Comparative Study of Improvement of Nasal Symptoms Following Septoplasty with Partial Inferior Turbinectomy Versus Septoplasty Alone in Adults by NOSE Scale: A Prospective Study

Kumar, Rajendran Dinesh; Rajashekar, M

doi:10.1007/s12070-015-0928-2

Cited by 18 publications

(12 citation statements)

References 10 publications

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“…[18][19][20] Dinesh Kumar et al used the NOSE score for subjective evaluation, and they reported a 70-point NOSE score reduction after septoplasty and turbinoplasty in comparison with preoperative NOSE scores. 21 A pilot study was performed by Corredor-Rojas et al in 2017 in one of the institutions included in the present study. Similarly, in that study, nasal obstruction was measured through the NOSE and VAS scales and QoL through the GBI test, but just during a postoperative midterm period.…”

Section: Discussionmentioning

confidence: 99%

Improvement in Nasal Obstruction and Quality of Life after Nasal Septoplasty with Turbinoplasty: A Pre- and Post-study

García-Chabur

Castellanos

Corredor-Rojas

et al. 2023

Int Arch Otorhinolaryngol

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Introduction Septoplasty and turbinoplasty are common surgical interventions used to relieve nasal obstructive symptoms. Since it is difficult to measure the degree of nasal blockage, current literature wonders about the frequent performance of these procedures. Objective To evaluate the perceived change in the nasal obstruction and the quality of life (QoL) of patients that underwent a septoplasty along with a turbinoplasty by applying subjective scales, to describe the correlation between those scales, and to study the impact of clinical factors in the postoperative outcomes. Methods Prospective observational study. The Nasal Obstruction Symptom Evaluation (NOSE), the Visual Analog Scale (VAS), and the Glasgow Benefit Inventory (GBI) were assessed. The paired sample Wilcoxon test was used to evaluate the difference between the pre- and postoperative surveys. The correlation coefficient between the subjective scales was calculated. A quantile regression was performed to evaluate the effect of surgery on the results adjusted for clinical and demographic variables. Results A total of 115 patients were interviewed. Postoperative NOSE scores were 45 points lower (95% confidence interval [CI]: - 53.53–- 35.46; p < 0.001) in comparison with the NOSE preoperative scores. Obesity was the only statistically significant factor associated with worse outcomes. Additionally, we found a high correlation between the NOSE and VAS scores and a negative correlation between the GBI and postoperative VAS scores. Conclusion Nasal septoplasty, when paired with a turbinoplasty, decreases nasal obstruction and improves QoL. Obesity was associated with worse results. There was a strong correlation between the NOSE and the VAS results and between the GBI and postoperative VAS results.

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Section: Discussionmentioning

confidence: 99%

Improvement in Nasal Obstruction and Quality of Life after Nasal Septoplasty with Turbinoplasty: A Pre- and Post-study

García-Chabur

Castellanos

Corredor-Rojas

et al. 2023

Int Arch Otorhinolaryngol

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“…Both septoplasty and turbinoplasty can be performed for patients with nasal congestion. For some severe cases, ear, nose, and throat (ENT) surgeons choose turbinoplasty with septoplasty [ 11 , 12 ]. ENT surgeons may adopt different approaches and surgical devices for septoplasty and turbinoplasty.…”

Section: Discussionmentioning

confidence: 99%

“…Previous research showed that septoplasty with and without turbinoplasty successfully relieved nasal obstruction compared to baseline measurements. However, the symptomatic improvement was more pronounced in patients who underwent the combined procedure than in patients who underwent septoplasty alone [ 12 ]. Some studies have suggested that septoplasty with turbinoplasty reduces the chance of revision nasal surgery [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

A Comparison of Symptom Improvement and Outcomes After Septoplasty Alone Versus Septoplasty With Turbinoplasty

