Effect of Deviated Nasal Septum Type on Nasal Mucociliary Clearance, Olfactory Function, Quality of Life, and Efficiency of Nasal Surgery

Berkıten, Güler; Kumral, Tolgar Lütfı; Saltürk, Zıya; Atar, Yavuz; Yıldırım, Güven; Uyar, Yavuz; Aydoğdu, İmran; Arslanoğlu, Ahmet

doi:10.1097/scs.0000000000002696

Cited by 18 publications

(17 citation statements)

References 25 publications

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“…Previous reports demonstrated similar results. 1,11,[13][14][15]46,53 Postoperatively, olfaction-associated QoL did not differ significantly between the three groups. Olfaction-related QoL was improved for both normosmic patients and those with olfactory dysfunction.…”

Section: Discussionmentioning

confidence: 83%

“…Nasal septal deviation is a common nasal disease causing nasal obstruction symptoms and decreased olfactory function, which, in turn, affect the QoL of the patients. 15,46 Although there are previous reports on patients' satisfaction and the impact of septoplasty on the QoL of th epatients, 23,[47][48][49][50][51] there are no studies analyzing the impact of olfactory dysfunction on the emotional status and QoL in patients who had septoplasty. The present study assessed olfactory function as a potential predictor of patients' QoL and psychological status improvement, analyzing the correlations of demographic and clinical characteristics of the patients who experience a clinically significant improvement on the emotional status and QoL.…”

Section: Discussionmentioning

confidence: 99%

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The Impact of Olfactory Dysfunction on the Psychological Status and Quality of Life of Patients with Nasal Obstruction and Septal Deviation

Valsamidis

Printza

Constantinidis

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Olfactory dysfunction may be present in patients with nasal obstruction and septal deviation. The impact of olfactory dysfunction on the psychological profile and quality of life (QoL) of these patients remains unexplored. Objective The present study aimed to investigate the emotional status and QoL of patients with olfactory dysfunction and septal deviation and to identify predictors associated with clinically significant improvement of psychological status and QoL, focusing mainly on the role of olfactory recovery after septoplasty. Methods The olfactory function was quantitatively assessed using the ‘‘Sniffin’ sticks'' test (Burghart Messtechnik GmbH, Wedel, Germany) in 60 patients and 25 controls enrolled in this prospective study. The participants completed validated questionnaires specific for general health (Short Form-36), nasal-symptom related QoL (SinoNasal Outcome Test-22), olfaction-associated QoL (Questionnaire of Olfactory Deficits) and for assessing their psychological state (Short Anxiety Screening Test and Beck Depression Inventory) preoperatively and 6 months postoperatively. The patients used the Glasgow Benefit Inventory to evaluate their personal benefit after septoplasty with. Results Septoplasty led to significantly improved olfactory function. Patients with olfactory impairment had significantly lower nasal-symptom related QoL, higher stress levels, and more depressive mood compared with normosmics and controls before and after septoplasty. Postoperatively, personal benefit from surgery was higher in normosmic patients. Improvement of nasal-symptom related QoL was significantly associated with higher likelihood of clinically significant improvement of patients' psychological profile and more personal benefit from surgery. Olfactory dysfunction was negatively correlated with the emotional status of the patients. Conclusion Olfactory dysfunction appears to significantly affect the psychological status of patients with nasal obstruction, and olfactory recovery improves the patients' perception of personal benefit from septoplasty.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

The Impact of Olfactory Dysfunction on the Psychological Status and Quality of Life of Patients with Nasal Obstruction and Septal Deviation

Valsamidis

Printza

Constantinidis

et al. 2020

Int Arch Otorhinolaryngol

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“…STATA® 16.0 (StataCorp., College Station, TX, USA) software was used for the meta-analysis. The difference in means in olfactory function was calculated for 2 studies reporting BSIT scores (12,18) , 4 reporting CCCRC scores (6,13,15,20) , 4 reporting all three subsets of the Sniffin' Sticks test (4,5,14,21) and 2 reporting SST OI scores (10,11) .…”

Section: Discussionmentioning

confidence: 99%

“…However, because each test measures olfaction differently they can't be pooled together, so no overall effect size can be calculated. Berkiten et al (13) , 2016 SP CCCRC 6 w Mean score of 3.81 (0.89) Statistically significant improvement Dalgic et al (14) , 2016 Miyake et al (16) , 2016 Randhawa et al (17) , 2016 SRP SST (OD) 12 w NR Significant change in SST score. 58% improved, 35% remained the same, 7% worsened Haytoglu et al (18) , 2017 Turk et al (19) , 2017 SP SST (OT, OD, OI) 6 w 33.3% of patients were normosmic, 60.0% hyposmic, and 6.7% anosmic Significant improvement in SST scores.…”

Section: Discussionmentioning

confidence: 99%

“…Septoplasty is the standard treatment for nasal septum deviation because it generally results in improved nasal airflow and resolution of nasal obstruction symptoms; however, it is not without side effects (9) . To date, there are multiple studies evaluating the effects of septal surgery on olfactory function and nasal symptoms with conflicting results (2,(4)(5)(6)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21) .…”

Section: Introductionmentioning

confidence: 99%

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Change in olfactory function after septoplasty. A systematic review and meta-analysis

Grabosky¹,

Mackers²,

Langdon³

et al. 2020

Rhin

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BACKGROUND: Septoplasty is one of the most frequently performed surgeries. However, there remains a question as to the effect of such intervention on the sense of smell. This study aims to examine the available evidence regarding the effect of septoplasty on the sense of smell. METHODS: A database search was performed using PubMed, ScienceDirect, Google Scholar and The Cochrane Library databases from January 1990 to February 2020. Search terms included smell, olfaction, odor, septum, septoplasty, and septorhinoplasty. A meta-analysis was performed with 12 studies that provided sufficient data on change in olfaction. RESULTS: 14 studies met the inclusion criteria, and 2 additional studies were included manually; comprising a total of 996 patients and 25 controls. Significant improvement in olfactory test scores was observed in all tests. Pre- and postoperative differences in means were 0.63 for BSIT, 0.80 for CCCRC test, 1.16 for odor threshold, 1.43 for odor discrimination, and 1.18 for odor identification. CONCLUSIONS: Septoplasty seems to improve olfactory function. However, the outcome of this intervention is discrete and not equal for all patients, so further randomized trials are needed to confirm current findings.

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Nasal packing and trans-septal suturing after septoplasty

Lou

2017

Eur Arch Otorhinolaryngol

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Effect of Deviated Nasal Septum Type on Nasal Mucociliary Clearance, Olfactory Function, Quality of Life, and Efficiency of Nasal Surgery

Cited by 18 publications

References 25 publications

The Impact of Olfactory Dysfunction on the Psychological Status and Quality of Life of Patients with Nasal Obstruction and Septal Deviation

The Impact of Olfactory Dysfunction on the Psychological Status and Quality of Life of Patients with Nasal Obstruction and Septal Deviation

Change in olfactory function after septoplasty. A systematic review and meta-analysis

Nasal packing and trans-septal suturing after septoplasty

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