الفهرس 
Septoplasty Versus Conventional Septal Reduction in Recent Nasoseptal Fracture
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Abstract
Background:Nasoseptal fractures have traditionally treated with closed reduction. Historically the high incidence of post reduction deformities has led some surgeons to consider alternative approaches seeking for superior outcome. Here we compare septoplasty versus simple closed reduction in acute nasoseptal fracture with regards improvement of patient breathingand decrease postoperative residual septal deformity. Study design:Thirty patients with recent nasoseptal fractures were divided randomly into two groups. In group I, fractures were managed by closed reduction, while in group II, fractures were managed by septoplasty. Each patient completed a validated quality of life scale for breathing (Nasal Obstruction Symptom Evaluation, NOSE), nasal endoscopy and CT scanpreoperatively and two weeks postoperatively. Results:There was a significant difference in improvement of patients who underwent septoplasty with mean improvement of ordinal scoring by Mladina 62% ± SD 23% versus 35% ± SD 18% in closed reduction group with p value 0.003. As well, improvement in NOSE score was significantly higher in Septoplasty group with mean improvement 45% ± SD 14% versus 20% ± SD 12% in closed reduction group with p value 0.0001.The results of this study showed a significant improvement nasal breathing outcome and postoperative residual septal deformities with the use of septoplasty compared to closed reduction for acute septal fractures. Conclusion: Septoplasty should be recommended for patients with acute nasoseptal fractures to ensure better nasal breathing outcomes and improving the post reduction nasal septal deformities