Quality of Life in Patients with Nasal Septal Deviation After Septal Correction

Muthubabu, K; Srinivasan, M K; Thejas, Saai Ram; Sindu, Mohan; Vinayak, R; Gayathri, C

doi:10.1007/s12070-019-01689-9

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…During the same procedure, we are able to improve septal deviation, reducing the nasal obstruction with improvement in breathing. All patients experienced a subjective improvement in nasal function, with a better quality of life, as stated by different authors [27,28] .…”

Section: Discussionsupporting

confidence: 63%

Alveolar cleft reconstruction with vomerine bone: two surgical procedures in one step: a case series

Autelitano¹,

Meazzini²

2023

Plast Aesthet Res

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Aim: Iliac crest (IC) is the most common source of bone for alveolar cleft repair, as it allows for harvesting a large amount of cancellous bone with a high rate of favorable outcomes. Its drawback is the donor-site morbidity. We propose a new technique for alveolar cleft grafting using vomerine bone (VB), which, through bone grafting, reconstructs the alveolus with the VB and simultaneously corrects the nasal septum deviation. Method: We performed 18 alveolar reconstructions with VB in patients with a small bony defect and septal deviation, which would benefit from septoplasty. A matched control group with IC bone grafting was selected. Panoramic X-rays were used for vertical assessment of ossification with the Bergland scale and CT scans for the evaluation of the thickness of the grafted area in the VB and IC groups and compared with an independent samples T-test. A paired T-test compared angular measurements of the septal deviation pre- and post- vomerine grafting. Results: All grafts healed uneventfully, with no complications at the donor site and respiratory function was improved. There was no statistically significant difference in ossification height between VB and IC, the alveolar thickness at the occlusal and middle third was higher with IC. Septal deviation was reduced significantly. Conclusion: Alveolar graft from VB seems to be a viable alternative to IC in patients who present with a mild bony alveolar defect in addition to septal deviation, allowing combined procedures while reducing the morbidity of the donor site.

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Section: Discussionsupporting

confidence: 63%

Alveolar cleft reconstruction with vomerine bone: two surgical procedures in one step: a case series

Autelitano¹,

Meazzini²

2023

Plast Aesthet Res

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“…It is important to help the patient improve his/ her quality of life (QoL) 4 after medical or surgical management. This has to be the aim of every surgeon who encounters such cases in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Comparison between intranasal antrostomy and middle meatal antrostomy in the management of isolated maxillary sinusitis in the Rural Population: A prospective study

Mohan

Thejas

Murali

et al. 2022

Romanian Journal of Rhinology

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OBJECTIVE. To compare the outcomes of Intranasal Antrostomy (INA) with Nasoantral Window-Plasty and endoscopic Middle Meatal Antrostomy (MMA) in patients with isolated chronic maxillary sinusitis using an elaborate and detailed set of parameters. MATERIAL AND METHODS. All patients with clinically diagnosed chronic maxillary rhinosinusitis (unilateral/bilateral) were assessed based on radiological (Lund-Mackay Scoring System) and endoscopic evidence (Lund-Kennedy Scoring System). The Visual Analogue Scale was used to understand the severity of symptoms. Strict inclusion and exclusion criteria were used. One hundred patients were included in the study and divided into two equal groups of fifty each. Group 1 of patients underwent Intranasal Antrostomy with Nasoantral Window-Plasty and Group 2 underwent endoscopic Middle Meatal Antrostomy. All the surgeries were done in the same environment, under local anaesthesia and by the same surgeon. The parameters were noted before surgery and 8 weeks after surgery. RESULTS. MMA did about 6.82% better than INA in relieving symptoms, had 1.08% better CT image and 4.58% better in regards of nasal endoscopy findings. CONCLUSION. Although endoscopic Middle Meatal Antrostomy is a newer and more non-invasive procedure, the age-old Intranasal Antrostomy with Nasoantral Window-Plasty is still relevant in the management of chronic maxillary sinusitis in this modern age in our rural area.

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“…In addition, persistent sore throat may be associated with continuous mouth breathing in patients with NSD 5 . Previous studies have shown that the aforementioned symptoms improve after septal surgery and thus the quality of life of patients is improved 6–8 . However, no study in the literature has investigated in detail the throat symptoms of patients with NSD.…”

mentioning

confidence: 99%

Throat Symptoms Before and After Septal Surgery in Adults With Nasal Septum Deviation

Jafarov

İsazade

Bahçecitapar

et al. 2022

Otolaryngol.--head neck surg.

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Objective To investigate subjective throat symptoms with the Qualities of Sore Throat Index (QuaSTI) in adults with nasal septum deviation. Study Design Prospective study. Setting Baskent University Ankara Hospital. Methods Group 1 included patients with septum deviation. Preoperative data were obtained through evaluation of subjective nasal obstruction with the NOSE (Nasal Obstruction Symptom Evaluation) and throat symptoms with the QuaSTI (group 1a). After 3 months, the same patient group was reevaluated with the NOSE and QuaSTI to obtain postoperative data (group 1b). Group 2 was formed of healthy volunteers with no nasal obstruction. Results The mean ± SD and median (range) values of the QuaSTI total score were 33.39 ± 29.50 and 18.5 (0-90) in group 1a, 7.49 ± 4.31 and 7 (0-18) in group 2, and 7.58 ± 9.24 and 4.50 (0-49) in group 1b (group 1a vs 2, P < .001; group 1a vs 1b, P < .0001). A significant difference was determined between groups 1a and 2 with respect to the QuaSTI sensory score (26.58 ± 23.54 and 18 [0-73] vs 6.51 ± 3.58 and 7 [0-15], P < .001, respectively) and between groups 1a and 1b for the QuaSTI functional score (6.03 ± 6.62 and 3 [0-20] vs 1.50 ± 2.47 and 0.50 [0-13], P = .004). No significant difference was found between groups 1a and 2 in terms of the QuaSTI emotional score ( P = .126). Conclusion Various persistent sensory and functional throat symptoms can be seen in patients experiencing nasal obstruction associated with septum deviation, and the majority of these symptoms recover after septal surgery.

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Quality of Life in Patients with Nasal Septal Deviation After Septal Correction

Cited by 4 publications

References 15 publications

Alveolar cleft reconstruction with vomerine bone: two surgical procedures in one step: a case series

Alveolar cleft reconstruction with vomerine bone: two surgical procedures in one step: a case series

Comparison between intranasal antrostomy and middle meatal antrostomy in the management of isolated maxillary sinusitis in the Rural Population: A prospective study

Throat Symptoms Before and After Septal Surgery in Adults With Nasal Septum Deviation

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