PurposeSeptoplasty is a common surgical procedure used for correction of the nasal obstruction caused by a deviated septum. The aim of the study was to identify complications in septoplasty and analyze incidence depending on the surgical technique, based on the material from 2009 till 2017.MethodsThe material consisted of 5639 medical records from patients aged 16–69, operated in the tertiary referral center. Patients were divided into two groups (2784 exclusively with septoplasty and 2855 with combined septoplasty and turbinoplasty). Z test for the equality of two proportions was made to investigate the assumption that the proportions from two populations are equal, based on two samples, one from each population.ResultsComplications were listed according to international standards. Among the whole study group, different types of complications were noted in 193 patients (3.42%). The most frequent complication was excessive bleeding. Significant differences were observed between the two investigated groups. In patients with combined septoplasty and turbinoplasty septal hematoma, hyposmia, prolonged healing due to infection, adhesions and temporary reduced visual acuity were significantly more often encountered.ConclusionsMeticulous attention to detail in identifying the appropriate anatomy and maintaining good visualization is the key to a safe and effective septoplasty, enabling for very low complication rate.

BackgroundNasal obstruction is the most common rhinologic complaint in ear, nose, and throat (ENT) clinical practice and septal deviation is the leading cause. The Nasal Obstruction Symptom Evaluation (NOSE) scale is a brief, self-administered questionnaire that has been widely used to assess symptoms and quality of life related to nasal obstruction, and is commonly used in clinical outcome studies. The aim of this study was to undertake a clinical evaluation of a Polish translation and cross-cultural modification of the NOSE scale for nasal obstruction.Material/MethodsA controlled clinical validation study was conducted in a tertiary referral center. The Polish version of the NOSE scale was developed according to cross-cultural adaptation guidelines. The psychometric properties of the Polish version of the NOSE scale (internal consistency, reproducibility, validity, responsiveness, interpretability) were assessed in 51 patients with nasal obstruction and 51 controls matched according to gender and age.ResultsInternal consistency of the Polish version of the NOSE scale was 0.80 as assessed by Cronbach’s alpha, and an intraclass correlation of the reproducibility was 0.98. Construct inter-item and item-total correlations confirmed validity. Correlation confirmed appropriate criterion validity with a visual analog scale (VAS) and discriminant validity was confirmed between patients and controls. Responsiveness and interpretability were also confirmed.ConclusionsThe Polish version of the NOSE scale is a brief and reproducible clinical evaluation tool for use in clinical practice in Polish-speaking patients with nasal obstruction.

Introduction Nasal obstruction is a common symptom in otorhinolaryngological practice. It can impact significantly on the quality of life of the individual. Objective The primary goal of the present study was to evaluate quality of life after septoplasty in adults with nasal obstruction. A secondary goal was to assess the effectiveness of septoplasty. Methods This was a single institution prospective observational study. Patients had experienced septal deviation and symptomatic nasal obstruction with no benefit from medical treatment. There were 51 patients who completed the Nasal Obstruction Symptom Evaluation (NOSE-POL) scale as well as theVisual Analogue Scale (VAS) before undergoing septoplasty, 3 months later, and finally 7 months after surgery. Patients evaluated changes in their nasal obstruction and changes in their quality of life using the Clinical Global Impression Scale (CGI-S). Results There was a significant improvement in nasal obstruction after septoplasty. Before septoplasty, the mean score on NOSE was 60.3 ± 20.4; 3 months after surgery, it was 32.9 ± 16.8; and 7 months after surgery it was 39.6 ± 33.2. The VAS results also proved a significant enhancement in nasal obstruction after septoplasty. Patients reported an improvement in nasal obstruction as well as a positive change in quality of life, confirming the effectiveness of septoplasty. Conclusions In patients with deformed septum, septoplasty contributes to high satisfaction of the patient and a compelling improvement in disease-specific quality of life. The NOSE-POL questionnaire is a useful tool for measuring the outcomes of this procedure.

Background Nasal obstruction is a common symptom in otorhinolaryngological practice. It can impact significantly on the individual’s quality of life. The primary goal of the study was to evaluate quality of life after septoplasty in adults with nasal obstruction. A secondary goal was to assess the effectiveness of septoplasty. Methods This was a single institution prospective observational study. Patients had experienced septal deviation and symptomatic nasal obstruction with no benefit from medical treatment. There were 51 patients who completed the Nasal Obstruction Symptom Evaluation (NOSE-POL) scale as well as a Visual Analogue Scale (VAS) before undergoing septoplasty, 3 months later, and finally 7 months after surgery. Patients evaluated changes in their nasal obstruction and changes in their quality of life using the Clinical Global Impression Scale (CGI-S). Results There was significant improvement in nasal obstruction after septoplasty. Before septoplasty the mean score on NOSE was 60.3 ± 20.4; 3 months after surgery it was 32.9 ± 16.8; and 7 months after surgery it was 39.6 ± 33.2. VAS results also proved a significant enhancement in nasal obstruction after septoplasty. Patients reported an improvement in nasal obstruction as well as a positive change in quality of life, confirming the effectiveness of septoplasty. Conclusions In patients with deformed septum, septoplasty contributes to high satisfaction of the patient and a compelling improvement in disease-specific quality of life. The NOSE-POL questionnaire is a useful tool for measuring the outcomes of this procedure.

After more than 3 months of follow-up, there was no evidence of rhinorrhea.

Z uwagi na rosnącą świadomość społeczeństwa i większe wymagania odnośnie opieki zdrowotnej i zdrowia subiektywna ocena jakości życia (ang. quality of life, QoL) stała się istotnym aspektem oceny wyników leczenia. Pacjenci są lepiej wyedukowani na temat negatywnych konsekwencji chorób i często decydują się na dany zabieg chirurgiczny, kierując się chęcią poprawy jakości życia. Zwiększa się zatem zapotrzebowanie na narzędzia, które pozwolą badać jakość życia i oceniać wyniki leczenia w sposób wystandaryzowany, cechujące się rzetelnością, trafnością i czułością. Artykuł ma na celu przegląd piśmiennictwa dotyczącego oceny jakości życia po operacjach nosa. Operacje przegrody nosa to jedne z najczęściej wykonywanych procedur chirurgicznych przez otorynolaryngologów na całym świecie. Od wielu lat publikowane były subiektywne oceny efektów tych operacji. W ostatniej dekadzie coraz częściej zaczęły pojawiać się w literaturze prace dotyczące jakości życia po operacjach nosa, w których do oceny tej jakości posłużono się zwalidowanymi kwestionariuszami. Wcześniej oceny satysfakcji pacjenta dokonywano na podstawie badań retrospektywnych z użyciem skali wizualno-analogowej. Do chwili obecnej brakuje badań prospektywnych, w których użyte zostałyby specyficzne dla danego schorzenia, zwalidowane kwestionariusze. Większość pacjentów po septoplastyce jest zadowolona z efektu operacji, jednakże istnieje także istotna grupa pacjentów, którzy są nieusatysfakcjonowani. Kwestionariusze oceniające jakość życia dają możliwość wykrycia potencjalnych czynników wpływających na zadowolenie pacjenta i efekt końcowy leczenia oraz identyfikacji podgrupy pacjentów, którzy nie będą mieli efektu z leczenia chirurgicznego.

Superficial and total parotidectomy are safe procedures of treatment in case of salivary gland tumors. Using the microscope during parotidectomy is extremely useful in order to preserve the continuity of the facial nerve branches.

No abstract