Haitham Akaash, Ahmed Hassan Ashfaq, Arslan Akhtar.
Comparison of postoperative Synechiae formation between Conventional and Endoscopic Septoplasty for Deviated Nasal Septum: a Randomized Clinical Trial.
Isra Med J Jan ;12(2):70-2.

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

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