Abstract

Background: Septoplasty is a surgical correction of the deviated nasal septum it is one of the most common Otorhinolaryngology operation

Objective: purpose of this study is to evaluate and compare outcome of Septoplasty regarding nasal obstruction, improvement associated headache and Eustachian Tube functions by tympanometry

Study design: it is a prospective comparative study

Methods: study was done from February 2021 to December 2021 at otorhinolaryngology department in Rizgary Teaching Hospital Erbil City/Iraq on Overall (60) patients 23 were female and 37 were male their age ranged between 18 and 50 years patient undergoing septoplasty because of Deviated Nasal Septum were included All participants were informed about the study and written informed consents were obtained Nasal Obstruction Symptom Evaluation Scale was used to evaluate surgical satisfaction preoperative headache intensity was recorded based on Visual Analogue Scale, Middle ear pressure and Eustachian Tube functions of total 120 ears were assessed by tympanometry and Functioning divided into those at side of septal deviation and ears to the opposite side of deviation.The tests were performed the day before Surgery and eight weeks after surgery Result: regarding Nasal Obstruction Symptom Evaluation Scale decreased after septoplasty (11.48/4.5)(P < 0.05).Comparing the outcome of associated headache, pain Visual Analogue Scale revealed a mean value of (5.1) preoperatively and (3.4) postoperatively the difference of scores was significant (p < 0.05), There were 27 functional Eustachian Tube (40.9%) in the side of septal deviation preoperatively, which increased to 46 ears (49.49%) postoperatively)(P < 0.05), while in the contralateral side increased to 47(50.53%) from 39(59.1%) after surgery

Conclusion: outcome of septoplasty has a satisfactory result in most of the cases on improvement both nasal obstruction and associated headache, and this study represents that there is a relation between septoplasty and Eustachian Tube function