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Comparison of postoperative Synechiaeformation between Conventional and Endoscopic Septoplastyfor Deviated Nasal Septum: A Randomized Clinical Trial
Haitham Akaash, Ahmed Hassan Ashfaq, Arslan Akhtar
Published on:
Journal Reference:
Volume 12 - Issue 2     April- June 2020
Download Abstract:


Objective: To compare the efficacy of endoscopic and conventional septoplasty in terms of frequency of postoperative synechiae formation.

Study Design: ARandomized Clinical Trial.

Place and Duration:This study was conducted in the ENT department Holy Family Hospital Rawalpindi from 1st November 2015 to 30th April 2016.

Methodology:A total of 90 patients with Deviated Nasal Septum (DNS) causing permanent nasal obstruction were randomized into two groups. Group A patients underwent conventionalseptoplasty and endoscopic septoplasty was performed on Group B patients. Both groups were evaluated for postoperative synechiae formation on 8th postoperative week.

Results: Both groups were comparable for age, gender and types of the deviated nasal septum. Overall synechiae formation was observed in 11.1% in the conventional septoplasty after 8 weeks of follow up, while none of the patients developed synechiae in the endoscopic septoplasty, the overall effect was significant, p-value .001. Both groups showed improvement in nasal obstruction from baseline.

Conclusion: Endoscopic septoplasty was found superior to conventional septoplasty in terms of avoiding postoperative synechiae in patients undergoing surgical correction for deviated nasal septum regardless of patient’s age and gender.

Keywords: Deviated nasal septum, Conventional septoplasty, Endoscopic septoplasty, Nasal obstruction, Postoperative synechiae.

How to Cite This:

Akaash H, Ashfaq AH, Akhtar A. Comparison of postoperative Synechiaeformation between Conventional and Endoscopic Septoplastyfor Deviated Nasal Septum:  A Randomized Clinical Trial.Isra Med J. 2020; 12(2): 70-72.

This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.