Type Of Septal Deviation Research Articles

Is endoscopic septoplasty effective in all types of septal deviations? An observational study on subjective and objective assessment of nasal airway

BackgroundEndoscopic septoplasty has become the preferred choice for septal surgeries for most surgeons due to its precise manipulation and reduced wear and tear. However, the improvement of the airway may vary depending upon the type of septal deviation the patient presents with. Cottle in 1946 stated that just mere dealing with deviated septum alone would not ensure a good functional outcome and he further emphasized on addressing portions of the nose obstructing nasal airflow during surgery. The purpose of our study is to subjectively and objectively assess the effectiveness and corrective extent of endoscopic septal correction in different types of septal deviations (Mladina classification) using NOSE scores and Peak Nasal Inspiratory Flowmetry (PNIF). A prospective cross-sectional study was conducted in 87 patients presented in our department from July 2021 to June 2022 for endoscopic septoplasty.ResultsPost-surgery 1-month follow-up (N1), the correction in terms of NOSE scores was highest in Mladina IV and least in Mladina I deviations, and at the end of 3 months (N2), the correction was best recorded in Mladina VI deviations while the least remained in Mladina I. Similarly, PNIF 1-month follow-up (P1) result had the best correction in the Mladina IV and V groups with the least in Mladina I. 3 months of follow-up (P2) ended up showing a maximum improvement in the Mladina VI group. Paired t test values for improvement of NOSE and PNIF scores were significant (p value < 0.001) between preoperative, 1-month, and 3-month follow-up values and also for repeated measure ANOVA.ConclusionOur study reveals that the corrective power of endoscopic septoplasty differs with respect to different types of septal deviation in terms of nasal airflow, both subjectively and objectively. Thus, proper counseling and preoperative assessment is essential for better postoperative outcome and compliance.

Causes and management of persistent septal deviation after septoplasty

Septoplasty is one of the most common otolaryngological surgical procedures. The causes of persistent septal deviation after primary septoplasty vary. The purpose of this study was to identify factors associated with failure of primary septoplasty, operative techniques that correct residual septal deviation, and surgical outcomes. Seventy-four adults who underwent revision septoplasty to treat persistent septal deviations were enrolled. The level of hospital in which primary septoplasty was performed, type of septal deviation, septal portion exhibiting persistent deviation, and techniques used to correct the deviation were evaluated. Outcomes were measured subjectively using a visual analog scale (VAS), and objectively using acoustic rhinometry. The first septoplasties were usually performed in primary and secondary hospitals. C-shaped deviations were more common than S-shaped ones in both the anteroposterior and cephalocaudal dimensions. The most common region of persistent septal deviation was the caudal septum (44.6%), followed by multiple sites (20.3%). The corrective techniques included excision of the remnant deviated portion (70.3%), septal cartilage traction suturing (27.0%), spreader grafting (13.5%), and cross-suturing (6.8%). The VAS score improved significantly 6 months after surgery. The minimal cross-sectional area and nasal cavity volume of the convex side increased significantly after revision septoplasty. Patients who underwent septoplasty in primary and secondary hospitals were more likely to require revision septoplasty. The caudal septum was the most common site of persistent septal deviation. Careful preoperative evaluation of the caudal septal deviation and selection of an appropriate surgical technique may reduce the need for revision septoplasty.

Analysis of inferior nasal turbinate volume in subjects with nasal septum deviation: a retrospective cone beam tomography study.

