Remote functional results of septoplasty performed taking into account the aerodynamic analysis of the nasal cavity

Abstract

The problem of nasal breathing disorders occupies a leading place in otolaryngology. In modern conditions, insurance and evidence-based medicine is acquiring the urgency of searching for objective methods of investigating the function of nasal breathing at the stages of preoperative planning. The development of rhinomanometric methods of investigation makes it possible to increase the functional efficiency of septoplasty. Purposes: To develop a procedure for preoperative aerodynamic analysis of the nasal cavity on the basis of PARM and CT analysis and to evaluate the remote functional results of septoplasty performed taking into account the obtained data. Materials and methods: The article presents the results of a study of 160 patients who underwent septoplasty within 3 years. In the main group, a survey was carried out on the NOSE scale, rhinomanometric studies with a complex of functional samples and analysis of computer tomograms. Based on the data obtained, their surgical treatment was performed (84 patients). Further, the functional results of septoplasty in the main group were compared with the results in the group of patients who underwent septoplasty without taking into account aerodynamic and tomographic analysis (76 patients). Results: According to the results of a comparative analysis of the data of the state of the nasal breathing function, it is established that the above procedure allows more accurate estimation of the aerodynamic features of the nasal cavity and to determine the localization of pathological nasal resistance in the nasal breathing structure. In turn, this allows objectively to plan and conduct septoplasty, which positively affects its functional efficiency and reduces the risk of development of unsatisfactory results in the long term after the operation. Conclusion: When performing surgical interventions on the nose wall, taking into account the data of the anterior active rhinomatometry with the complex of functional tests and tomographic analysis, the total indicator for 3 years after the operation of unsatisfactory functional results was 3.57%, with a similar index of 13.16% in the course of operations without taking into account the above indicators (level of reliability р=0.0133<0,05).