THE ROLE OF ENDOSCOPIC SEPTAL SURGERY IN MANAGING RHINO - GENIC CONTACT POINT HEADACHE.

Abstract

Background & Method: The present study, carried out in the Department of ENT (Otorhinolaryngology), Amaltas Institute of Medical Sciences, Dewas (M.P.), a total of 100 patients with clinical evidence of chronic rhinosinusitis were evaluated with Nasal endoscopy and CT scan PNS coronal view from August 2018 to September 2020.

Result: DNS was observed unilaterally in all cases with no bilateral DNS. Among the unilateral DNS left sided DNS showed predominance.

Majority of cases had mucoid bilateral nasal discharge (80%) in group Band 76% in group A Inferior turbinate hypertrophy was observed in 70 % group B and 20 % in group A. Middle turbinate was found to be 24% in group B and 10% group A.

Conclusion: Endoscopic septoplasty allow accurate, conservative repair of obstructive nasal septal deviations, with fewer complications and better functional results compared to conventional septoplasty however, the endoscope has its own limitations which include loss of binocular vision , need for frequent cleaning of the tip of endoscope especially when there is more bleeding and lastly by endoscopic approach to septoplasty complex deformities with caudal deflections could not be corrected. Residual deviation and spur was not seen in any case undergoing endoscopic septoplasty.

Keywords: Endoscopy, Septal Surgery, Headache & Rhino-genic.