Hakami¹,

Almalki²,

Alnemari³

et al. 2023

Cureus

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BackgroundVarious causes can lead to nasal obstruction, with the most frequent anatomical cause being deviated nasal septum. It seriously affects patients' quality of life. As a result, septoplasty is performed to enhance the nasal airways. This study aimed to compare the improvement of nasal symptoms following septoplasty with or without turbinoplasty and evaluate the surgical outcomes in both different groups. MethodologyA retrospective study was conducted at a tertiary hospital among patients who had undergone septoplasty with or without turbinoplasty between 2020 and 2022. Data regarding demographics, clinical features, surgical data, and complications were collected from patient files. The Nasal Obstruction Symptom Evaluation (NOSE) scale score was assessed through structured interviews. ResultsIn our analysis of 209 patients who underwent surgery for deviated nasal septum, septoplasty was done in 110 (52.6%) patients, whereas the remaining 99 (47.4%) underwent septoplasty with turbinoplasty. The mean NOSE score was found to be 32.94 ± 35.67%. Patients who underwent septoplasty alone significantly showed higher mean scores (56.36 ± 34.62%) compared to those who underwent septoplasty with turbinoplasty (11.14 ± 18.93%) (p < 0.001). The long-term complications showed revision surgery was done in 13 patients, which was comparatively more often done in patients who underwent a septoplasty. Other long-term complications were found to be significantly higher in patients who underwent septoplasty (76.9%) compared to those who underwent septoplasty with turbinoplasty (23.1%). ConclusionsPatients who underwent additional turbinoplasty experienced an improvement in nasal symptoms than those who underwent septoplasty alone. In addition, more long-term complications were noted in patients who underwent septoplasty alone.

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“…In addition, the size of the septal body and turbinates can be calculated by measuring the area and determining their width. Thus, the shrinkage rate with postoperative measurements can be evaluated objectively in different tomographic planes 10–12 …”

Section: Methodsmentioning

confidence: 99%

“…Thus, the shrinkage rate with postoperative measurements can be evaluated objectively in different tomographic planes. [10][11][12]…”

Section: Surgical Techniquementioning

confidence: 99%

Postoperative Clinical and Radiological Analysis of Deviated Noses

Altınel¹,

Serin²,

Toplu³

2022

Ann Plast Surg

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Background: Anatomical deformities can greatly alter nasal function, which can be largely corrected during septoplasty and septorhinoplasty operations. In this study, we aimed to objectively measure the results of septoplasty surgeries of deviated noses with radiological analysis and compare the results with clinical evaluations. Patients and Methods: Forty patients who were undergoing septorhinoplasty were included in the study. Patients were evaluated with preoperative and postoperative paranasal computed tomography scan measurements and satisfaction surveys. Results: Preoperative and postoperative mean ± SD septal deviation angle measurements were 11.9 ± 5.3 degrees and 6.5 ± 3.1 degrees, respectively. Preoperative and postoperative mean ± SD septal deviation distance measurements were 7.3 ± 4 and 3 ± 1.3 mm, respectively. Preoperative and postoperative mean ± SD oblique conchal measurement on the deviated side was 17.3 ± 3.2 and 13.4 ± 2.8, respectively. Preoperative and postoperative mean ± SD patient satisfaction survey scores were 17 ± 1.9 and 4.5 ± 1.9 points, respectively. Discussion: To obtain a nose with a greatly improved functional gains, especially in heavy deviated noses, is an important goal in septorhinoplasty surgery. It is essential to apply the technique that will benefit the patient. The most important success criterion seems to be the regression of the clinical complaints of the patients, which can be proven objectively with computed tomography scan measurements.

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Comparative Study of Improvement of Nasal Symptoms Following Septoplasty with Partial Inferior Turbinectomy Versus Septoplasty Alone in Adults by NOSE Scale: A Prospective Study

Cited by 18 publications

References 10 publications

Improvement in Nasal Obstruction and Quality of Life after Nasal Septoplasty with Turbinoplasty: A Pre- and Post-study

Improvement in Nasal Obstruction and Quality of Life after Nasal Septoplasty with Turbinoplasty: A Pre- and Post-study

A Comparison of Symptom Improvement and Outcomes After Septoplasty Alone Versus Septoplasty With Turbinoplasty

Postoperative Clinical and Radiological Analysis of Deviated Noses

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