OUR EXPERIENCE WITH NOSE EVALUATION SHOWS THAT ENDOSCOPIC SEPTOPLASIA IS EFFECTIVE IN TREATING MANY TYPES OF NASAL SEPTAL DEFORMITIES
Keywords:
Key words: Endoscopic septoplasty, Septal deviation, NOSE scale, Septal deformities, Cottle‘s areaAbstract
Abstract. In rhinologic practice, septal abnormalities are a common complaint and the most common cause of nasal obstruction. The use of the endoscope to treat septal abnormalities has grown in popularity since Lanza et al.'s 1991 initial presentation. This study aims to assess the efficacy of endoscopic septoplasty in correcting each of the seven categories of septal abnormalities identified by Mladina's classification. As far as we are aware, this is the first study to analyze objective results obtained before and after surgery, as well as subjective results obtained from the validated NOSE questionnaire, in order to assess the remedial ability of this procedure for each aberration. Even if endoscopic septoplasty is currently regarded as a dependable substitute for the traditional method, the optimal treatment option must be provided by correctly identifying the deformity prior to surgery.
References
1.Pannu KK, Chadha, Kaur IP. Evaluation of benefits of nasal septal surgery on nasal symptoms and general health. Indian J Otolaryngol Head Neck Surg 2009;61:59-65.
2.Ahmadian A, Fathi Kazerooni A, Mohagheghi S, et al. A region-based anatomical landmark configuration for sinus surgery using image guided navigation system: a phantom-study. J Craniomaxillofac Surg 2014;42:816-24.
3.Chang M, Lee H, Park M, et al. Long-term outcomes of endoscopic endonasal conjunctivodacryocystorhinostomy with Jones tube placement: a thirteen-year experience. J Craniomaxillofac Surg 2015;43:7-10.
4.Lanza DC, Kennedy DW, Zinreich SJ. Nasal endoscopic and its surgical applications. Lee KJ. ed. Essential otolaryngology, head and neck surgery. New York (NY): Medical Examination Publisching Co.; 1991. p. 373-87.
5.Mladina R. The role of maxillar morphology in the development of pathological septal deformities. Rhinology 1987;25:199-205.
6.Mladina R, Cujić E, Subarić M, et al. Nasal septal deformities in ear, nose, and throat patients: an international study. Am J Otolaryngol 2008;29:75-82.
7.Killian G. Die submucose Fensterresektion der Nasenscheidewand. Archivies fur Laryngologie und Rhinologie 1904;16:363.
8.Freer O. The correction of nasal septum with a minimum of traumatism. JAMA 1902;38:636.
9.Jammet P, Souyris F, Klersy F, et al. The value of Cottle’s technic for esthetic and functional correction of the nose. Ann Chir Plast Esthet 1989;34:38-41.
10.Nayak DR, Balakrishnan R, Murty KD, et al. Endoscopicseptoturbinoplasty: our update series. Indian J Otolaryngol Head Neck Surg 2002;54:20-4.
11.Lanza DC, Moran DT, Doty RL, et al. Endoscopic human olfactory biopsy technique: a preliminary report. Laryngoscope 1993;103:815-9.
12.Giles WC, Gross CW, Abram AC, et al. Endoscopic septoplasty. Laryngoscope 1994;104:1507-9.
13.Cantrell H. Limited septoplasty for endoscopic sinus surgery. Otolaryngol Head Neck Surg. 1997;116:274-7.
14.Yanagisawa E, Joe J. Endoscopic septoplasty. Ear Nose Throat J 1997;76:622-3.
15.Toffel PH. Depth of field image video enhancement for endoscopic sinus surgery. Ear Nose Throat J 1998;77:549-51.
16.Hwang PH, McLaughlin RB, Lanza DC, et al. Endoscopic septoplasty: indications, technique, and results. Otolaryngol Head Neck Surg 1999;120:678-82.
17.Bothra R, Mathur NN. Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur. J Laryngol Otol 2009;123:737-41.
18.Skitarelic NB, Vukovic K, Skitarelic NP. Comparative evaluation of conventional versus endoscopic septoplasty for limited septal deviation and spur. J Laryngol Otol 2009;123:939-40.
19.Gulati SP, Wadhera R, Ahuja N, et al. Comparative evaluation of endoscopic with conventional septoplasty. Indian J Otolaryngol Head Neck Surg 2009;61:27-9.
20.Paradis J, Rotenberg BW. Open versus endoscopic septoplasty: a single-blinded, randomized, controlled trial. J Otolaryngol Head Neck Surg 2011;40(Suppl 1):S28-33.
21.Kahveci OK, Miman MC, Yucel A, et al. The efficiency of Nose Obstruction Symptom Evaluation (NOSE) scale on patients with nasal septal deviation. Auris Nasus Laryn 2012;39:275-9.
22.Gandomi B, Bayat A, Kazemei T. Outcomes of septoplasty in young adults: the nasal obstruction septoplasty effectiveness study. Am J Otolaryngol 2010;31:189-92.
23.André RF, Vuyk HD, Ahmed A, et al. Correlation between subjective and objective evaluation of the nasal airway. A systematic review of the highest level of evidence. Clin Otolaryngol 2009;34:518-25.
24.Janiszewska-Olszowska J, Gawrych E, Wędrychowska-Szulc B, et al. Effect of primary correction of nasal septal deformity in complete unilateral cleft lip and palate on the craniofacial morphology. J Craniomaxillofac Surg 2013;41:468-72.
25.Stewart MG, Witsell DL, Smith TL, et al. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg 2004;130:157-63.
26.Uppal S, Mistry H, Nadig S, et al. Evaluation of patient benefit from nasal septal surgery for nasal obstruction. Auris Nasus Larynx 2005;32:129-37.
27.Cottle MH, Loring RM, Fischer GG, et al. The maxilla-premaxilla approach to extensive nasal septum surgery. AMA Arch Otolaryngol 1958;68:301-13.
28.Gupta N. Endoscopic septoplasty. Indian J Otolaryngol Head Neck Surg 2005;57:240-3.
