Effect of Septoplasty versus Septoplasty with Turbinate Reduction for Relief of Nasal Obstruction due to Deviated Nasal Septum
DOI:
https://doi.org/10.51985/JBUMDC2025753Keywords:
Airway resistance, Nasal obstruction, Nasal septum, Turbinates, Septoplasty, Nasal septal deviationAbstract
Objective: Nasal obstruction has significant impact on life quality, with deviated nasal septum being the third most common
cause. This condition involves nasal structural abnormalities that reduce airflow. This study evaluates the comparative
effectiveness of septoplasty alone versus septoplasty combined with turbinectomy in patients presenting with a deviated
nasal septum.
Study Design and Setting: This was a prospective, randomized comparative study conducted in ENT Department at CMH
Hospital Malir. Patients underwent septoplasty with and without turbinectomy.
Methodology: A total of 88 patients underwent septoplasty for a deviated nasal septum. Participants were randomly assigned
into two groups, with 44 patients in each. Group A underwent septoplasty alone, while Group B received septoplasty with
turbinectomy. The nasal obstruction severity was evaluated using the NOSE score, with a mean preoperative score of
(11.16±1.1) for septoplasty and (8.6±1.19) for septoplasty with turbinectomy. Surgical outcomes were assessed one month
postoperatively using NOSE scores to compare the effectiveness of both procedures.
Results: Results revealed significant postoperative improvement in nasal obstruction symptoms, with both septoplasty
alone and septoplasty with turbinectomy showing relief in symptoms. However, patients who underwent combined procedure
experienced greater reductions in nasal blockage, congestion, trouble sleeping, and difficulty breathing during exertion.
Statistical analysis confirmed that septoplasty with turbinectomy provided significant symptomatic improvement compared
to septoplasty alone (P<0.05), emphasizing added benefit of turbinate reduction in improving nasal airflow.
Conclusion: Combining inferior turbinectomy with septoplasty is more effective than performing septoplasty alone in
patients with nasal obstruction due to deviated nasal septum.
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Copyright (c) 2026 Aiman Fatima Naqvi, Muhammad Waqas Ayub, Asim Abbas, Haider Ali, Fizza BatooL, Bakhtawar Meraj (Author)
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