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Abstract
Allergic rhinitis (AR) is a chronic inflammatory disease that affects almost 30% of the adult population. To describe and compare the evolution of symptoms in patients diagnosed with AR and septal deviation prior to and following septoplasty (STP). Quasi-experimental study developed in A Coruña University Hospital. Patients aged 18-65 years who had been diagnosed with AR and septal deviation were recruited. Obstruction airflow was evaluated before and after surgery, by means of anterior rhinomanometry (RNM). Severity symptoms and quality of life were assessed using a visual analogue scale (VAS) and the ESPRINT questionnaire, respectively. A total of 50 subjects underwent STP and 42 were included in this study. Their mean age at the time of surgery was 34.16 ± 9.74 years (range 18-64). Significant reductions in mean VAS and ESPRINT were observed after surgery (P < 0.01). These outcomes were considered to represent an overall improvement in quality of life. The RNM results also improved significantly, from mean values of 478.07 ± 165.4 cm3/s before STP to 826.4 ± 175.5 cm3/s afterwards (P < 0.01). The negative correlations of VAS and ESPRINT with RNM, from before and to after STP, demonstrate the efficacy of scales and questionnaires as objective methods for determining obstruction in the absence of rhinomanometry. Patients with allergic rhinitis and septal deviation showed improvements in obstruction severity and medication use after STP.
Highlights
Allergic rhinitis (AR) is a chronic inflammatory disease that affects almost 30% of the adult population and is associated with other inflammatory diseases.[1]
We estimated in relation to “severity” that before the intervention, 60% of the patients presented moderate-severe rhinitis and that this percentage would be expected to be reduced to 30% after 12 months
A total of 50 patients underwent STP and 42 of them agreed to participate in this study, comprising 27 males (64.3%) and 15 females (35.7%)
Summary
Allergic rhinitis (AR) is a chronic inflammatory disease that affects almost 30% of the adult population and is associated with other inflammatory diseases.[1]. RESULTS: A total of 50 subjects underwent STP and 42 were included in this study. Their mean age at the time of surgery was 34.16 ± 9.74 years (range 18-64). Significant reductions in mean VAS and ESPRINT were observed after surgery (P < 0.01). These outcomes were considered to represent an overall improvement in quality of life. CONCLUSIONS: The negative correlations of VAS and ESPRINT with RNM, from before and to after STP, demonstrate the efficacy of scales and questionnaires as objective methods for determining obstruction in the absence of rhinomanometry.
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