الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Nasal obstruction is one of the most common complaints that an otorhinolaryngogist faces in the day to day practice. Deviated nasal septum is one of the most common causes that result in nasal obstruction. Other conditions that cause nasal obstruction are adenoid hypertrophy, turbinate hypertrophy, nasal tumors and nasal polypi.Deviated nasal septum toward one side is often associated with overgrowth of the inferior turbinate. Intranasal steroids has been used successfully for over twenty years in treating hypertrophied inferior turbinate secondary to allergic and vasomotor rhinitis as an alternative to destruction or resection of inferior turbinate . Septoplasty is one of the most frequently done surgical procedures worldwide. The present study evaluated the efficacy of the septoplasty with inferior turbinectomy versus septoplasty with postoperative topical steroids for cases of severe nasal obstruction due to severe nasal septal deviation and inferior turbinate hypertrophy . Symptom objectively quantified using the Nose Obstruction Symptom Evaluation (NOSE) scale preoperatively and after the procedure. Patients undergoing septoplasty alone has higher NOSE score for nasal congestion pretoperatively was 15.50 ± 2.83 and post-operative was 8.88 ± 3.40 compared to those undergoing Partial inferior Turbinectomy with septoplasty whose NOSE scores preoperatively was 15.30 ± 2.51 and post-operative was 2.56 ± 1.88. mean NOSE Scale difference in group A was 6.62 ± 3.45 and group B was 12.74 ± 2.74. there was a statistically significant difference in NOSE Scale Difference between groups (p<0.001*). In the present study, mean VAS score difference in group A was 2.20 ± 1.84 and group B was 6.54 ± 1.46 . there was a statistically significant difference in VAS score Difference between groups (p<0.001*). group B was higher in VAS score difference than group A.