BackgroundThe association of the linear dimensions of the inferior turbinate hypertrophy with nasal septal deviation has been studied recently. However, the volumetric dimensions provide a more accurate status of the turbinate hypertrophy compared to linear measurements. The aim of this study was to analyze the association of inferior nasal turbinate volume with the degree of nasal septal deviation (NSD).MethodsA retrospective evaluation of the cone beam computed tomography (CBCT) scans of 412 patients was carried out to obtain 150 scans which were included in the study. The scans were categorized into three groups. Group 1 comprised of 50 scans of patients with no inferior turbinate hypertrophy (ITH) and no nasal septal deviation. Group 2 comprised of 50 scans of patients with ITH and no NSD; whereas Group 3 included 50 scans of patients with ITH and NSD. The total turbinate volume of inferior turbinates (bilateral) were determined by using Vesalius 3D software (PS-Medtech, Amsterdam, Netherlands).ResultsThe intraclass correlation coefficient (ICC) between the volumetric estimations performed by the two radiologists was 0.82. There were no significant age and gender related changes in the total turbinate volume. Patients in Group 3 had significantly higher (p = 0.001) total turbinate volume compared to Group 2 and Group 1. There was a positive and significant correlation (r = 0.52, p = 0.002) between the degree of septal deviation and total turbinate volume. When the total turbinate volume of the patients with different types of septal deviation was compared in Group 3, a statistically significant difference (p = 0.001) was observed. Regression analysis revealed that the septal deviation angle (SDA) (p = 0.001) had a relationship with total turbinate volume. From the results of the study we can conclude that the total turbinate volume is higher in patients with nasal septal deviation. It can also be concluded that the septal deviation angle has a positive correlation with total turbinate volume. The data obtained from the study can be useful in post-surgical follow up and evaluation of patients with nasal septal deviation and hypertrophied inferior nasal turbinate.

Correlation between subjective and objective outcomes of septoplasty in septal deviation

&lt;p&gt;&lt;strong&gt;Background:&lt;/strong&gt; Septal deviation is one of the leading causes of chronic nasal obstruction. Septoplasty is the procedure of choice for treating these patients. Depending on the patient’s perception and satisfaction the benefits of the surgery vary.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt; A prospective study was conducted at command hospital air force Bangalore in the department of ENT for a period of 2 years from 2018 to 2020 in 60 patients who underwent septoplasty. Preoperative and postoperative data were documented and analysed to get the results.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt; On postoperative objective evaluation by diagnostic nasal endoscopy 47% of patient’s anatomical deviation was completely corrected while it was partially corrected in 53% of patients overall. Post-op subjective evaluation by evaluating mean modified nose obstruction symptom evaluation (NOSE) score also depicted a significant improvement (p&amp;lt;0.5).&lt;strong&gt; &lt;/strong&gt;There was also a significant positive correlation between the subjective and objective outcomes of septoplasty in our study. On correlating the postoperative subjective and objective outcome individually in all the types of septal deviation, there was an improvement in mean modified NOSE score in all types of patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; There was improvement in both subjective and objective outcomes postoperatively. Study concluded that modified NOSE scale addresses wider range of symptomatology and is a good tool for subjective assessment of septoplasty. Improvement in anatomical septal deviation was noted by diagnostic nasal endoscopy postoperatively in all types of septal deviation of patients in our study.&lt;/p&gt;

Types of septal deviation rate of each type morbidity and associated sinus pathology

Background Septal deviation is a common disorder and its role in pathogenesis of sinus pathology remain uncertain , Different type of septal deviation affects sinuses in different feature. Design of study : prospective study Objective Rate of each type of septal deviation . Morbidity of septal deviation . Associated sinonasal pathology . Patient and methods About 150 patients. collected from out patient clinic from AL.Yarmouk teaching hospital from April 2017 till Augest 2018 who complain from nasal obstruction, nasal discharge, facial pain others for at least 3month, patients presented without previous diagnosis. All patients collected due to symtomatic septal deviation, then examination done either by ant. Rhinoscopy using head light and killian nasal speculam, endoscopy rigid type 4mm (00&300) and fibroptic (nasopharyngeal) Doing C.T scan for each patient to observe change in each type on paranasal sinuses ,the shape of deviation which seen by endoscopy and exclude other nasal and paranasal pathology Data collected in questioner or statistic reading method using P.value . Observe rate of each type ,morbidity of septal deviation consequence of pathology of each type regarding of sinuses . Results In this current study for 150 case symptomatic septal deviation we observe : C-shape (91)60.6% S-shape (59) 39.3% we found 70 case associated with sinus pathology C-shape=32case 45.8% S-shape =38case 54.2% Conculosion Deviated nasal septum associated with significant sinonasal disease especial S-shape DNS which show statically significant correlation with sinus disease . Nasal obstruction are the main complain of septal deviation . Bilateral sinus disease more associated with S-shape &unilateral sinus disease with C-shape .

Comparison of the Type and Severity of Nasal Septal Deviation between Chronic Rhinosinusitis Patients Undergoing Functional Endoscopic Sinus Surgery and Controls.

