Objective: To compare the efficacy of endoscopic and conventional septoplasty in terms of frequency of postoperative synechiae
formation.
Study Design: A Randomized Clinical Trial.
Place and Duration: This study was conducted in the ENT department Holy Family Hospital Rawalpindi from 1st November 2015 to 30th
April 2016.
Methodology: A total of 90 patients with Deviated Nasal Septum (DNS) causing permanent nasal obstruction were randomized into
two groups. Group A patients underwent conventional septoplasty and endoscopic septoplasty was performed on Group B patients.
Both groups were evaluated for postoperative synechiae formation on 8th postoperative week.
Results: Both groups were comparable for age, gender and types of the deviated nasal septum. Overall synechiae formation was
observed in 11.1% in the conventional septoplasty after 8 weeks of follow up, while none of the patients developed synechiae in the
endoscopic septoplasty, the overall effect was significant, p-value .001. Both groups showed improvement in nasal obstruction from
baseline.
Conclusion: Endoscopic septoplasty was found superior to conventional septoplasty in terms of avoiding postoperative synechiae in
patients undergoing surgical correction for deviated nasal septum regardless of patient’s age and gender.
