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jsmc-10121


SEPTOPLASTY VERSUS SEPTOPLASTY WITH MINIMAL NASAL VALVE REPAIR 

Said Mustafa Said a



Hawler Medical University. 


Submitted: 2/2/2017; Accepted: 1/8/2017


ABSTRACT

Background

Nasal obstruction is a highly prevalent problem in that can negatively affect quality of life. One of the common causes of nasal obstructions a deviated septum. In the presence of such nasal obstruction, nasal septoplasty and Minimal Nasal Valve Surgery procedures can improve the nasal airway and nasal scale score. Septoplasty procedure alone use commonly to overcome this nasal obstruction.

Objective

To compare the effectiveness of combination of septoplasty with minimal nasal valve surgery versus the septoplasty alone in the treatment of nasal obstruction and improving the nasal scale score.

Patients and Methods

This is a comparative prospective study conducted at tertiary center and private hospital from Nov. 2014 to June 2016. The study included 60 patients suffering from nasal obstruction for more than 6 months. The patients were selected for the type of surgery randomly. Following rigid nasal endoscopy of the nose and valve area to exclude other pathologies, assessment of nasal obstruction 1 week before surgery was done according to Nasal Obstruction Symptoms Evaluation (NOSE) Scale. The patients were divided into two groups according to the type of surgery. Group A: Septoplasty with minimal nasal valve repair. Group B: Septoplasty alone.

Results

Significant improvement in the treatment of nasal obstruction was achieved in group A with mean Nasal scores of [14.43] preoperatively and [4.20] 3 months postoperatively.No significant difference in the nasal score in early post-operative time in both groups. P value found significant in both group regarding the improvement in the airway breathing and overcoming the nasal obstructions in mean of nasal score in both groups A and B in two main period. There was no significant difference between the two groups regarding local nasal pain by VAS , P value were non-significant. here was no significant differenc regarding the bleeding in both groups A and B after removal of the silastic intranasal splintafter oneweek. No significant difference regarding crustation in both Groups.

Conclusion

Both groups in this study had good outcome in treating nasal obstruction and nasal scale with the superiority of the group A in long term after 3 months.

KEYWORDS

Septoplasty, Minimal nasal valve repair, Nasal obstruction.