This prospective comparative study aims to evaluate the outcomes of septoplasty with or without inferior turbinate reduction in patients with symptomatic deviated nasal septum. Subjective and objective outcomes will be assessed using the NOSE score, Peak Nasal Inspiratory Flow (PNIF), and nasal endoscopic examination before and after surgery.
Patients with symptomatic deviated nasal septum causing persistent nasal obstruction, aged 18-50 years, who failed medical treatment for at least 3 months, will be included in the study.
Patients with previous nasal surgery, nasal polyposis, chronic rhinosinusitis, alar collapse, uncontrolled allergic rhinitis, nasal tumors, or external nasal deformity requiring rhinoplasty will be excluded from the study.
Parallel
septoplasty
Procedure/SurgerySurgical correction of deviated nasal septum to relieve nasal obstruction.
septoplasty with inferior turbinate reduction.
Procedure/SurgerySurgical correction of deviated nasal septum combined with inferior turbinate reduction to improve nasal airflow and relieve obstruction.
Improvement in nasal obstruction symptoms
Assessment of improvement in nasal obstruction symptoms after surgery using the Nasal Obstruction Symptom Evaluation (NOSE) score.
Change in NOSE score
Comparison of NOSE score changes between patients undergoing septoplasty alone and those undergoing septoplasty with inferior turbinate reduction.
Change in Peak Nasal Inspiratory Flow (PNIF)
Objective assessment of nasal airflow improvement using Peak Nasal Inspiratory Flow measurement.
Endoscopic nasal examination findings
Assessment of postoperative nasal cavity findings by diagnostic nasal endoscopy.
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