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CC BY-NC 4.0 · Arch Plast Surg 2014; 41(04): 403-406
DOI: 10.5999/aps.2014.41.4.403
Original Article

A New Approach to Objective Evaluation of the Success of Nasal Septum Perforation

Sinan Ozturk
Deperatment of Surgery, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey
,
Fatih Zor
Deperatment of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy, Ankara, Turkey
,
Serdar Ozturk
Deperatment of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy, Ankara, Turkey
,
Ozgur Kartal
Deperatment of Allergy, Gulhane Military Medicine Academy, Ankara, Turkey
,
Dogan Alhan
Deperatment of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy, Ankara, Turkey
,
Selcuk Isik
Deperatment of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy, Ankara, Turkey
› InstitutsangabenThis article was presented at the 32nd Conference of Turkish Society of Plastic Reconstructive, and Aesthetic Surgery on October 10-14, 2010 and awarded for "Second Best Study" in clinical research.
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Background Perforations in the nasal septum (NSP) give rise not only to disintegration of the septum anatomy but also impairment in normal nasal physiology. The successes of these surgical techniques are usually equated to anatomical closure of the perforation. The goal of this study is to evaluate the subjective and objective results of our surgical technique for septal perforation surgery.

Methods All NSPs in the six patients were closed by inferior turbinate flap. The Nasal Obstruction Symptom Evaluation (NOSE) instrument was used to evaluate the preoperative and postoperative subjective sensation of nasal obstruction. Measurement of preoperative and postoperative nasal airway resistance was performed using active anterior rhinomanometry which is an objective test. Wilcoxson signed rank test and Spearman correlation test were used to analyze correlation between NOSE scores and rhinomanometric measurements.

Results The full closure of the septal perforations was noted in 100% of patients. The total NOSE score was 14 preoperatively and one postoperatively. The improvement in NOSE scores was statistically significant (P≤0.002). The mean preoperative total resistance (ResT150) value was 0.13 Pa/cm3s-1, which is below the normal range (0.16-0.31 Pa/cm3s-1), while the mean postoperative ResT150 value was 0.27 Pa/cm3s-1. The correlation between the improvement in NOSE scores and improvements in ResT150 values was statistically significant.

Conclusions Surgical approaches should aim to solve both the anatomical and physiological problems of NSP. The application of subjective and objective tests in the postoperative period will help surgeons assess the applied techniques.

Keywords

Nasal - Perforation - Rhinomanometry - Surgery

This article was accepted (not presented) as oral session at the American Society for Aesthetic Plastic Surgery (ASAPS) Annual Meeting May 6-11, 2011 on Boston (couldnt be presented for the technical reasons).




Publikationsverlauf

Eingereicht: 28. April 2014

Angenommen: 07. Juli 2014

Artikel online veröffentlicht:
05. Mai 2022

© 2014. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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