Objectives Some correlations have been proposed between chronic rhinosinusitis (CRS) and type and severity of nasal septal deviation. This study sought to compare the type and severity of nasal septal deviation between CRS patients undergoing functional endoscopic sinus surgery (FESS) and asymptomatic controls using cone-beam computed tomography (CBCT). Materials and Methods This prospective case-control study evaluated 49 CRS patients who did not respond to pharmaceutical therapy and were candidates for FESS and 49 asymptomatic controls. All participants underwent CBCT and were inspected for septal deviation type and severity. Data were analyzed by the independent t-test and chi-square test. Results The study population comprised of 58.25% males and 41.8% females, with a mean age of 33.74 ± 11.78 years. Significant correlations were noted between the presence of CRS and severity of septal deviation (P=0.007). Type of septal deviation had no significant correlation with the presence of CRS (P=0.443). Conclusion Patients with CRS have significantly more severe nasal septal deviation. However, type of septal deviation is not correlated with CRS.

EFFECT OF SEPTUM DEVIATION ON OSTEOMEATAL COMPLEX DISTANCES

Objective: It is known that deviation of the septum plays an etiological role in the obstructions formed in the osteomeatal complex. In this study, it was aimed to evaluate the effect of the degree of deviation of the nasal septum on the distances between the bone structures forming the osteomeatal complex. Method: The research universe was obtained by retrospectively scanning 1200 computed tomography (CT) images of January 2018-December 2019 in the PACS archive of the Department of Radiology of Sivas Cumhuriyet Faculty of Medicine Hospital. A total of 453 individuals, 228 females and 225 males (18-82 years old) meeting the criteria for inclusion in the study were included. Septal deviation angle was measured. Individuals were grouped according to the degree of septal deviation. Osteomeatal complex spaces (OMC) were evaluated according to the degree of septal deviation. In the study, the distance between OMC spaces was also investigated in the presence of sinusitis. Results: In the septum, the distance between lamina papyricea and middle nasal concha (LP-MNC) at medium and high grades was found to be large in the opposite direction of the deviation. The distance between the lamina papyricea and uncinate process [ethmoidal infundibulum (LP-UP)] was small on the right side in low-grade deviation to the right. When the distance between uncinate process and middle nasal concha (UP-MNC) and the distance between LP-UP was compared, it was found to be smaller in the direction of deviation in individuals with middle deviation to the left (p < 0.05). While the right osteometal complex spaces were found to be smaller than the control group, the distance between UP-MNC from the left osteomeatal spaces made a difference with the control group. Conclusions: Degrees and type of septal deviation were effective in narrowing the osteomeatal complex spaces. It was determined that OMC distances did not change with the presence of sinusitis. It is thought that it may be useful to evaluate the degree of septal deviation in obstruction of osteomeatal complex spaces and mucosal changes in the paranasal region.

CLINICAL PRESENTATIONS OF DEVIATED NASAL SEPTUM AND MLADINA’S CLASSIFICATION

Background: Nasal Septal deviation is a frequently found entity in ENT OPD. The objective of the study was to describe the clinical presentations of deviated nasal septum, classify them according to the Mladina’s system and find out the relation of trauma with the type of septal deviation.&#x0D; Methods: One hundred fifty cases of septal deviation were classified ac­cording to Mladina’s classification, after thorough interview, nasal exami­nation and nasal endoscopy. Data were analyzed with SPSS version 21, after tabulation. Chi-square test was applied as the test of significance.&#x0D; Results: Out of 150 cases of septal deviation, Male 82 (54.6%) outnum­bered the female patients 68 (45.3%). Most of these patients were of sec­ond and third decade (20-40 years age group). The most common pre­senting complaint was that of nasal obstruction 121(80.6%), headache68 (45.3%) and nasal discharge52(34.6%). 78(52%) of patients revealed his­tory of trauma. Type II 32 (21.3%) and Type V 31 (20.6%) were the com­monest followed by Type III 24(16%).&#x0D; Conclusions: Nasal septal deviation is a common presentation in ENT OPD. Mladina’s classification found Type II and Type V to be quite common. Na­sal obstruction, headache and rhinorrhea are frequent associated com­plaints. Nasal endoscopy is very important for the diagnosis, especially of posterior deflections.

