A comparative study of endoscopic and conventional septoplasty

  • Dr. Soma Mandal Assistant Professor, Department of ENT and Head-Neck Surgery, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India
  • Dr. Sonali Jana RMO-cum-Clinical tutor, Department of ENT and Head-Neck Surgery, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India
Keywords: Deviated Nasal Septum, Endoscopy, Septoplasty


Objective: Nasal obstruction due to deviated nasal septum is a common problem encountered by otolaryngologist. The standard surgical treatment for symptomatic deviated septum is septoplasty which has gone through several modifications since its inception. Study objectives were to compare the endoscopic and conventional septoplasty and to evaluate the advantage, disadvantage and complication of both the procedures.

Materials and Methods: Prospective observational study was conducted in department of ENT and Head-Neck-Surgery of a tertiary care teaching hospital. Sixty patients undergoing either endoscopic septoplasty or conventional septoplasty were studied prospectively for a period of 3 months to compare the efficacy of both the techniques. Objective assessment was done by doing nasal endoscopy 90 days after the operation to note the following points- (1) Persistence of deviation (2) Spur (3) Formation of synechiae (4) Septal perforation.

Result: In this study the endoscopic approach showed better overall clinical result as compared to conventional technique with lesser complication. It was noted that endoscopic septoplasty group had minimum blood loss and shorter operative time than conventional method, but difference was not statistically significant.

Conclusion: Endoscopic septoplasty was founded with distinct advantage over conventional method due to better illumination, improve accessibility to remote area was founded. Further surgical experience and larger similar studies will help in coming to a greater consensus.


Download data is not yet available.


Pannu KK, Chadda S, Kaur IP: Evaluation of benefits of nasal septal surgery on nasal symptoms and general health. Indian J Otolaryngol Head Neck Surg.2009;61(1):59-65. doi: https://doi.org/10.1007/s12070-009-0036-2.

Lanza DC. Kennedy DW, Zinreich SJ. Nasal endoscopy and its surgical application. Essential otolaryngology: head and neck surgery. 5th ed. New York: Mc Graw-Hill Education Europe;1991.373-387.

Stammberger H. Functional endoscopic sinus surgery. The Messerklinger Technique, Decker BC. Philadelphia: Mosby Inc;1991. PP 430–434.

Giles WC, Gross CW, Abram AC, Greene WM, Avner TG. Endoscopic septoplasty. The Laryngosco.1994;104(12):1507–1509. doi: https://doi.org/10.1288/00005537-199412000-00015.

Park DH, Kim TM, Han DG, Ahn KY. Endoscopic assisted correction of the deviated nose. Aesthetic Plast Surg .1998;22(8):190-195. doi: https://doi.org/10.1007/s002669900190.

Hwang PH, McLaughlin RB, Lanza DC, Kennedy DW. Endoscopic septoplasty: indication, technique, and results. Otolaryngol Head Neck Surg.1999;120(5):678-682. doi: https://doi.org/10.1053%2Fhn.1999.v120.a93047.

Nayak DR, Balakrishnan R, Murthy KD, Hazarika P. Endscopic Septoturbinoplasy: our update series. Indian J Otolaryngol Head Neck Surg. 2002;54(1):20-24. doi: https://dx.doi.org/10.1007%2FBF02911000.

Gulati SP, Raman W, Neetika A, Ajay G. Comparative evaluation of endoscopic with conventional septoplasty. Indian J Otolaryngol Head Neck Surg. 2009;61(1):27-29. doi: https://doi.org/10.1007/s12070-009-0029-1.

Aiyer RG, Raval JB. Comparative Study Between Endoscopic Septoplasty and Conventional Septoplasty. World Articles in Ear, Nose and Throat. 2010; 3:1.

Harley DH, Powitzky ES, Duncavage J. Clinical outcomes for the surgical treatment of sinonasal headache. Otolaryngol Head Neck Surg.2003;129(3):217-221. doi: https://doi.org/10.1016/S0194-5998(03)00623-5.

Sindhwani R, Wright DE. Role of endoscopic septoplasty in the treatment of atypical facial pain. J Otolaryngol. 2003;32(2):77-79.

Prakash NS, George NM. Endoscopic boon from the Conventional Septoplasty trends. Nat J Otorhinolaryngol Head Neck Surg. 2014;2(2):22-24.

Gupta M; Motwani G. Comparative study of endoscopic aided septoplasty and traditional septoplasty in posterior nasal septal deviation. Indian J Otolaryngol Head Neck Surg. 2005;57(4):309-311. doi: https://dx.doi.org/10.1007%2FBF02907695.

Jain L, Jain M, Chouhan AN, Harshwardhan R. Conventional Septoplasty verses Endscopic Septoplasy: A comparative study. Peoples J Sci Res. 2011;4(2):24-28.

Talluri KK, Motru B, Avvaru K, Babu GR, Pradeep JK. Correction of Deviated Nasal Septum: Conventional VS Endoscopic Septoplasty. IOSR J Dent Med Sci. 2014;13(5):14-15.

Sousa AD, Inciarte L, Levine H. Powered Endoscopic Nasal Septal Surgery. Acta Med Port. 2005;18(4):249-255.

How to Cite
Mandal S, Jana S. A comparative study of endoscopic and conventional septoplasty. Int J Med Res Rev [Internet]. 2020Jan.17 [cited 2020Apr.5];8(1):1-. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/1118
Original Article