تلخیص
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.
Haitham Akaash, Arslan Akhtar, Ahmed Hassan Ashfaq. (2020) Comparison of postoperative Synechiae formation between Conventional and Endoscopic Septoplasty for Deviated Nasal Septum: A Randomized Clinical Trial, Isra Medical Journal, Volume 12, Issue 2.
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