Abstract
Background: Septoplasty with submucous resection of the inferior turbinate (SMRT) is a common correctional surgery performed in patients with deviated nasal septum resulting in nasal obstruction. Although complications are infrequent, studies examining long-term complications following septoplasty with SMRT are rare.Methods: We conducted a retrospective review of patients electing to undergo septoplasty with SMRT at a tertiary rhinology clinic from January 2007 to December 2015. Demographic data, intraoperative findings, duration of follow-up, and short-term and long-term complications were collected. Exclusion criteria included patients who underwent either septoplasty or turbinate reduction or any other nasal surgery, patients lost to follow-up within 1 year, and patients with incomplete medical records.Results: A total of 359 patients met inclusion criteria. The majority were males (66.6%), and the average age of the cohort was 36.8 ± 12.3 years. The mean follow-up time was 23.3 months. Short-term complications were postoperative infection (n=12, 3.3%) and epistaxis that required intervention (n=16, 4.5%). Long-term complications occurred in 10 patients (2.8%): revision septoplasty (n=9, 2.5%) and hyposmia (n=1, 0.3%). No instances of synechiae, septal perforation, or saddle nose deformity occurred.Conclusion: Long-term complications following septoplasty with SMRT are infrequent. The most common long-term complication in this cohort was revision septoplasty.
Highlights
Septoplasty with submucosal resection of the inferior turbinate (SMRT) is a common correctional surgery performed in patients with a deviated nasal septum and nasal obstruction
Examples of complications that may require hospital admission are sepsis secondary to nasal packing with no antibiotics, profuse bleeding that persists despite pressure, and septal perforation
Exclusion criteria included the performance of additional surgery at the time of septoplasty and turbinate reduction, if a patient was lost to follow-up, or if the initial septoplasty was performed by a surgeon other than the senior author
Summary
Septoplasty with submucosal resection of the inferior turbinate (SMRT) is a common correctional surgery performed in patients with a deviated nasal septum and nasal obstruction. Septoplasty with submucous resection of the inferior turbinate (SMRT) is a common correctional surgery performed in patients with deviated nasal septum resulting in nasal obstruction. Studies examining long-term complications following septoplasty with SMRT are rare. Exclusion criteria included patients who underwent either septoplasty or turbinate reduction or any other nasal surgery, patients lost to follow-up within 1 year, and patients with incomplete medical records. Long-term complications occurred in 10 patients (2.8%): revision septoplasty (n=9, 2.5%) and hyposmia (n=1, 0.3%). Conclusion: Long-term complications following septoplasty with SMRT are infrequent. The most common long-term complication in this cohort was revision septoplasty
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