Original Research Article
Year: 2020 | Month: February | Volume: 7 | Issue: 2 | Pages: 279-286
Comparative Evaluation of Septoplasty versus Septoplasty with Functional Endoscopic Sinus Surgery (FESS) in 50 Cases of Chronic Maxillary Sinusitis
Sangeeta Aggarwal1, Dinesh Kumar Sharma2, Raminder Kaur3, Babita Ramdev4, Porshia Rishi5, Sangita R Sharma6
1Assistant Professor, Deptt.Of ENT, Govt Medical College &Rajendra Hospital Patiala (Pb)
2Assistant Professor, Deptt.Of ENT, Govt Medical College &Rajendra Hospital Patiala (Pb)
3SMO PHC Chanarthal Kalan
4Associate Professor, Deptt. Of Anaesthesia, MMIMSR, Mullana
5Junior Resident DMC Ludhiana
6Consultant ENT
Corresponding Author: Dinesh Kumar Sharma
ABSTRACT
Introduction: Chronic sinusitis with nasal septal deviation is a common condition encountered in ENT practise. Deviated nasal septum leads to altered airflow dynamics in nasal cavity and sinuses causing hypertrophy of mucosa. It leads to osteo-meatal complex obstruction, impaired mucociliary clearance and sinusitis.
Aim: To compare the outcome of septoplasty alone and septoplasty with FESS in patients of chronic maxillary sinusitis with septal deviation.
Materials and Methods: Fifty patients of Chronic maxillary sinusitis with Deviated Nasal Septum (DNS) were included in the study. They were randomly divided into two groups of 25 each. First group (Group A) underwent septoplasty alone while the second group (Group B) underwent septoplasty with FESS. The results were analysed to find out the efficiency of each procedure when done independently and concomitantly.
Results: Mean age in group A was 29.68 years while mean age of group B was 28.96 years. In group A, 19 (76%) were males while in group B, 16 (64%) were males. Nasal obstruction and post nasal drip were present in all patientsAt 12 weeks follow-up, in Group B patients who underwent FESS and Septoplasty only 7 patients out of 25 had nasal obstruction giving 72% improvement while 3 out of 25 patients showed post nasal discharge showing an improvement of 88%. In Group A, 11 out of 25 patients still had nasal obstruction giving only 56% improvement whereas 11 out of 25 had post nasal discharge showing 56% relief. On statistical analysis the results were statistically significant.
Conclusion: Though both groups reported improvement in symptoms as compared to pre-operative state, it was more in Group B which underwent FESS with septoplasty rather than in Group A which underwent septoplasty alone. In deviated nasal septum with features of chronic rhinosinusitis, septoplasty alone is inadequate, therefore FESS must be concomitantly done with septoplasty.
Keywords: Deviated nasal septum, Chronic maxillary sinusitis, Functional endoscopic sinus surgery, Mucociliary clearance, Osteo-meatal complex
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