were seen during study, no major occurred during endoscopic septoplasty or post- operative period. In 40(70%) cases endoscopic septoplasty was performed as primary procedure and in 9(15.7%) cases performed as conjugation with FESS, also in 8(14%) patients septoplasty performed prior to endonasal DCR for good assess to lateral nasal. CONCLUSIONS: Endoscopic septoplasty is an effective technique that can be performed safely alone or in combination with endoscopic sinus surgery. It reduces the complication, hospital stay and has fast recovery of the patients postoperatively. It facilitates accurate identification of the pathology, and it is associated with significant reduction in patient's morbidity in the postoperative period.