Efficacy of septoplasty with endoscopic osteomeatal clearance in the management of headaches due to chronic sinusitis secondary to Deviated nasal septum
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20163538Keywords:
Nasal septum, Rhinoplasty, Endoscopy, Nasal obstructionAbstract
Background: Deviated nasal septum (DNS) is a common condition which affects most children and adults. Several surgical procedures are available for DNS. Endoscopic septoplasty is a minimally invasive surgical technique which can minimise trauma to the nasal septum and decrease post-operative morbidity. The present study was aimed to study the efficacy of septoplasty with endoscopic osteomeatal clearance, on headache due to sinusitis secondary to DNS.
Methods: The study was longitudinal in nature and involved patients undergoing septoplasty with endoscopic osteomeatal clearance at Government Medical College Hospital, Kottayam, Kerala, India. Patients with significant nasal obstruction due to DNS, and having recurrent sinusitis causing headache, were included into the study. Patients were discharged after 3 days and were called up for review at 2 weeks, 6 weeks, 3 months, 6 months, and 1 year and evaluated for change in headache as assessed by visual analogue score (VAS).
Results: A total of 50 participants were enrolled into the study over a period of 2 years. Maxillary sinus was involved in almost 96% of the cases while frontal sinus was affected in 46% and ethmoid sinus in 50% of participants. Seventy four percent participants had subjective symptomatic improvement at 2 weeks after surgery. The mean (SD) VAS score pre-operatively was 6.54 (1.5) and it improved to 4.18 (1.8) at 2 weeks following surgery (p <0.05).
Conclusions: Septoplasty with endoscopic osteomeatal clearance is a procedure which is highly efficacious and well tolerated in treating headache due to sinusitis secondary to DNS.
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