Short- and mid-term results of limited approach septoplasty

Limited approach septoplasty (LAS) follows the principle of respecting nasal structures and aims to minimize complications while ensuring proper nasal respiratory function. LAS is only applicable to selected cases of septal deviation. The present study aimed to: (1) compare short- and mid-term complications in two consecutive series of patients with the same type of septal deviation treated with LAS or classical septoplasty; and (2) examine postoperative respiratory function with active anterior rhinomanometry in the two series, and in a group of healthy, non-surgical volunteers. The study concerned two groups of 20 consecutive patients who underwent LAS or classical septoplasty for deviation in Cottle's areas 4/5, and a control group of 11 healthy adult volunteers with no sinonasal disorders. The mean operating time did not differ significantly between the two groups. Three patients in each group developed minor complications. In a sitting position, the mean total nasal inspiratory resistance was 0.018 and 0.019Paml/s (p = 0.46) in the LAS and classical septoplasty groups, respectively, and the total expiratory resistance was 0.019 and 0.018Paml/s (p = 0.30). In a supine position, the mean total nasal inspiratory resistance was 0.017 and 0.021Paml/s (p = 0.05), and the total expiratory resistance was 0.017 and 0.019Paml/s (p = 0.14) in the LAS and classical septoplasty groups, respectively. In selected cases, LAS achieved much the same short- and mid-term results as classical septoplasty. The mini-invasive approach is certainly more respectful of the nasal mucosa, requiring a less extensive detachment, with consequent faster healing times and less tissue damage.

The effect of nasal shape on the thermal conditioning of inhaled air: Using clinical tomographic data to build a large-scale statistical shape model

In this paper, we investigate the heating function of the nasal cavity qualitatively, using a high-quality, large-scale statistical shape model. This model consists of a symmetrical and an asymmetrical part and provides a new and unique way of examining changes in nasal heating function resulting from natural variations in nasal shape (as obtained from 100 clinical CT scans). Data collected from patients suffering from different nasal or sinus-related complaints are included. Parameterized models allow us to investigate the effect of continuous deviations in shape from the mean nasal cavity. This approach also enables us to avoid many of the compounded effects on flow and heat exchange, which one would encounter when comparing different patient-specific models. The effects of global size, size-related features, and turbinate size are investigated using the symmetrical shape model. The asymmetrical model is used to investigate different types of septal deviation using Mladina's classification. The qualitative results are discussed and compared with findings from the existing literature.

Impact of Varying Types of Nasal Septal Deviation on Nasal Airflow Pattern and Warming Function: A Computational Fluid Dynamics Analysis.

Nasal septal deviations (NSD) have been categorized into 7 types. The effect of these different deviations on airflow pattern and warming function has not been fully investigated. The purpose of this study was to utilize a computational fluid dynamics approach to assess the impact of NSD of varying types on nasal airflow and warming function. Patients with each type of NSD were enrolled in the study, and a normal participant as the control. Using a computational fluid dynamics approach, modeling of nasal function was performed. Indices of nasal function including airflow redistribution, total nasal resistance, airflow velocity, and airflow temperature were determined. Among all types of NSD, the maximal velocity and total nasal resistance were markedly higher in type 4 and 7 deviations. The flow partition and velocity distribution were also altered in type 4 and 7 as well as type 2 and 6 deviations. Airflow in all categories of NSD was fully warmed to a similar degree. From a computational aerodynamics perspective, the type of septal deviation may contribute to altered airflow characteristics. However, warming function was similar between septal deviation types. Future studies will help to ascertain the functional importance of septal deviation types and the applicability of these computational studies.

Clinical Presentations of Deviated Nasal Septum and Mladina’s Classification

Background: Nasal Septal deviation is a frequently found entity in ENT OPD. The objective of the study was to describe the clinical presentations of deviated nasal septum, classify them according to the Mladina’s system and find out the relation of trauma with the type of septal deviation.&#x0D; Methods: One hundred fifty cases of septal deviation were classified ac­cording to Mladina’s classification, after thorough interview, nasal exami­nation and nasal endoscopy. Data were analyzed with SPSS version 21, after tabulation. Chi-square test was applied as the test of significance.&#x0D; Results: Out of 150 cases of septal deviation, Male 82 (54.6%) outnum­bered the female patients 68 (45.3%). Most of these patients were of sec­ond and third decade (20-40 years age group). The most common pre­senting complaint was that of nasal obstruction 121(80.6%), headache68 (45.3%) and nasal discharge52(34.6%). 78(52%) of patients revealed his­tory of trauma. Type II 32 (21.3%) and Type V 31 (20.6%) were the com­monest followed by Type III 24(16%).&#x0D; Conclusions: Nasal septal deviation is a common presentation in ENT OPD. Mladina’s classification found Type II and Type V to be quite common. Na­sal obstruction, headache and rhinorrhea are frequent associated com­plaints. Nasal endoscopy is very important for the diagnosis, especially of posterior deflections.

