Disease-specific quality of life after septoplasty and bilateral inferior turbinate outfracture in patients with nasal obstruction

Resende, Lucas; Carmo, Carolina do; Mocellin, Leão; Pasinato, Rogério; Mocellin, Marcos

doi:10.1016/j.bjorl.2017.07.001

Cited by 6 publications

(5 citation statements)

References 24 publications

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“…The mean postoperative score reflected mild symptoms on NOSE score scale, although it remained higher than the mean score of the control group, suggesting that nasal septoplasty resulted in improved disease-specific quality of life. This finding is consistent with previous studies reporting significant reductions in NOSE scores and improvements in disease-specific quality of life after nasal septoplasty with or without turbinate reduction 10,16–19. Likewise, a recent study assessing the outcomes of nasal septoplasty in 51 patients using NOSE scores found significant improvements in nasal obstruction 3 and 7 months postoperatively.…”

Section: Discussionsupporting

confidence: 91%

“…This finding is consistent with previous studies reporting significant reductions in NOSE scores and improvements in disease-specific quality of life after nasal septoplasty with or without turbinate reduction. 10 , 16 – 19 Likewise, a recent study assessing the outcomes of nasal septoplasty in 51 patients using NOSE scores found significant improvements in nasal obstruction 3 and 7 months postoperatively. The mean preoperative and 3- and 7-month postoperative NOSE scores were 60.3±20.4, 32.9±16.8, and 39.6±33.2, respectively.…”

Section: Discussionmentioning

confidence: 99%

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Quality of Life and Symptoms Before and After Nasal Septoplasty With or Without Turbinoplasty Compared With Control Individuals in Saudi Arabia

Alanazy

AlQuniabut

Alenezi

et al. 2022

Journal of Craniofacial Surgery

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Objectives: Nasal septal deviation is a common health issue that can significantly impact the quality of life. Although nasal septoplasty is commonly performed in Otolaryngology practice, its effectiveness has been questioned. This was the first study to assess disease-specific quality of life in patients undergoing nasal septoplasty with or without turbinoplasty in Saudi Arabia. Methods: This was a prospective observational study of patients undergoing nasal septoplasty with or without turbinoplasty for nasal obstruction due to septal deviation with or without inferior turbinate hypertrophy. Nasal Obstruction Symptom Evaluation (NOSE) scores were collected preoperatively and 3 months postoperatively and were compared with controls. Results: This study involved 200 subjects, including 40 patients in the case group and 160 individuals in the control group. The mean preoperative and 3-month postoperative NOSE scores of the case group were (58.4±23.7 and 15.0±18.6, P <0.001), respectively. However, the postoperatively NOSE score did not reach NOSE score in control group (13.28±8.13, P =0.377). All nasal symptoms statistically and clinically improved postoperatively. There were no significant differences in NOSE score changes among cases preoperatively and postoperatively according to age, sex, or the presence of allergic rhinitis or asthma. Conclusions: Nasal septoplasty with or without turbinoplasty leads to improvements in disease-specific quality of life as assessed by NOSE scores and significantly improved nasal symptoms 3 months after surgery.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Quality of Life and Symptoms Before and After Nasal Septoplasty With or Without Turbinoplasty Compared With Control Individuals in Saudi Arabia

Alanazy

AlQuniabut

Alenezi

et al. 2022

Journal of Craniofacial Surgery

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“…16 Resende et al, in their study evaluating bilateral lower conchal outfracture procedure together with septoplasty, reported a preoperative mean NOSE score of 74.8 and postoperative NOSE scores of 28.3 and 21.4 at the 1-and 3-month follow-ups, respectively, which were clinically meaningful. 17 In our study population of patients with nasal obstruction, the mean NOSE score was 83.4 (83.41±8.15), whose anterior rhinoscopic examination and endoscopic evaluation revealed the cause of nasal obstruction to be septal deviation; paranasal sinus CT revealed no other pathology associated with the obstruction. Septoplasty together with radiofrequency to decrease the volume of inferior conchal hypertrophy was applied.…”

Section: Discussionmentioning

confidence: 67%

“…NOSE: Nasal obstruction symptom evaluation scale. 6,17 Over the past month, how much of a problem were the following conditions for you?…”

Section: Resultsmentioning

confidence: 99%

A retrospective analysis with quality of life assessment of nasal surgery for nasal obstruction

