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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2018; 22(03): 284-290
DOI: 10.1055/s-0037-1613688
Original Research
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Long-Term Evaluation of Nasal Septoplasty Followed by Inferior Turbinate Cauterization for the Treatment of Nasal Obstruction using Objective and Subjective Methods

Konstantinos Valsamidis
1   Department of Otorhinolaryngology, Georgios Gennimatas General Hospital, Thessaloniki, Greece
,
Konstantinos Titelis
1   Department of Otorhinolaryngology, Georgios Gennimatas General Hospital, Thessaloniki, Greece
,
Dimitrios Rachovitsas
2   1st University Department of Otorhinolaryngology, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
,
Iordanis Konstantinidis
3   2nd University Department of Otorhinolaryngology, Geniko Nosokomeio Thessalonikis Papageorgiou, Thessaloniki, Greece
,
Konstantinos Markou
3   2nd University Department of Otorhinolaryngology, Geniko Nosokomeio Thessalonikis Papageorgiou, Thessaloniki, Greece
,
Stefanos Triaridis
2   1st University Department of Otorhinolaryngology, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
› Author Affiliations
Further Information

Publication History

30 April 2017

30 September 2017

Publication Date:
18 January 2018 (online)

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Abstract

Introduction Nasal septoplasty is considered the treatment of choice for nasal obstruction due to septal deviation. An ongoing discussion among rhinologists is whether it is reasonable to perform objective measurements of nasal patency pre or postoperatively routinely.

Objective The primary aim of this study was to identify the short- and long-term functional benefits for patients undergoing septal surgery, as assessed by acoustic rhinometry (AR). The secondary goal was to evaluate the short- and long-term perception of symptom relief and disease-specific quality of life (QoL) outcomes on the part of the patients.

Methods This was a prospective observational study in which AR was utilized for the assessment of nasal patency preoperatively and 1, 6 and 36 months after septoplasty. Total 40 patients who underwent septoplasty filled out the Nasal Obstruction Septoplasty Effectiveness (NOSE) questionnaire and the Glasgow Benefit Inventory (GBI) to assess their subjective improvement in nasal obstruction symptoms and the changes in their QoL.

Results There were statistically significant improvements in nasal patency, mean postoperative NOSE and GBI scores postoperatively. However, there was no correlation between the mean NOSE and GBI scores and the AR measurements. Furthermore, the GBI scores tended to decrease as the postoperative period increased.

Conclusion The present study confirms that septoplasty significantly increases nasal patency and causes a significant subjective improvement in nasal obstruction symptoms. The absence of a statistically significant correlation among the objective measurements, the symptom scores, and the patients' low GBI scores indicates that factors other than the anatomical findings may also contribute to the patients' perception of QoL.

