Anxiety and depression mood disorder in patients with nasal septal deviation: A systematic review and meta-analysis

Alessandri‐Bonetti, Mario; Costantino, Andrea; Afflitto, Gabriele Gallo; Carbonaro, Riccardo; Amendola, Francesco; Catapano, Simone; Cottone, Giuseppe; Borelli, Francesco; Vaienti, Luca

doi:10.1016/j.amjoto.2022.103517

Cited by 9 publications

(7 citation statements)

References 32 publications

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“…Finally, poor psychiatric health, specifically anxiety, depression, and low self‐esteem, may be associated with poorer self‐perception of nasal function after surgery 66–69 . This is worrisome given that the prevalence of anxiety and mood disorders is significantly higher in patients with nasal obstruction 67 .…”

Section: Discussionmentioning

confidence: 99%

“…65 Finally, poor psychiatric health, specifically anxiety, depression, and low self-esteem, may be associated with poorer self-perception of nasal function after surgery. [66][67][68][69] This is worrisome given that the prevalence of anxiety and mood disorders is significantly higher in patients with nasal obstruction. 67 Unfortunately, no studies in this review investigated this link or described the percentage of patients with psychiatric conditions (Samarei & Mabarian intentionally excluded patients with any psychiatric disorder to avoid this potentially confounding factor).…”

Section: Potential Factors Influencing Long-term Septoplasty Efficacymentioning

confidence: 99%

“…[66][67][68][69] This is worrisome given that the prevalence of anxiety and mood disorders is significantly higher in patients with nasal obstruction. 67 Unfortunately, no studies in this review investigated this link or described the percentage of patients with psychiatric conditions (Samarei & Mabarian intentionally excluded patients with any psychiatric disorder to avoid this potentially confounding factor). 29 It is possible that anxiety could impact subjective outcome assessments after septoplasty, and future studies should strive to better understand outcomes for these individuals.…”

Section: Potential Factors Influencing Long-term Septoplasty Efficacymentioning

confidence: 99%

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Long‐Term Outcomes of Septoplasty With or Without Turbinoplasty: A Systematic Review

Fearington,

Awadallah,

Hamilton

et al. 2023

The Laryngoscope

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BackgroundSeptoplasty is used to correct nasal obstruction from nasal septum deviation. However, the long‐term efficacy of septoplasty is unclear, and no literature reviews have examined long‐term outcomes of septoplasty with or without turbinate modification. This systematic review aimed to evaluate the long‐term efficacy of septoplasty with or without turbinate modification in improving nasal obstruction.Data SourcesPubMed, EMBASE, Cochrane CENTRAL.MethodsA systematic review of the literature was conducted using the aforementioned databases. Studies reporting outcomes 12+ months after functional septoplasty with or without turbinate surgery for nasal obstruction were included. Septorhinoplasties, concurrent sinus surgery, pediatric studies, and studies where septoplasty was performed for indications other than nasal obstruction were excluded.ResultsAfter screening, 35 studies with 4,432 patients were included. Mean weighted post‐operative follow‐up time was 29.1 months (range 12–120 months). All studies reported significant improvement in subjective and objective outcomes at long‐term follow‐up compared to baseline. When comparing short‐term (<12 months) to long‐term (≥12 months) outcomes, four studies noticed that subjective outcomes worsened slightly over time, but no study found a significant change in objective outcomes over time. In addition, 23 studies reported patient satisfaction and/or improvement rates, with 75.4% (2,348/3,113) of patients expressing satisfaction/improvement at an average of 27.0 months after surgery.ConclusionsOverall, septoplasty with or without turbinate modification shows significant improvement in obstructive symptoms at long‐term follow‐up per both objective and subjective measures. Whether outcomes may worsen slightly over time remains indeterminate based on mixed results in the literature.Level of EvidenceN/A Laryngoscope, 2023

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Section: Discussionmentioning

confidence: 99%

Section: Potential Factors Influencing Long-term Septoplasty Efficacymentioning

confidence: 99%

Section: Potential Factors Influencing Long-term Septoplasty Efficacymentioning

confidence: 99%

See 1 more Smart Citation

Long‐Term Outcomes of Septoplasty With or Without Turbinoplasty: A Systematic Review

