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Article Type

Original Study

Abstract

Objective This study was carried out to assess the role of the endoscope in septal surgery by comparing conventional and endoscopic-aided septal surgeries regarding the operative blood loss, the operative duration, operative complications and assessment of the airway postoperatively through an endoscope using subjective and objective criteria. Background A deviated septum is one of the most common causes of nasal block. It also causes contact headache, epistaxis, infection of paranasal sinuses and middle-ear diseases due to eustachian tube blockage. Materials and methods This randomized prospective study was conducted among 60 patients with a symptomatic deviated nasal septum. All of the patients underwent nasal examination by anterior rhinoscopy and nasal endoscopy. Patients were divided randomly into two groups, A and B, with 30 cases in each group. Group A underwent endoscopic-aided septal surgery and group B underwent conventional septal surgery. The two groups were compared for the operative duration, the blood loss, postoperative assessment of the nasal airway endoscopically and complications either intraoperatively or postoperatively. Results There were statistically significant differences between both groups regarding the operative duration, the blood loss, postoperative persistent posterior deviations, persistent spurs and persistant contact with turbinates in favour of endoscopic-aided septal surgery, wherein P values were 0.001, 0.001, 0,038, 0.020 and 0.011 consecutively. Conclusion Endoscopic-aided septal surgery is superior to conventional septal surgery in terms of less time consumption, less blood loss, correction of posterior deviations and spurs, less dissection and less intra- and postoperative complications, and it is also a valuable teaching tool.

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