Endoscopic septoplasty as a routine approach: Our experience on 647 patients

Introduction: A variety of surgical techniques of septoplasty have been described. The aim of the present study was to assess the feasibility of endoscopic septoplasty as a routine approach both alone and during other sinonasal – skull base endoscopic procedures. Methods: A retrospective study of all patients admitted for endoscopic septoplasty that were performed between January 2011 and December 2017 was conducted. Patients that performed septoplasty either alone or in combination with sinus surgery or skull base surgery were included. Data regarding postoperative major complications such post-operative hemorrhage, synechiae, and septal tears or perforation were collected. Results: 647 patients were included. Postoperative hemorrhage was observed in 0,3% of patients, synechiae in 5,2% of cases, and septal tears and/or perforations in 6,2% of the whole study population. An incomplete septal correction was observed in 27 patients (4,2%). Conclusions: The endoscopic technique provides a better visualization allowing to observe fewer complications. It can also be considered as an excellent and effective teaching tool.