원저

비중격 내시경 교정술

김소향1, 배우용1,*, 이재훈1, 이동근1
So-Hyang Kim1, Woo-Yong Bae1,*, Jae-Hoon Lee1, Dong-Kun Lee1
Author Information & Copyright
1동아대학교 의과대학 이비인후 두경부외과학교실
1Department of Otolaryngology-Head and Neck Surgery, Dong-A University College of Medicine, Busan, Korea
*교신저자: 배우용, 602-715 부산광역시 서구 동대신동 3가 1 동아대학교 의과대학 이비인후 두경부외과학교실 전화:(051) 240-5428·전송:(051) 253-0712 E-mail: iamsohyang@gmail.com

© Copyright 2010 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Feb 19, 2010; Revised: Mar 23, 2010; Accepted: Apr 22, 2010

Published Online: May 31, 2020

ABSTRACT

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)

Keywords: 내시경; 비중격 교정술; 비성 두통
Keywords: Endoscopy; Septoplasty; Contact point headache