Effectiveness of endoscopic septoplasty in different types of nasal septal deformities: our experience with NOSE evaluation

Orabona, Giovanni Dell’Aversana; Romano, Antonio; Abbate, Vincenzo; Salzano, Giovanni; Piombino, Pasquale; Farina, Fabrizio; Pansini, Antonio; İaconetta, Giorgio; Califano, Luigi

doi:10.14639/0392-100x-1067

Cited by 15 publications

(10 citation statements)

References 23 publications

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“…(2) Any resorptive change in condyles in the IFs of the TMJ area. (3) Nasal septum deviation and concha bullosa for IFs of the nasal cavity, according to Mladina’s types 24 . A concha bullosa was defined as being present when more than 50% of the vertical height (measured from superior to inferior in the coronal plane) of the middle turbinate was pneumatized.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of 2D radiographs in detecting CBCT-based incidental findings in orthodontic patients

Choi

Kim

et al. 2021

Sci Rep

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Some craniofacial diseases or anatomical variations are found in radiographic images taken for other purposes. These incidental findings (IFs) can be detected in orthodontic patients, as various radiographs are required for orthodontic diagnosis. The radiographic data of 1020-orthodontic patients were interpreted to evaluate the rates of IFs in three-dimensional (3D) cone-beam-computed tomography (CBCT) with a large field of view (FOV) and investigate the effectiveness and accuracy of two-dimensional (2D) radiographs for detecting IFs compared to CBCT. Prevalence and accuracy in five areas was measured for sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV). The accuracies of various 2D-radiograph were compared through a proportion test. A total of 709-cases (69.5%) of 1020-subjects showed one or more IFs in CBCT images. Nasal cavity was the most affected area. Based on the CBCT images as a gold standard, different accuracies of various 2D-radiographs were observed in each area of the findings. The highest accuracy was confirmed in soft tissue calcifications with comprehensive radiographs. For detecting nasal septum deviations, postero-anterior cephalograms were the most accurate 2D radiograph. In cases the IFs were not determined because of its ambiguity in 2D radiographs, considering them as an absence of findings increased the accuracy.

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Section: Methodsmentioning

confidence: 99%

Effectiveness of 2D radiographs in detecting CBCT-based incidental findings in orthodontic patients

Choi

Kim

et al. 2021

Sci Rep

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“…[12] anterior septal deformiteli olguların yaklaşık %10'unda endoskopik septoplasti sonrası kalıcı septal deviasyon olduğunu ve erişilemeyen arka deviasyonlar için endoskopinin, anteriordaki deviasyonlar için de klasik konvansiyonel septoplasti yaklaşımının kullanıldığı kombine bir yaklaşımı savunmaktadır. Benzer şekilde Dell'Aversana Orabona ve ark., [13] anteriordaki deviasyonlar için endoskopik işlem yapmakta daha büyük zorluk olduğunu bildirmişlerdir. Bu çalışmada da benzer şekilde konvansiyonel septoplasti yapılan hastalarda endoskopik kontrol yapılanlara kıyasla istatistiksel olarak anlamlı olmasa da daha fazla rezidü septum deviasyonu bulundu.…”

Section: Discussionunclassified

Does final intraoperative endoscopic control increase surgical success in conventional septoplasty?

Kum¹

2023

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Objectives: This study aimed to investigate the effects of the final endoscopic control performed intraoperatively in conventional septoplasty on operative time, residual deviation, and changes in Nasal Obstruction and Septoplasty Effectiveness Scale (NOSE) scores. Patients and Methods: One hundred twenty-five patients who applied with the complaint of nasal obstruction between June 2020 and May 2021 and were found to have isolated nasal septum deviation were evaluated in this prospective study. Patients with comorbidities were excluded from the study. Remaining 80 patients (55 males, 25 females; mean age: 30.1±8.9 years; range, 18 to 58 years) included in this study. The patients were divided into two groups of 40 individuals using the blocked randomization method. In the first group (CS-EC group; 26 male, 14 female; mean age: 31.7±8.3 year; range 18 to 58 year), after conventional septoplasty with head light, additional pathologies were corrected with the conventional method if it was detected by the endoscope. For the second group (CS group; 29 male, 11 female; mean age: 28.6±9.3 year; range 18 to 53 year), only conventional septoplasty was performed. The patients were evaluated with NOSE before and three months after the operation to evaluate the complaint of nasal obstruction. The groups were compared in terms of NOSE scores, operation time, and postoperative residual deviation. Results: The mean operation times in the CS-EC and CS groups were 44.9±9.3 and 39.0±7.7 min, respectively, and this difference was statistically significant (p=0.001). While there was no statistically significant difference between the CS-EC and CS groups in terms of preoperative total NOSE scores (p=0.211), the postoperative total NOSE score was found to be statistically significantly lower in the CS-EC group compared to the CS group (p=0.001). Conclusion: Final intraoperative endoscopic control of the nasal passage in classical septoplasty may be an effective method to detect septal deviations that cannot be adequately evaluated.

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“…Post-operative care in endoscopic nasal and endosinusal surgery is recognized to be mandatory for an optimal healing, to limit secretions and crusting and to prevent the formation of polyps [ 7 – 9 ].…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Different Administrations of Nebulized Hyaluronic Acid After Endoscopic Endonasal Surgery for Chronic Rhinosinusitis

Abbate¹,

İaconetta

Maglitto³

et al. 2020

Indian J Otolaryngol Head Neck Surg

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Hyaluronic Acid (HA) plays many roles in wound healing in general, through different mechanisms. Several authors reported the effectiveness of hyaluronic acid in promoting mucosal healing and reducing discomfort for patients after endoscopic sinus surgery (ESS). Different methods for HA nasal administration have been reported. The aim of our study has been to evaluate the efficacy of the administration of nebulized HA through a nasal douche compared with its administration through a nasal spray with patients undergoing ESS for chronic rhinosinusitis. From January 2013 to January 2019 a prospective clinical trial was carried out in our hospital with 163 patients who had undergone ESS for chronic rhinosinusitis. The sample was divided into three groups according to the method of administration of HA. Our study confirm the efficacy of the administration of nebulized HA through nasal douche in post-operative care (6.5% vs 4.5%). The most relevant data regards the nasal dryness sign: the data revealed an unexpected percentage of worsening of that sign at time T3 (p = 0.049) particularly evident in the patients treated with HA through nasal douche compared to whom the nasal spray device was prescribed (4% vs 1%). Further studies are needed to identify the best means of administration of HA, which would satisfy the requirements for efficacy in terms of the results and, at the same time, patient compliance.

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Effectiveness of endoscopic septoplasty in different types of nasal septal deformities: our experience with NOSE evaluation

Cited by 15 publications

References 23 publications

Effectiveness of 2D radiographs in detecting CBCT-based incidental findings in orthodontic patients

Effectiveness of 2D radiographs in detecting CBCT-based incidental findings in orthodontic patients

Does final intraoperative endoscopic control increase surgical success in conventional septoplasty?

A Comparative Study of Different Administrations of Nebulized Hyaluronic Acid After Endoscopic Endonasal Surgery for Chronic Rhinosinusitis

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