Karakuş

Karakurt

Çolak

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Nasal obstruction is a common health problem that disrupts a person’s quality of life (QoL). The Nasal Obstruction Symptom Evaluation scale (NOSE) is a QoL scale with questions specific to nasal obstruction symptoms. This study aimed to evaluate surgical success in patients who underwent nasal septal deviation surgery by using a NOSE assessment, thus determining the importance and efficacy of surgery in this group of patients.Methods: This study was conducted in between January 2016 and June 2017, including a total of 60 patients. The age range of the patients was 18–57 (mean, 34.4±9.9 years). The preoperative and postoperative scoring and surgeries were performed by the same investigator. The surgeries were septoplasty and radiofrequency applied to the inferior concha to overcome conchal hypertrophy. Preoperative mean scores were compared with postoperative second-month values. The importance of difference was evaluated with the Wilcoxon signed-rank test. Results: Preoperative minimum, maximum and mean scores were 65.0, 100.0 and 83.4 (83.41±8.15), respectively. Postoperative minimum, maximum and mean scores were 10.0, 35.0 and 21.6 (21.66±8.06), respectively. The difference in mean scores was significant (Z=−6.778; p<0.001).Conclusions: The difficulty in evaluating patient satisfaction and postoperative success stems from differences in each surgeon’s approach and the comparison of preoperative and postoperative findings. This study, which was carried out by the same researcher for all steps, differs it from similar studies.

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“…10,11 A septoplastia e a turbinectomia contribuem para melhorar a qualidade de vida em pacientes com obstrução nasal, associação já apontada na literatura. 12,13,14 Métodos subjetivos de avaliação constituem formas de demonstrar tal conjectura, como questionários. O questionário NOSE (Nasal Obstruction Sympton Evaluation) destaca-se como um instrumento utilizado antes e depois do ato operatório a fim de comparar a gravidade dos sintomas.…”

Section: Introductionunclassified

Obstrução nasal: análise da qualidade de vida antes e depois do tratamento cirúrgico

Rodrigues,

Ribeiro,

Candido

et al. 2023

Rev. Med. UFC

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Introdução: A obstrução nasal é definida pela sensação de passagem de ar insuficiente pelo nariz sendo o sintoma mais comum referido pelos pacientes na prática otorrinolaringológica e associado a redução na qualidade de vida. Entre as causas mais comuns estão o desvio do septo nasal e a hipertrofia dos cornetos nasais. O questionário Nasal Obstruction Symptom Evaluation (NOSE) foi traduzido e validado para a língua portuguesa, sendo uma ferramenta para avaliar a qualidade de vida em pacientes que apresentam obstrução nasal. Objetivos: Avaliar o impacto da septoplastia e da turbinectomia na qualidade de vida dos pacientes que apresentam obstrução nasal. Material e métodos: Quinze pacientes submetidos à septoplastia e à turbinectomia responderam ao questionário NOSE antes e depois do procedimento nasal. Resultados: A classificação do NOSE antes da cirurgia, era "grave" (media 72,5 pontos) após procedimento foi considerado "suave" (media 5 pontos). A comparação entre as respostas NOSE nos dois momentos analisados demonstrou melhora estatisticamente significativa (p < 0,05) dos sintomas, através do teste Wilcoxom; a pontuação z foi de -3,40, a média aritmética de 60; desvio padrão de 17,61. Conclusão: A septoplastia e a turbinectomia são eficazes na redução dos sintomas de obstrução nasal e, consequentemente, para melhora da qualidade de vida dos pacientes.

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Disease-specific quality of life after septoplasty and bilateral inferior turbinate outfracture in patients with nasal obstruction

Abstract: Septoplasty with bilateral outfracture of the inferior turbinate has proven to significantly improve disease-specific quality-of-life and this favorable outcome seems to occur precociously.

Cited by 6 publications

References 24 publications

Quality of Life and Symptoms Before and After Nasal Septoplasty With or Without Turbinoplasty Compared With Control Individuals in Saudi Arabia

Quality of Life and Symptoms Before and After Nasal Septoplasty With or Without Turbinoplasty Compared With Control Individuals in Saudi Arabia

A retrospective analysis with quality of life assessment of nasal surgery for nasal obstruction

Obstrução nasal: análise da qualidade de vida antes e depois do tratamento cirúrgico

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