Predictive factors of patients' general quality of life after nasal septoplasty.

Although septoplasty is considered to be the definitive treatment of septal deviation and is associated with an increase of nasal patency, patients are not always satisfied with the surgical outcome as assessed by its effect on their general Quality of Life (QOL).The aim of this study was to identify the predictive factors that influence the patients' QOL after surgery. 60 patients with nasal obstruction and septal deviation were enrolled in this prospective study, and they all completed the follow-up survey of 6 postoperative months. Symptom severity (Nasal Obstruction Symptom Evaluation-NOSE, Sino nasal outcome test 22-SNOT-22), sleep quality (Epworth Sleepiness Scale-ESS), olfactory function (Threshold Discrimination Identification-TDI score), voice quality (Nasalance score and Voice Handicap Index-VHI), stress (SQ test) and emotional status (Beck Depression Index-BDI) were evaluated as predictive factors of patients' QOL (Glasgow Benefit Inventory-GBI) postoperatively. We also analyzed age, gender, smoking, socioeconomic status, type of septal deviation and changes of nasal patency (with the use of rhinomanometry, acoustic rhinometry, and peak nasal inspiratory flow). From all the analyzed parameters, the nasal obstruction symptom severity, the sleep quality, and stress levels were only significantly associated with patients' overall QOL (p < 0.05; univariate analysis). However, on multiple regression, positive changes in NOSE score (OR 15.09, 95% CI 1.47-22.64, p < 0.05) and SQ test (OR 4, 95% CI 1.12-14.3, p < 0.05) were only related with higher likelihood of participants' QOL improvement after surgery. Thorough preoperative evaluation of the symptom severity and stress levels is critical as these two factors are predictive of patient's satisfaction after septoplasty.

Septoplasty: is it possible to identify potential "predictors" of surgical success?

SUMMARYSeptoplasty is one of the most frequent surgical procedures performed by otolaryngologists. Despite successful surgical correction, many patients are not satisfied with their outcomes. So far, in clinical practice there is no consensus of opinion about the reliability of objective measurements of nasal patency and the correlation between objective measurements and subjective nasal patency symptoms. This study aims to assess the reasons for patient dissatisfaction after septoplasty and optimise pre-operative diagnostic management to predict surgical outcomes. We analysed 494 patients undergoing septoplasties with turbinoplasty by subjective Nasal Obstruction Symptom Evaluation questionnaire (NOSE) and objective active anterior rhinomanometric measurements before surgery and after 6 months. In our series, 17% had postoperative septal re-displacement; all patients had an anterior deviations at baseline. We found that the type of septal deviation, anterior vs posterior, was a significant predictor of postoperative functional improvement, whereas demographic characteristics as age, gender and smoke habit were not. Our data suggest that the anterior segment of the nasal septum was the most critical area for nasal airway resistance and more difficult to manage because it is likely to re-displace vs the posterior one and for this reason it represents a negative predictor of postoperative satisfaction.

Rhinogenic headache associated with different types of septal deviations

Background: Rhinogenic headache has been widely described and associated with mucosal contacts. In 1908 what is known as Sluder’s syndrome was described. Objective: To define the incidence of rhinogenic headache, according to the type of septal deviation present in nasal and sinus computed tomography (CT) scans. Material and methods: We made a retrospective, observational, descriptive and cross-sectional study. Nasal and sinus CT scans and medical records of 100 patients with septal deviation were reviewed and correlated with the presence or absence of headache. Results: We studied 100 patients, finding a higher prevalence of type 3 (19%). Headache was identifi ed in 39% of the patients. We observed a higher frequency of headache in type 5, which was statistically significant. Conclusions: Statistical significance was identifi ed with respect to the type of septal deviation and the presence of headache.

Preoperative Signs and Symptoms as Prognostic Markers in Nasal Septoplasty.

