Dr Kulsoom Bibi, Dr Amna Kousar, Dr Saima Akbar
Introduction: Septal deviations are the most common cause of nasal obstruction, representing a common compliant in rhinologic practice. Aims and objectives: The main objective of the study was to analyse the advantages of using endoscopic septoplasty with symptoms of deflected nasal. Material and methods: This descriptive study was conducted in Rawalpindi Medical University, Rawalpindi during January 2019 to October 2019. Patients for the study were selected during routine OPD who were diagnosed with deviated nasal septum according to the mentioned criteria. The patients were counselled and explained the procedure and consent for the procedure was taken in the prescribed format. Results: The present study includes 415 patients diagnosed with Deviated Nasal Septum as per the mentioned criteria. Their clinical features, endoscopic and CT scan findings were studied in detail as per the pretested Proforma. Average nasal obstruction score significantly reduced at post-op 1 month and post-op 3–6 months follow-ups compared to the pre-op score (p < 0.001 for both the follow-ups). Conclusion: It is concluded that endoscopic septoplasty is indicated to correct isolated septal spur deformity, posterior septal deformity, nasal valve obstruction and septal spur leading to contact area, persistent headache and atypical facial pain.