비중격 내시경 교정술

Background and objectives: Endoscopic septoplasty is an easy and effective alternative to traditional headlight approach. Endoscopic septoplasty has its priority in septal spur and posterior deviation. If performed in combination with endoscopic sinus surgery, troublesome intraoperative surgical instrument change can be avoided. We performed 24 endoscopic septoplasty from January 2007 to July 2008, and result was promising. Methods and Methods: Postoperative chart review was performed. Patients were divided into three groups by their chief complain, nasal obstruction and rhinologic headache, and who underwent endoscopic sinus surgery at the same time was divided other group. Patients were interviewed regarding pre- and postoperative intensity of nasal obstruction and rhinologic headache, each, using the 0–10 visual analogue scale (VAS ). Quality of life was evaluated using questionnaire. Results: 16 men and 8 women underwent endoscopic septoplasty. Mean age was 32, mean postoperative follow up period was 3.9 months. There were no postoperative complication. Patients reported a decreased VAS score after surgery, by 7.45 to 2.1 in intensity of nasal obstruction, and 7.5 to 1.8 in frequency of nasal obstruction (p<0.05). In rhinologic headache group, intensity of headache showed decreased VAS scale by 7.24 to 1, and 9.75 to 1.75 in frequency of headache (p<0.05). Quality of life questionare showed improved score by 5.84 to 1.75 (p<0.05). Conclusions: Endoscopic septoplasty shows a fairly good surgical option, especially in focal septal deformity and posterior septal deviation. Postoperative morbidity was minimized by faster recovery, and better symptom relief. Proper indication of endoscopic septoplasty will become broader. (J Clinical Otolaryngol 2010;21:50–55)