Nivas R Prem, Theivanai S, Shivakumar S, Karthikeyan B
Department of ENT, Head and Neck Surgery, Vinayaka Mission's Kirupananda Variyar Medical College and Hospitals, Vinayaka Mission's Research Foundation (DU), Salem, Tamil Nadu, India.
J Pharm Bioallied Sci. 2025 May;17(Suppl 1):S299-S301. doi: 10.4103/jpbs.jpbs_26_25. Epub 2025 Apr 2.
Nasal septum deviation (NSD) is a common structural anomaly leading to impaired nasal airflow and associated complications. Traditional septoplasty techniques often face challenges in maintaining structural stability, especially in complex cases. This study compares the efficacy of extracorporeal septoplasty using polydioxanone (PDO) plates versus conventional septoplasty techniques for managing complex NSD.
To evaluate and compare postoperative outcomes, including nasal patency, structural stability, and complication rates, between the two techniques.
A prospective, comparative study was conducted with 100 patients divided into two groups: Group A underwent extracorporeal septoplasty with PDO plates, and Group B underwent conventional septoplasty. Pre- and postoperative assessments included the visual analog scale (VAS), nasal obstruction symptom evaluation (NOSE) score, endoscopic evaluation, and radiological imaging. Follow-ups were conducted at 1, 3, and 6 months.
Group A showed significant improvements in nasal patency and NOSE scores compared to Group B ( < 0.05). Structural stability was superior in Group A, with fewer complications such as septal perforation and recurrence. Patient satisfaction was markedly higher in the PDO plate group.
Extracorporeal septoplasty with PDO plates demonstrated better postoperative outcomes and fewer complications than conventional techniques, making it a superior option for managing complex NSD.
鼻中隔偏曲（NSD）是一种常见的结构异常，可导致鼻气流受损及相关并发症。传统的鼻中隔成形术在维持结构稳定性方面常常面临挑战，尤其是在复杂病例中。本研究比较了使用聚二氧六环酮（PDO）板的体外鼻中隔成形术与传统鼻中隔成形术治疗复杂NSD的疗效。
评估和比较两种技术的术后结果，包括鼻通畅度、结构稳定性和并发症发生率。
进行了一项前瞻性比较研究，将100例患者分为两组：A组接受使用PDO板的体外鼻中隔成形术，B组接受传统鼻中隔成形术。术前和术后评估包括视觉模拟量表（VAS）、鼻阻塞症状评估（NOSE）评分、内镜评估和影像学检查。在1、3和6个月时进行随访。
与B组相比，A组的鼻通畅度和NOSE评分有显著改善（<0.05）。A组的结构稳定性更好，鼻中隔穿孔和复发等并发症更少。PDO板组的患者满意度明显更高。
与传统技术相比，使用PDO板的体外鼻中隔成形术术后效果更好，并发症更少，使其成为治疗复杂NSD的更优选择。