Fearington,

Awadallah,

Hamilton

et al. 2023

The Laryngoscope

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“…4 In fact, minimal nasal pathologies can cause a feeling of serious nasal obstruction 5 with a negative impact in patients' quality of life (QOL) and mood. [6][7][8] In this context, nasal septal deviation (NSD) is one of the most prevalent upper airway diseases causing airway obstruction, [9][10][11] with some authors reporting prevalence up to 70%-80% in the general population. 6,12 NSD impairs the airflow and prevents from breathing comfortably through the nose.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, the findings of nasal examination and endoscopic evaluation may not always correlate with the patient complaints 4 . In fact, minimal nasal pathologies can cause a feeling of serious nasal obstruction 5 with a negative impact in patients' quality of life (QOL) and mood 6–8 . In this context, nasal septal deviation (NSD) is one of the most prevalent upper airway diseases causing airway obstruction, 9–11 with some authors reporting prevalence up to 70%–80% in the general population 6,12 .…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Septoplasty in Patients with Nasal Obstruction: A Systematic Review and Meta‐analysis

et al. 2023

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ObjectiveSeptoplasty is the most frequently performed ENT surgery to correct nasal septal deviation (NSD). The present study aimed to quantify the effectiveness of septoplasty with or without turbinate surgery according to NOSE questionnaire scores, with the hypothesis that it is able to clinically improve patient‐reported nasal obstructive symptoms in the post‐operative follow‐up.MethodsAn electronic search was performed on PubMed/MEDLINE, Embase, and Cochrane Library. The primary outcome was the change in NOSE score at 6 months after surgery. It was assessed with the mean difference (MD) between baseline and postoperative results.ResultsA total of 2577 patients (males: 65.1%, 95% CI: 59.9–70.2) with a mean age of 33.3 years (n = 1456, 95% CI: 30.4–36.2) were included in this meta‐analysis. The pooled baseline NOSE mean score was 68.1 (n = 2577, 95% CI: 64.3–71.9). The pooled MD in NOSE score at 6‐months follow‐up compared to baseline was −48.8 (n = 1730, 95% CI: −54.6 to −42.9).ConclusionsFunctional septoplasty with or without turbinate surgery shows a critical improvement of obstructive symptoms and quality of life according to the validated NOSE score.Level of EvidenceNA Laryngoscope, 2023

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Comments on “Comparison of the outcomes of split thickness skin graft versus thickness skin graft for closure of the radial forearm free flap donor site: A systematic review”

Pandya,

Alessandri‐Bonetti,

Zhang

et al. 2024

Microsurgery

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Dear Editor,We have read with great interest the study by Mosquera et al. (2023), that explored the optimal closure method for the radial forearm flap (RFF) donor site comparing split-thickness skin grafts (STSG) and fullthickness skin grafts (FTSG). Currently, the literature lacks a definitive indication of the superior donor site closure technique, leaving this decision mostly to surgeon preference. Our team has also recently contributed to the literature on this topic by conducting a systematic review and meta-analysis including 13 studies and a total of 712 patients (Zhang et al., 2023). We believe that some important differences encountered in methodology and conclusions need to be highlighted to enhance our ability to formulate more precise and reliable clinical recommendations. Mosquera et al. performed a systematic review including eightstudies and a total of 366 patients. The authors found superior aesthetic outcomes with FTSG, and no differences in tendon exposure rate or functionality, thus, concluding a slight advantage of FTSG for aesthetic reasons. However, a formal meta-analysis was not performed,

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Anxiety and depression mood disorder in patients with nasal septal deviation: A systematic review and meta-analysis

Cited by 9 publications

References 32 publications

Long‐Term Outcomes of Septoplasty With or Without Turbinoplasty: A Systematic Review

Long‐Term Outcomes of Septoplasty With or Without Turbinoplasty: A Systematic Review

Efficacy of Septoplasty in Patients with Nasal Obstruction: A Systematic Review and Meta‐analysis

Comments on “Comparison of the outcomes of split thickness skin graft versus thickness skin graft for closure of the radial forearm free flap donor site: A systematic review”

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