Keywords

nasal obstruction - septoplasty - acoustic rhinometry - quality of life
 

  • References

  • 1 Kim CS, Moon BK, Jung DH, Min YG. Correlation between nasal obstruction symptoms and objective parameters of acoustic rhinometry and rhinomanometry. Auris Nasus Larynx 1998; 25 (01) 45-48
    CrossrefPubMedGoogle Scholar
  • 2 Stewart MG, Smith TL, Weaver EM. , et al. Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Otolaryngol Head Neck Surg 2004; 130 (03) 283-290
    CrossrefPubMedGoogle Scholar
  • 3 Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg 2004; 130 (02) 157-163
    CrossrefPubMedGoogle Scholar
  • 4 Clement PA, Gordts F. ; Standardisation Committee on Objective Assessment of the Nasal Airway, IRS, and ERS. Consensus report on acoustic rhinometry and rhinomanometry. Rhinology 2005; 43 (03) 169-179
    Google Scholar
  • 5 Arunachalam PS, Kitcher E, Gray J, Wilson JA. Nasal septal surgery: evaluation of symptomatic and general health outcomes. Clin Otolaryngol Allied Sci 2001; 26 (05) 367-370
    CrossrefPubMedGoogle Scholar
  • 6 Siegel NS, Gliklich RE, Taghizadeh F, Chang Y. Outcomes of septoplasty. Otolaryngol Head Neck Surg 2000; 122 (02) 228-232
    CrossrefPubMedGoogle Scholar
  • 7 Uppal S, Mistry H, Nadig S, Back G, Coatesworth A. Evaluation of patient benefit from nasal septal surgery for nasal obstruction. Auris Nasus Larynx 2005; 32 (02) 129-137
    CrossrefPubMedGoogle Scholar
  • 8 Samad I, Stevens HE, Maloney A. The efficacy of nasal septal surgery. J Otolaryngol 1992; 21 (02) 88-91
    PubMedGoogle Scholar
  • 9 Pannu KK, Chadha S, Kaur IP. Evaluation of benefits of nasal septal surgery on nasal symptoms and general health. Indian J Otolaryngol Head Neck Surg 2009; 61 (01) 59-65
    Google Scholar
  • 10 Buckland JR, Thomas S, Harries PG. Can the Sino-nasal Outcome Test (SNOT-22) be used as a reliable outcome measure for successful septal surgery?. Clin Otolaryngol Allied Sci 2003; 28 (01) 43-47
    CrossrefPubMedGoogle Scholar
  • 11 Akduman D, Yanılmaz M, Haksever M, Doner F, Sayar Z. Patients' evaluation for the surgical management of nasal obstruction. Rhinology 2013; 51 (04) 361-367
    PubMedGoogle Scholar
  • 12 Manestar D, Braut T, Kujundžić M. , et al. The effects of disclosure of sequential rhinomanometry scores on post-septoplasty subjective scores of nasal obstruction: a randomised controlled trial. Clin Otolaryngol 2012; 37 (03) 176-180
    CrossrefGoogle Scholar
  • 13 Jin HR, Lee JY, Jung WJ. New description method and classification system for septal deviation. J Rhinol 2007; 14 (01) 27-31
    Google Scholar
  • 14 Lachanas VA, Tsiouvaka S, Tsea M, Hajiioannou JK, Skoulakis CE. Validation of the nasal obstruction symptom evaluation (NOSE) scale for Greek patients. Otolaryngol Head Neck Surg 2014; 151 (05) 819-823
    CrossrefPubMedGoogle Scholar
  • 15 Konstantinidis I, Triaridis S, Printza A, Triaridis A, Noussios G, Karagiannidis K. Assessment of patient benefit from septo-rhinoplasty with the use of Glasgow Benefit Inventory (GBI) and Nasal Symptom Questionnaire (NSQ). Acta Otorhinolaryngol Belg 2003; 57 (02) 123-129
    PubMedGoogle Scholar
  • 16 Sundh C, Sunnergren O. Long-term symptom relief after septoplasty. Eur Arch Otorhinolaryngol 2015; 272 (10) 2871-2875
    CrossrefPubMedGoogle Scholar
  • 17 Dinis PB, Haider H. Septoplasty: long-term evaluation of results. Am J Otolaryngol 2002; 23 (02) 85-90
    CrossrefPubMedGoogle Scholar
  • 18 Toyserkani NM, Frisch T. Are too many septal deviations operated on? A retrospective patient's satisfaction questionnaire with 11 years follow-up. Rhinology 2012; 50 (02) 185-190
    PubMedGoogle Scholar
  • 19 Schwentner I, Dejakum K, Schmutzhard J, Deibl M, Sprinzl GM. Does nasal septal surgery improve quality of life?. Acta Otolaryngol 2006; 126 (07) 752-757
    CrossrefPubMedGoogle Scholar
  • 20 Jessen M, Ivarsson A, Malm L. Nasal airway resistance and symptoms after functional septoplasty: comparison of findings at 9 months and 9 years. Clin Otolaryngol Allied Sci 1989; 14 (03) 231-234
    CrossrefPubMedGoogle Scholar
  • 21 Ghazipour A, Abshirini H, Hekmat Shoar M, Pursalehan S. Sinonasal headaches and post-operative outcomes after septoplasty in patients with nasal septal deviation. Iran J Otorhinolaryngol 2011; 23 (65) 133-139
    PubMedGoogle Scholar
  • 22 Persichetti P, Toto V, Segreto F, Signoretti M, Marangi GF. Modified Extracorporeal Septoplasty: Functional Results at 6-Year Follow-up. Ann Plast Surg 2016; 76 (05) 504-508
    CrossrefPubMedGoogle Scholar
  • 23 Haavisto LE, Sipilä JI. Acoustic rhinometry, rhinomanometry and visual analogue scale before and after septal surgery: a prospective 10-year follow-up. Clin Otolaryngol 2013; 38 (01) 23-29
    CrossrefGoogle Scholar
  • 24 Toyserkani NM, Frisch T, Von Buchwald C. Postoperative improvement in acoustic rhinometry measurements after septoplasty correlates with long-term satisfaction. Rhinology 2013; 51 (02) 171-175
    CrossrefPubMedGoogle Scholar
  • 25 Konstantinidis I, Triaridis S, Triaridis A, Karagiannidis K, Kontzoglou G. Long term results following nasal septal surgery. Focus on patients' satisfaction. Auris Nasus Larynx 2005; 32 (04) 369-374
    CrossrefGoogle Scholar
  • 26 Calder NJ, Swan IRC. Outcomes of septal surgery. J Laryngol Otol 2007; 121 (11) 1060-1063
    CrossrefPubMedGoogle Scholar
  • 27 André RF, Vuyk HD, Ahmed A, Graamans K, Nolst Trenité GJ. Correlation between subjective and objective evaluation of the nasal airway. A systematic review of the highest level of evidence. Clin Otolaryngol 2009; 34 (06) 518-525
    CrossrefPubMedGoogle Scholar
  • 28 Bohlin L, Dahlqvist A. Nasal airway resistance and complications following functional septoplasty: a ten-year follow-up study. Rhinology 1994; 32 (04) 195-197
    PubMedGoogle Scholar