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العنوان
Value of Endoscopic Septoplasty /
المؤلف
Mohammed, Khalaf Hamead Mohammed.
هيئة الاعداد
باحث / خلف حميد محمد محمـد
مشرف / عادل عبد الباقي عبد الله
مشرف / منتصر عبد السلام حافظ
الموضوع
Nose - Surgery.
تاريخ النشر
2017.
عدد الصفحات
133 P. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الحنجرة
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة المنيا - كلية الطب - انف واذن وحنجرة
الفهرس
Only 14 pages are availabe for public view

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from 154

Abstract

The advent of new technologies, in particular nasal endoscopy, has made it possible to address septal pathologies in a more directed and precise fashion. Of the total 60 cases diagnosed with DNS as the only nasal pathology, the most common presenting symptom was nasal obstruction ,followed by nasal discharge( post-nasal drip)(46.7%), headache (46.7%), epistaxis (20%). hyposmia was detected in 15% of cases
In our study, the preoperative data between both groups A and B were very comparable as regards age, sex, duration of nasal obstruction, associated symptoms and types of septal deformities indicating that any expected difference between the postoperative results of both groups was not dependant on these factors.
The mean intra-operative time taken during endoscopic septoplasty was 33.38 ±5.32 min. During traditional septoplasty, the mean intra-operative time was slightly more being 35.7 ±4.77min.
In our study ,the incidence of intra operative mucosal tear in cases of endoscopic septoplasty was3.3% while that of the traditional group was26.7%. Statistically significant difference was observed between two groups (p >0. 05) ,and this explained the high incidence of septal perforations in traditonal septoplasty group in comparison to endoscopic group.
Out of the 30 cases that underwent traditional septoplasty in our study, nasal obstruction persisted in 9 out of the initially presenting 30 cases with percentage of relief being 70%. Nasal discharge continued in 3 out of initial 14 cases. Thus nasal discharge was relieved in 76.6% of cases. Headache was present in 7 out of 14 cases and epistaxis continued in 2 out of the initial 6 cases at presentation. Thus headache was relieved in 50% of cases while epistaxis was relieved in 66.7% of the cases. There was 50% relief of hyposmia.