Department of Otolaryngology-Head and Neck Surgery, University of Western Ontario, London, ON.
J Otolaryngol Head Neck Surg. 2011 Feb;40 Suppl 1:S28-33.
A deviated septum can be corrected by either a conventional "open" or endoscopic approach. Controversy exists regarding comparative outcomes between these two techniques. Our objective was to compare the two according to subjective and objective criteria.
Prospective, single-blinded, randomized, controlled trial.
Over a 6-month period, all patients diagnosed with a septal deviation meeting strict inclusion/exclusion criteria were recruited. Patients were randomly assigned to either the conventional or the endoscopic group. Outcome measures included surgical time, intraoperative complications, and pre- and postoperative data from the Nasal Obstruction Symptom Evaluation (NOSE) questionnaire. Chi-square and t-tests were used for statistical analyses.
Sixty-three patients were enrolled in the study: 32 in the endoscopic group and 31 in the conventional group. There were subjective postoperative improvements in the NOSE scores across all participants and within both groups (endoscopic: preoperative mean score = 14.7, postoperative mean score = 7.4, p < .05; conventional: preoperative mean score = 15.2, postoperative mean score = 6.3, p < .05), with no differences found between groups (p = .61). However, objective outcomes such as operative time (p < .001) and intraoperative complications (p = .01) favoured the endoscopic group.
The endoscopic approach for septoplasty may be considered superior to the traditional approach for the correction of septal deviation.
鼻中隔偏曲可以通过传统的“开放”或内镜方法进行矫正。这两种技术的比较结果存在争议。我们的目的是根据主观和客观标准对这两种方法进行比较。
前瞻性、单盲、随机、对照试验。
在 6 个月的时间内，所有符合严格纳入/排除标准的鼻中隔偏曲患者均被招募。患者被随机分配到传统组或内镜组。结果测量包括手术时间、术中并发症以及术前和术后鼻阻塞症状评估（NOSE）问卷的数据。使用卡方检验和 t 检验进行统计分析。
共有 63 名患者入组研究：内镜组 32 例，传统组 31 例。所有患者和两组患者的 NOSE 评分均有主观术后改善（内镜组：术前平均评分=14.7，术后平均评分=7.4，p<0.05；传统组：术前平均评分=15.2，术后平均评分=6.3，p<0.05），但两组间无差异（p=0.61）。然而，手术时间（p<0.001）和术中并发症（p=0.01）等客观结果倾向于内镜组。
对于鼻中隔偏曲的矫正，内镜方法可能优于传统方法。