Identification of preoperative signs and symptoms that may predict the outcome of surgery is important, for both patient selection and the development of interventions for improving outcomes. The purpose of this study was to assess the value of some selected preoperative signs and symptoms for predicting outcomes of nasal septoplasty. Patients undergoing septoplasty with or without turbinoplasty responded to the Nasal Surgical Questionnaire (NSQ) preoperatively and six months postoperatively. The questionnaire contains visual analogue scales (VAS) for nasal obstruction during the day and at night. We compared preoperative and postoperative VAS scores in patients with unilateral versus bilateral septal deviation and patients with low versus high preoperative scores. Of 446 patients undergoing septoplasty from September 2014 to December 2015 who had responded to the preoperative NSQ, 286 (64.1%) also returned the postoperative version. There was greater improvement in obstruction in patients with preoperative unilateral compared to bilateral septal deviation (day scores, p = 0.04). The grade of deviation and the presence of concomitant bony conchal hypertrophy did not influence results. Patients with lower preoperative VAS scores obtained better end results than those with higher scores (p = 0.04). Type of septal deviation and preoperative VAS scores may aid in predicting outcome of nasal surgery.

Septorrinoplastias, un estudio descriptivo

Introduction and objectives This is a retrospective Study on patients who underwent septoplasty and septorhinoplasty at Dr. Peset Hospital in Valencia. Surgical procedures are described and results evaluated. Material and methods 49 septorhinoplasties and 6 rhinoplasties were aesthetic and functionally evaluated after surgery. Variables such as type of deformity, age, gender, previous surgery and surgical results where described and compared. Fisher exact test was used to find statistic significance between variables. Results Septum remained centred after 91% (45) of septoplasties. There was no statistical significance between type of septal deviation and results. Straight nasal pyramid was obtained after 76% (42) of septorhinoplasties and also in this procedure we did not find statistic significances between deformity and final result. Feminine gender and secondary surgery where predictive factors for worse surgical results. Conclusion Septopyramidal surgery tries to obtain a good nasal function and aesthetic result. Starting with Cottle′s principles, more specific techniques have been developed to resolve the different deformities.

Extracorporal septal reconstruction with polydioxanone foil

Conventional septoplasty cannot be the answer to all types of septal deviation. Indications of extracorporal septal reconstruction with polydioxanone (PDS) foil: (i) selected cases of very high septal deviations, (ii) post-traumatic and (iii) extremely pronounced congenital septal deviations and/or aesthetic deformities. Polydioxanone foil facilitates the incorporation of a newly implanted septal graft without significant postoperative complications and is absorbed within 25 weeks. The surgical technique is described in detail, and the early postoperative functional and aesthetic results (mean follow-up: 11 months) on 16 patients (mean age: 42 years) are reported. Overall, 88% of the patients responded positively to the question of whether they would choose to undergo the same procedure again, knowing the postoperative result. The procedure is easy to learn and has already proved to be an excellent combination of modern functional and aesthetic nasal surgery.

Septoplasty: Long-term evaluation of results

Objective: The goal of this study was to ascertain how accurately the surgeons' selection criteria for septoplasty, which largely relies on clinical judgement alone, is able to anticipate patients' long-term satisfaction. Study Design and Setting: A 10-year retrospective study was undertaken in a tertiary care otorhinolaryngology center. Methods: All patients who underwent septoplasty at the same otorhinolaryngology department in the past 2 to 10 years were mailed a questionnaire to evaluate their perception of the procedure's results. Clinical files were reviewed to establish the initial type of septal deformity. Because some surgeons used rhinomanometry to support their decision to recommend surgery, its capability of predicting patients' satisfaction was simultaneously assessed. Results: Subjects with anterior septal deformities were shown to benefit the most from septoplasty. Selection of patients on clinical grounds alone does carry, however, a considerable risk of patient dissatisfaction with end results. Nevertheless, despite a very strong correlation between anterior septal deviations and increased nasal resistance, preoperative rhinomanometry data failed to prove useful in predicting the long-term surgical outcome. Conclusions: Surgeons' appreciation of the types of septal deviation that do benefit from surgical correction falls short of desirable. Patients' satisfaction, however, did not improve if rhinomanometry was included in the preoperative evaluation. (Am J Otolaryngol 2002;23:85-90. Copyright 2002, Elsevier Science (USA). All rights reserved.)