10May 2019

SUBMUCOUS RESECTION AS THE SURGICAL ARMAMENTARIUM FOR THE DEVIATED NASAL SEPTUM - THOUGH SEEMS THEORETICAL BUT STILL IS MOST COMMONLY USED SURGERY.

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Background: Nasal obstruction is a symptom rather than a diagnosis. There is a wide range of medical and structural problems that could cause such a symptom. A deviated septum is a common structural condition of nose that involves a displacement of the nasal septum to one or both sides of nasal cavity causing unilateral or bilateral nasal obstruction respectively.About 80 percent of people have a deviated nasal septum which often develops as a result of an injury to the nose.Various surgical modalities like septoplasty,submucous resection are available for deviated nasal septum correction but because easy to perform and with satisfactory results submucous resection is still widely practiced. Material and methods:The study was conducted at drulhaspatil medical college jalgaon . A total of 230 patients were included in the study including both males and females.The age of patients included in the study ranges from 19 years to 65 years.All the operated patients were followed up at 6 months to 2 years postoperatively.Most of the patients about more than 76 percent achieved achieved short term relief of nasal obstruction and about 30 percent of people had persistent or recurrent nasal obstruction on long term follow up. Results:The nasal obstruction was the most consistent symptom present in 100% of patients . Nasal obstruction was relieved in 76% of patients after SMR and in 73% of cases after septoplasty.Patients having postoperative associated symptoms of snoring , headache, rhinorrhoea , sneezing ,hyposmia , epistaxis were improved of these symptoms after SMR to 60%,62%,31%,30%,30%, and13 respectively.The rates of short term and long term complivcations were relatively very low including septalhaematoma 3%, epistaxis 2%, external nasal deformity 2% and septal perforation 3% of cases. Conclusion:SMR, being relatively easy to perform and having similar complication and patient satisfaction rate as septoplasty, should be retained in surgical modilities for the deviated nasal septum.

  1. Dhingra PL. Diseases of ear, nose and throat. 4th Ed: 2007;26:140
  2. Freer OT. The correction of deflections of the nasal septum with minimum of traumatization. JAMA 1902;4:61-9.
  3. Killian G. DiesubmucoseFensterresektion der Nasenscheidewand. Arch LaryngolRhinol 1904;16:362-87.
  4. Tzadik A, Gilbert SE, Sade J. Complications ofsubmucous resection of the nasal septum. Arch Otolaryngol 1988;245:74-6. Blaugrund SM. The nasal septum and chonchabullosa. Otolaryngol. Clin North Am 1989;22:291. Muhammad IA, Nabil-ur-Rahman. Complications of the surgery for deviated nasal septum. J CollPhysciansSurg Pak 2003;13:565-8. Fjermedal O, Saunte C, Pedersen S. Septoplastyand/or submucous resection? 5 years nasal septum operations. J LaryngolOtol 1988; 102:796-8. Jessen M, Ivarsson A, Malm L. Nasal airway resistance and symptoms after functional septoplasty: comparison at 9 months and 9 years. ClinOtolaryngol 1989;14:231-4. Barr GS. The effect of submucous resection of the nasal septum on mucociliary transport and nasal airway. ClinOtolaryngol 1989; 14: 127-30. Zia MR, Butt MIH. Overview of septoplastyvis-?vis S.M.R. Specialist 1996;12:235-8. Gomal Journal of Medical Sciences January-June 2011, Vol. 9, No. 1 26
  5. Haraldsson PO, Nordemar H, Anggard A. Longterm results after septal surgery - submucous resection versus septoplasty. ORL 1987;49:21822.
  6. Murthy P, Mckerrow WS. Nasal septal surgery:Is routine follow-up necessary? J LaryngolOtol 1995;109:320-3.
  7. Sirnivasan V, Arasaratnam RB, JankelowitzGA.Day-case septal surgery under general anaesthesia and local anaesthesia with sedation. J LaryngolOtol 1995;109:614-7.
  8. Phillips JJ. The cosmetic effects of submucous resection. ClinOtolaryngol 1991;16:179.
  9. Samad I, Steven HE, Maloney A. The efficacy ofnasalseptal surgery. J Otolaryngol 1992;21:88.
  10. Min YG, Chung JW. Cartilaginous incision inseptoplasty. ORL J OtorhinolaryngolRelat Spec 1996; 58:51-4.
  11. Shone GR, Clegg RT, Nasal adhesions. JLaryngolOtol 1987;101:555-7.
  12. Iqbal M, Mohibullah, Saeedullah, Khan H, Shah JI. Septoplasty versus submucous resection in young adults. JPMI 1999;13:109-12.
  13. Low WK, Willat DJ. Submucous resection fordeviated nasal septum: a critical appraisal. Singapore Med J 1992;33:617-9.
  14. Aguodo DL, Monserrat JR, Pinero BP, Banales MEC, Gutierres R, Flores LD. Neochondro-genesis in the septal area after submucous cartilage resection. ActaOtolaryngol 1992;112: 539.

[Shahnaz Sheikh, Anushree bajaj and Vikrant vaze. (2019); SUBMUCOUS RESECTION AS THE SURGICAL ARMAMENTARIUM FOR THE DEVIATED NASAL SEPTUM - THOUGH SEEMS THEORETICAL BUT STILL IS MOST COMMONLY USED SURGERY. Int. J. of Adv. Res. 7 (May). 286-289] (ISSN 2320-5407). www.journalijar.com

anushree bajaj
Associate professor

DOI:

Article DOI: 10.21474/IJAR01/9036      
DOI URL: https://dx.doi.org/10.21474/IJAR01/9036

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