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Article Type

Article

Abstract

Background and objectives: Septoplasty is conservative approach to nasal septal surgery. In this operation much of the septal framework is retained. Only the most deviated parts are removed. Rest of septal framework is corrected and repositioned by plastic means .This surgery is usually done after the age of seventeen so as not to interfere with nasal skeleton growth, however if the a child has sever deviation causing marked nasal obstruction, septoplasty can be performed to provide a good airway.

This study was conducted prospectively to confirm the effect of different factors on results of this surgery.

Patients and methods: 347 patients aged 14-63 years of different types of DNS, namely c-shaped, s-shaped, anterior caudal dislocation, and nasal spur with and without external deformities of the nose, presented with variable pictures of clinical presentation of DNS at ENT department – Althowra central hospital at period in between September 2005 to November 2009 and was operated by septoplasty as closed technique. The outcomes of the surgery were studied in relation to different demographic, anatomical, pathological as well as surgical factors, namely 1) patients age, 2) sex, 3) type of clinical presentation, 4) cause of septal deviation, 5) type of DNS, 6) associated local pathology with deviation 7) recurrent or first attempt of surgery, 8) associated external deformity, and 9) surgical technique which was performed. patients postoperatively were followed for 3-6 months and assessed for outcomes of the surgery which are flap hematoma, flap abscess, flopping of flap, septal perforation, synaechia, degree of improvement, recurrence, atrophic rhinitis, and external nasal deformities.

Results: 97% of patients who underwent the septoplasty procedure got improvement of their representing symptoms, they followed from 3-6 months and no post-septoplasty complication discovered among them. On the other hand 1% of the patient developed septal perforation while 2% presented with recurrence as post- operative complication. All these results where correlated with multi-factorial presentations.

Conclusion: Generally speaking septoplasty, technically appear easy, safe, and effective surgery. The technique of the surgery is not only the factor which affecting the surgery results, but there are many other non- technical factors which can be considered as important factors on which the results as well as the sequel of this surgery are dependent.

Keywords: Septoplasty, deviated nasal septum, septo-rhinoplasty, post-septoplasty complications.

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