An International Journal Clinical Rhinology

Register      Login

VOLUME 5 , ISSUE 1 ( January-April, 2012 ) > List of Articles

RESEARCH ARTICLE

Comparative Study of Septoplasty Alone and with FESS in Maxillary Sinusitis with Septal Deviation

SPS Yadav, Anuj Kumar Goel, Rati Goel, Rupender Ranga, JS Gulia

Keywords : Septal deviation,Sinusitis

Citation Information : Yadav S, Goel AK, Goel R, Ranga R, Gulia J. Comparative Study of Septoplasty Alone and with FESS in Maxillary Sinusitis with Septal Deviation. Clin Rhinol An Int J 2012; 5 (1):19-24.

DOI: 10.5005/jp-journals-10013-1110

Published Online: 00-04-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

The study was conducted to asses if septoplasty is adequate for the management of chronic maxillary sinusitis. Chronic maxillary sinusitis is not uncommonly associated with deviated nasal septum (DNS). The randomized study was conducted on 40 cases of medically unmanageable and HRCT proven chronic maxillary sinusitis with DNS.

Materials and methods

The study was conducted in 40 cases of HRCT (PNS) proven chronic maxillary sinusitis which were not cured with medical treatment. The patients were divided randomly in two groups. Group A underwent septoplasty and group B septoplasty along with FESS in the form of uncinectomy and middle meatus antrostomy. Patients having other anatomical factors for example concha were excluded.

Results

Both procedures produced significant improvement in symptomatology and on HRCT (PNS) findings as compared to preoperative status (p-value less than 0.001). Septoplasty was found to be effective in chronic maxillary sinusitis, however, when polyps were present in maxillary sinus, then septoplasty with FESS was found to be better.

Discussion

In cases of chronic maxillary sinusitis with DNS, septoplasty is adequate, however if the maxillary sinus shows polyps on HRCT (PNS) scan then septoplasty should be combined with FESS.

How to cite this article

Goel AK, Yadav SPS, Ranga R, Gulia JS, Goel R. Comparative Study of Septoplasty Alone and with FESS in Maxillary Sinusitis with Septal Deviation. Clin Rhinol Int J 2012;5(1):19-24.


PDF Share
  1. The correlation between septal deviation and concha bullosa. Otolaryngol Head Neck Surg 2003;129:33-36.
  2. Comparison of functional endonasal sinus surgery with and without partial middle turbinate resection. Ann Otol Rhinol Laryngol 2000;109:634-40.
  3. Computed tomography of the ethmoid sinuses. Otolaryngol Clin North Am 1985;18:29-42.
  4. Is septoplasty alone adequate for the treatment of chronic rhinosinusitis with septal deviation? Am J Rhinol 2005;19(6): 612-16.
  5. Imaging of sinonasal inflammatory disease. Radiology 1993;188:303-14.
  6. Caldwell-luc's operation 1952-1966. Arch Otolaryngol 1968;87:630-36.
  7. Functional endoscopic sinus surgery -technique. Arch Otolaryngol 1985;111:643-49.
  8. Diseases of the accessory sinuses of the nose and an improved method of treatment of suppuration of the maxillary antrum. New Journal Medical J 1893:58:526-28.
  9. Adult rhinosinusitis defined. Otolaryngol Head Neck Surg 1997;117(3):S1-7.
  10. Relationship between patient-based descriptions of sinusitis and paranasal sinus computed tomographic findings. Arch Otolaryngol Head Neck Surg 1997;123:1189-92.
  11. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101:56-64.
  12. Nasal and sinus endoscopy in opaque maxillary antrum. Indian J Otolaryngol Head Neck Surg 1993;145:145-46.
  13. Prognostic factors, outcomes and staging in ethmoid sinus surgery. Laryngoscope 1992;102:1-18.
  14. Middle meatal antrostomy: Long term patency and results of chronic maxillary sinusitis. A prospective study. Clin Otolaryngol 1993;18:135-38.
  15. Staging of rhinosinusitis. Otolaryngol Head Neck Surg 1997;117:535-40.
  16. Acute and chronic sinusitis. Otolaryngol Clin N Am 1971;4:25.
  17. Medikamenteuze behandeling Van sinusitis. Acta Otol Rhinol Laryngol Belg 1983;37:614-23.
  18. Adult chronic rhinosinusitis: Definitions, diagnosis, epidemiology and pathophysiology. Otolaryngol Head Neck Surg 2003;129:1-32.
  19. Fungal infections in maxillary sinusitis. Indian J Otolaryngol Head Neck Surg 1992; 1(2): 57-7.
  20. Paranasal sinuses: CT imaging requirements for endoscopic surgery. Radiology 1987;163:769-75.
  21. CT scanning for functional endoscopic sinus surgery: Analysis of 200 cases with reporting scheme. J Otolaryngol 1993;22:72-78.
  22. Development of a standardized proforma for reporting computerized tomography images of paranasal sinuses. J Otolaryngol 1996; 25:113-20.
  23. Septoplasty and compensatory inferior turbinate hypertrophy: Long term results after randomized turbinoplasty. Eur Arch Otorhinolaryngol 1997;1:89-92.
  24. Nasal mucociliary clearance in patients with septal deviation. Rhinology 1980;18:177-81.
  25. Rhinologic computed tomographic evaluation in patients with cleft lip and palate. Arch Otolaryngol Head Neck Surg 1999;125:1000-04.
  26. New description method and classification system for septal deviation. J Rhinol May 2007;14(1):27-31.
  27. Ostiomeatal complex risk factors for sinusitis: CT evaluation. J Otolaryngol 1991; 20:419-24.
  28. CT evaluation of the paranasal sinuses in symptomatic and asymptomatic populations. Otolaryngol Head Neck Surg 1991;104:480-83.
  29. Differences of anatomic variations in ostiomeatal complex between two sides of the deviated septum. Zhonghua Er Bi Yan Hou Ke Za Zhi 2001;36(2):132-34.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.