Correlation between subjective and objective outcomes of septoplasty in septal deviation
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20221650Keywords:
Nasal obstruction, Nasal septum, Quality of lifeAbstract
Background: 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.
Methods: 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.
Results: 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<0.5). 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.
Conclusions: 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.
References
Denholm SW, Sim DW, Sanderson RJ. Otolaryngological indicator operations: one year’s experience. JR Coll Surg Edinb. 1993;38:1-3.
Gliklich RE, Metson R. Effect of sinus surgery on quality of life. Otolaryngol. Head Neck Surg. 1997;117:12-7.
Stewart MG, Witsell DL, Smith TL Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolar-yngol Head Neck Surg. 2004;130:157-63.
Eccles R. Nasal airway resistance and nasal sensation of airflow. Rhinol Suppl. 1992;14:86-90.
Rhee JS, Weaver EM, Park SS. Clinical consensus statement: diagnosis and management of nasal valve compromise. Otolaryngol Head Neck Surg. 2010;143(1):48-59.
Dastidar P, Numminen J, Heinonen T. Nasal airway volumetric measurement using segmented HRCT images and acoustic rhinometry. Am J Rhinol. 1999;13(2):97-103.
Cakmak O, Coskun M, Celik H. Value of acoustic rhinometry for measuring nasal valve area. Laryngoscope. 2003;113(2):295-302.
Lasch KE, Marquis P, Vigneux M. PRO development: rigorous quantitative research as the crucial foundation. Qual Life Res. 2010;19(8):1087-96.
Biggs TC, Fraser LR, Ward M. Patient reported outcome measures in sep-torhinoplasty surgery. Ann R Coll Surg Engl. 2015;97(1):63-5.
Stewart MG, Witsell DL, Smith TL. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolar-yngol Head Neck Surg. 2004;130:157-63.
Lipan MJ, Most SP. Development of a severity classification system for subjective nasal obstruction. JAMA Facial Plast Surg. 2013;15(5):358-61.
Philip P, Pratap D, Rajeshwary A, Bhat V. Subjective Assessment of Outcomes of Septoplasty. Int J Otorhinolaryngol Clin. 2017;9(2):42-6.
Eren SB, Tugrul S, Dogan R, Ozucer B, Ozturan O. Objective and subjective evaluation of operation success in patients with nasal septal deviation based on septum type. Am J Rhinol Aller. 2014;28(4):e158-62.
Baumann I, and Baumann H. A new classification of septal devia-tions. Rhinology. 2007;45:220-3.
Mladina R, Cujić E, Subarić M, Vuković K. Nasal septal deformities in ear, nose, and throat patients: an international study. Am J Otolaryngol. 2008;29(2):75-82.
Hubballi R, Koujalagi S. Association of external nose deformity in individuals with nasal septal deviation. Int J Otorhinolaryngol Head Neck Surg. 2019;5(5):1372-8.
Sam A, Deshmukh PT, Patil C, Jain S, Patil P. Nasal septal deviation and external nasal deformity: a correlative study of 100 cases. Indian J Otolaryngol Head Neck Surg. 2012;64(4):312-8.
Konstantinidis I, Triaridis S, Triaridis A, Karagiannidis K, Kontzoglou G. Long term results following nasal septal surgery. Focus on patients' satisfaction. Auris Nasus Larynx. 2005;32(4):369-74.
Gandomi B, Bayat A, Kazemei T. Outcomes of septoplasty in young adults: the Nasal Obstruction Septoplasty Effectiveness study. Am J Otolaryngol. 2010;31(3):189-92.
Arunachalam PS, Kitcher E, Gray J, Wilson JA. Nasal septal surgery: evaluation of symptomatic and general health outcomes. Clin Otolaryngol Allied Sci. 2001;26(5):367-70.
Siegel NS, Gliklich RE, Taghizadeh F, Chang Y. Outcomes of septoplasty. Otolaryngol Head Neck Surg.2000;122(2):228-32.
