Sarcouncil Journal of Medical Sciences

Abstract: Nasal septal deviation is a common cause of nasal obstruction among the population. Physiological airflow models have demonstrated that 50% of the air that is inhaled travels via the nasal floor. Deviations in the maxillary crest and septal floor can hinder the overall patterns of flow. Performing surgical intervention to address these issues enhances the overall circulation and reduces the sensation of obstruction. This study aims to propose an alternative method for correcting bony spurs by utilizing electric drilling. The objective is to achieve a more precise excision with reduced intraoperative bleeding and postoperative numbness where. A study was undertaken in the Department of otorhinolaryngology – head and neck surgery at Al-Saddar Medical City, Al Najaf governorate, from January 2021 to January 2022. A total of 36 individuals underwent septoplasty. The group consisted of 21 males and 15 females, with ages ranging from 17 to 42 years. Each of them reported nasal congestion as their primary symptom. The electric drilling technique was employed to excise the deviated portion of the maxillary crest and vomeral spur, wherein the results we found the average drilling time was 7.22 minutes with a standard deviation of 1.17 minutes; the average blood loss during the procedure was 115.14 ± 9.52 milliliters. Post-operative hard palate numbness and upper incisors were present in four patients (11.1%) on the first day after the procedure, in only one patient (2.8%) after one week, and not present in any patients after one month. Conclusion: The electric drilling method offers a more precise removal of bony septal deviation, resulting in reduced bleeding during surgery and decreased numbness after the procedure. This study presents an additional viable alternative for the treatment of bony spurs. Septoplasty is a surgical procedure that involves drilling into the maxillary crest to correct septal deviation or remove a spur.