Determining the Impact of Pre-Operative Computed Tomography Scan in Patients Underwent Septoplasty on the Postoperative Complications | Chapter 8 | New Frontiers in Medicine and Medical Research Vol. 2

 A deviated nasal septum is one of the most prevalent causes of nasal blockage in adults (DNS). The gold standard method for the examination of paranasal architecture and inflammatory paranasal sinus diseases is paranasal sinus computed tomography (PNS CT), which is usually the initial diagnostic procedure in the evaluation of obstructive nasal pathologies. The study's purpose was to show that a pre-surgery computed tomography scan could assist reduce post-septoplasty problems.

In a retrospective record-based analysis, all patients with clinically proven DNS who had surgical intervention at Khamis Mushayet General Hospital were included. Patients' demographic data, as well as post-operative complications and the results of a preoperative CT scan for evaluating and grading DNS, were all gathered.

A total of 60 individuals had septoplasty as part of DNS. The individuals who underwent a preoperative CT scan were on average 30 years old. A pre-operative CT scan was not performed on the remaining 30 patients to rule out DNS. The most common issue (28.3%), followed by external nose deformity, was nasal obstruction (20 percent).

A total of 47% of patients with postoperative nasal blockage had never had a CT scan before surgery.

A CT scan was not performed on 42 percent of patients with postoperative nasal deformity, and 33 percent of patients with postoperative bleeding and septal perforation.

Conclusions: The study concluded that preoperative CT was ineffective in alleviating nasal blockage or reducing postoperative complications.

Author (S) Details

Abdulwahid S. AlQahtani
Department of ORLHNS, Khamis General Hospital, Asir, KSA.

Ramzi M. Dagriri
Department of ORLHNS, Military Hospital of Southern Region, Jizan, KSA.

Radeif E. Shamakhi
Department of ORLHNS, Prince Mohammed Hospital, Jizan, KSA.

Ahmad M. Alrasheed
Department of ORLHNS, Khamis General Hospital, Asir, KSA.

Ahmed A. Etwadi
Department of ORLHNS, Khamis General Hospital, Asir, KSA.

Khalid A. AlQahtani
Department of ORLHNS, Khamis General Hospital, Asir, KSA.

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