Background: Traditional septoplasty is being phased out in favor of endoscopic septoplasty. It ensures minimal tissue dissection and fewer surgical problems.
Aim of the study : to evaluate the effectiveness of the endoscopic septoplasty for correction of different types of septal deformity( deviation_ spur ) compared to endoscopic assisted conventional septoplasty.
Patients and Methods: This prospective study was conducted on 60 patients of both sexes , who attached to the out-patient E.N.T clinic at Bab El Sharaya (Sayed Galal) Hospital from April of 2021 to March of 2022 distributed as 2 same groups: Group A included thirty patients submit to totally endoscopic septo plasty and group B involved thirty patients underwent conventional septoplasty assisted by endoscope .
Results: Both groups had no significant differences in age or gender. While there was a substantial difference in the duration of operation and intraoperative blood loss between the two groups. The length ranged from 20 to 50 minutes in group A and 35 to 65 minutes in group B, while the blood loss ranged from 25 to 65 ml in group A and 45 to 90 ml in group B. In this study, the difference between the endoscopic and conventional groups was statistically insignificant in terms of early post-operative complications like nasal synechiae, septal hematoma, septal perforation, or CSF leakage, as well as the intraoperative flap and late post-operative complications after 3 months.
Conclusion: Both techniques are effective in reducing nasal obstruction and related symptoms with fewer overall complications in the endoscopic approach.