Retrospective Analysis of Endoscopic Septoplasty

Received June 16, 2012 Revised August 20, 2012 Accepted August 21, 2012 Address for correspondence Soo Kweon Koo, MD Department of Otorhinolaryngology, Busan St. Mary’s Hospital, 538-41 Yongho-dong, Nam-gu, Busan 608-838, Korea Tel +82-51-933-7214 Fax +82-51-956-1956 E-mail koosookweon@naver.com Background and ObjectivesZZWe reviewed retrospective data of patients who underwent endoscopic septoplasty over 5 years and provide clinical information about endoscopic septoplasty. Subjects and MethodZZThe medical records of patients who underwent endoscopic septoplasty were reviewed retrospectively for clinical symptoms, surgical methods, intraoperative technique, operation time, postoperative complications and results. ResultsZZNasal obstruction was the most common presenting symptom. Among patients, endoscopic septoplasty alone was performed in 290 cases. Among 290 cases, 57 cases were of broad based septal defection, 13 cases septal deflection with septal spur, 16 cases isolated septal spur and 4 cases limited posterior septal deflection. The mean operation time was 32.48 ±2.76 minutes. No major complication occurred in the immediate postoperative period. Minor complications included septal hematoma (3.79%) and postoperative hemorrhage (1.03%). Sixty-five patients received statistically validated measures of Visual Analog Scale (VAS) at 1 month and 6 months after surgery. VAS score decreased statistically from 7.75 to 0.81 at 6 months after operation (p<0.05). ConclusionZZEndoscopic septoplasty is a relatively safe and effective technique used to treat various types of septal pathology such as classical septal deviation, septal spur and isolated septal deflection. Endoscopy with video imaging system is valuable for education. Korean J Otorhinolaryngol-Head Neck Surg 2012;55:559-64