Objective: The aim of this study was to evaluate efficacy of endoscopic
septoplasty compared with traditional one. Methods: This study was carried on
patients complaining mainly of persistence nasal obstruction and presented to
the ENT outpatient clinic in Benha university hospital. Out of these patients 40
cases were diagnosed to have nasal septal deviations during the period from
July 2010 to April 2011. 20 patients underwent endoscopic septoplasty and the
other 20 patients underwent traditional septoplasty. Pre and postoperative
evaluations were done in the form of history taking, clinical examination and
nasal endoscopy. Endoscopic septoplasty was done for different types of septal
deformities to show the technique and to compare efficacy with traditional
septoplasty. Results: It was found that endoscopic septoplasty is more effective
than traditional septoplasty in treating nasal obstruction, correction of
posterior deviations and septal spurs and prevention of contact between septum
and lateral nasal wall. Conclusion: We conclude from our study that
symptomatized deviated septum can be corrected by different techniques.
Endoscopic septoplasty provides an excellent alternative to traditional head
light one with many advantages as easy, safe, rapid, limited dissection of the
flaps, good access to posterior and high deviations, good illumination and
visualization, less complications(odema, tear, perforation, hematoma,
crustation), easy for revision and good teaching tool if used with monitors. Also
this technique can avoids splints, packing and stitches so it can decrease the
post-operative period and pain.