Year: 2026 | Month: March | Volume: 16 | Issue: 3 | Pages: 62-70
DOI: https://doi.org/10.52403/ijhsr.20260307
Role of Combining Various Adjunctive Surgical Procedures with Septoplasty in Improving Nasal Obstruction and Subjective Performance of Patients with symptomatic DNS and Allergic Rhinitis: An Interventional Prospective Study
Chandni Sethi1, S. K. Kashyap2, Mantasha Yasmeen Lari3, Prashant Kumar4, Jag Ram Chaudhary5
1Assocate professor, Department of ENT, MLB Medical College, Jhansi, U.P., India.
2Professor and Head, Department of ENT, MLB Medical College, Jhansi, U.P., India
3Junior Resident, Department of ENT, MLB Medical College, Jhansi, U.P., India.
4Senior Resident, Department of ENT, MLB Medical College, Jhansi, U.P., India.
5Senior Resident, Department of ENT, MLB Medical College, Jhansi, U.P., India.
Corresponding Author: Dr. Mantasha Yasmeen Lari
ABSTRACT
Background: Allergic Rhinitis (AR) (moderate to severe persistent) with severe symptomatic Deviated Nasal Septum (DNS) is a common entity seen in the otorhinolaryngology clinic with patients increasing proportionally to worsening air quality index (AQI) every year. Septoplasty has long been the only surgical treatment option in unresponsive patients. With the advent of nasal endoscopy techniques and CT PNS, it has become possible to tailor the surgical approach by combining adjunctive procedures with septoplasty for best post-surgical outcome.
Aims & Objective: To study the role of combining various surgical procedures with septoplasty in improving nasal obstruction and subjective performance of patients with symptomatic DNS and AR.
Methodology: This prospective study was done on 150 patients allocating them randomly into two groups; Group A patient’s undergoing septoplasty with adjunctive procedures, while group B (control) undergoing septoplasty alone. The outcome was assessed using NOSE (nasal obstruction symptom evaluation) score, OSS (overall satisfaction score) and post-operative nasal endoscopy assessment.
Result: Pre-operative mean NOSE scores were comparable between Group A (11.45 ± 2.98) and Group B (11.21 ± 3.24). At 6 weeks post-operatively, NOSE scores significantly reduced in both groups; however, greater improvement was observed in Group A (0.60 ± 0.66) compared to Group B (1.35 ± 0.91) (p < 0.001). The mean OSS at 12 weeks was significantly higher in Group A (4.28 ± 0.73) than Group B (3.87 ± 0.79) (p = 0.001). Post-operative DNE at 12 weeks demonstrated adequate nasal cavity space in 100% of Group A patients compared to 53% in Group B.
Conclusion: A tailored surgical approach combining various surgical procedures with septoplasty is a quintessential, effective, long-lasting and safe treatment method to treat unresponsive chronic nasal obstruction attributed to DNS with AR.
Key words: DNS, AR, NOSE score, OSS, DNE.