Abstract
AbstractMost studies show that objective measures to quantify and determine surgical success in the treatment of nasal obstruction do not correlate with subjective improvement as reported by patients. AimTo evaluate the subjective improvement of nasal symptoms in patients undergoing septoplasty with or without turbinectomy. Materials and methodsA prospective study. We evaluated 72 septoplasty patients with or without partial inferior turbinectomy; the patients answered a questionnaire preoperatively and on the 60th day after surgery. ResultsSeptoplasty was done associated with bilateral partial inferior turbinectomy in 83.3% of patients; it was unilateral in 9.7%; there was no need for turbinate reduction in 6.9%. An improvement of all symptoms was observed after surgery. Nasal obstruction had improved in 68 patients (94.4%) by the 60th postoperative day. The average nasal obstruction score in patients with and without allergic symptoms was similar before surgery and on the 60th postoperative day. Older patients had milder preoperative allergic symptoms. ConclusionsNasal symptoms in patients undergoing septoplasty, with or without turbinectomy, improved. Patients with and without allergic symptoms showed a similar improvement of nasal obstruction on the 60th postoperative day.
Highlights
Nasal obstruction is one of the main symptoms in an ENT specialist’s practice; nasal septum deviation is one of its most frequent causes
Septoplasty was done associated with bilateral partial inferior turbinectomy in 83.3% of patients; it was unilateral in 9.7%; there was no need for turbinate reduction in 6.9%
Patients with and without allergic symptoms showed a similar improvement of nasal obstruction on the 60th postoperative day
Summary
Nasal obstruction is one of the main symptoms in an ENT specialist’s practice; nasal septum deviation is one of its most frequent causes. Other causative conditions are: adenoid hypertrophy; turbinate hypertrophy; nasal tumors; and nasal polyps[1]. At present in the United States, 5 billion dollars are spent on medication to provide relief from nasal obstruction[2]. Nasal septum corrective surgery (septoplasty) was started in the 19th century, and has been modified and improved since. The techniques have attempted to provide maximum functional and respiratory improvement at the same time preserving other physiologic functions of the nose (filtering, warming, and moisturizing the air) to improve nasal flow[3]. In the US, a septoplasty is the third most common procedure in otorhinolaryngology; it aims to improve the quality of life[4]
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