الفهرس 
. REVIEW OF LITERATUREOnly 14 pages are availabe for public view
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Abstract
Septal deviation is one of the causes of nasal obstruction which responds favourably to surgery. A successful surgery should improve the nasal physiology without disturbing its anatomy. from this point of view septoplasty ought to replace submucous resection (SMR) as the routine procedure.
The aim of this study was to evaluate and compare; elevation of mucoperichondrial flap on one side and its elevation on both sides, inserting intranasal splint and no insertion, receiving nasal packs and no receiving, and closure of initial incision and no closure in cases of septoplasty.
The study was carried on 60 patients with moderate and severe nasal obstruction due to septal deviation. The patients were randomly grouped into 4 groups. Assessment was done by questionnaire and clinical examination using a standardize scheme before operation and after operation; first 2 days, 1 week and 6 weeks.
The results showed that elevation of a mucoperichondrial flap on one side is better than its elevation on both sides, as it maintains the blood supply to septal cartilage and minimizes complications such as; septal perForation and nasal deformities. Packing, in spite of associated discomlbrt which is little with finger glove pack, had the advantages of approximation of flaps, prevention of bleeding and haematoma formation in early few days postoperatively.