Sixty consecutive patients (48 males, 12 females; age range 16 to 57,
mean age 35 years) underwent nasal septal surgery at our out-patient d
epartment for symptoms of nasal obstruction. The operations were perfo
rmed under local anaesthesia supplemented with 2.5-5mg intravenous mid
azolam. Only one surgeon and one nurse were needed for the procedure.
The total time spent at the hospital averaged three hours. The prelimi
nary short-term results of surgery are comparable to those at our day-
care unit. The complication rate was negligible. Ninety-five per cent
of these patients regarded the arrangements for their operation as saf
e. Our results show that nasal septal surgery can be performed with go
od cost-effectiveness, satisfactory quality and with good safety and p
atient satisfaction as an out-patient procedure.