Complications of Submucous Resection versus Septoplasty in Deviated Nasal Septum

  • Habib Ullah Khan
  • Sadia Chaudhry
  • Nighat Arif
  • Muhammad Afzal Khaliq
  • Maaz Aslam
  • Khalil ur Rehman
Keywords: Deviated nasal septum, nasal septum corrective surgery, sub-mucous resection, septoplasty.

Abstract

Introduction: A deviated or deflected septum is a condition in which the nasal septum consisting of bone and cartilage and that divide the nasal cavity into two halves is significantly off-center, or twisted, making breathing difficult. Two conventional methods that are septoplasty and sub-mucous resection were used for the correction of the deviated nasal septum with varying degrees of complications.

Objective: The objective of this study was to compare the complications of sub-mucous resection and septoplasty in patients with the deviated nasal septum.

Material and Methods: A Quasi-experimental study was conducted at the Department of Otolaryngology at Bolan Medical Complex, Quetta for a period of one year i.e. from 15-03-2015 to 20-09-2015. 100 patients were selected and divided into two groups. A total of 50 patients were selected for septoplasty and 50 for sub-mucous resection. Patients with nasal bone fracture and external nasal deformity were excluded from the study.

Results: Postoperative complications like adhesions were found in 4 cases of each group. Septal perforation found in 3 patients of sub-mucous resection and one patient of septoplasty. Septal hematoma formed in 2 patients of sub-mucous resection only, supra-tip nasal deformity in 2 patients in both groups. Persistence of symptoms in 8 patients of septoplasty and one patient of sub-mucous resection while columellar restriction occurred in only one patent who underwent submucous resection.

Conclusion: Sub-mucous resection procedure is technically relatively easy to perform with fewer complications than septoplasty so it deserves it prime role as a surgical procedure for nasal septum corrective surgery.

Published
2020-03-28
How to Cite
1.
Khan H, Chaudhry S, Arif N, Khaliq M, Aslam M, Rehman K ur. Complications of Submucous Resection versus Septoplasty in Deviated Nasal Septum. JRMC [Internet]. 28Mar.2020 [cited 31May2020];24(1):68-3. Available from: http://journalrmc.com/index.php/JRMC/article/view/1362