Evaluation of the Effect of Localization of Septal Deviation on the Success of Septoplasty using NOSE Scale

Sisman, Ayse Sezim; Akpınar, Meltem; Kara, Mustafa; Kıvanç, Sertaç Argun

doi:10.5152/tao.2013.11

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…11 Sisman et al reported no association between localization of the septal deviation and the NOSE score; however, there was a postoperative significant decrease in the NOSE score compared with the preoperative values. 12 Nasal obstruction is commonly observed ipsilateral to the side of the deviation; conversely, in some cases due to inferior conchal hypertrophy, the nasal obstruction can be observed on the contralateral side, known as paradoxical nasal obstruction. 4 There is no consensus on whether this hypertrophy requires treatment; and if so, which technique is to be used.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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Impact of septal deviation and turbinate hypertrophy on nasal airway obstruction: insights from imaging and the NOSE scale: a retrospective study

Dikici,

Durgut

2024

Egypt J Otolaryngol

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Background The aim of this study was to evaluate the effects of nasal septum deviation and inferior turbinate hypertrophy on nasal obstruction by utilizing the Nose Obstruction Symptom Evaluation (NOSE) values and paranasal sinus computed tomography (PSCT) findings for correct preoperative evaluation. Methods Ninety-six patients (57 males and 39 females) aged between 18 and 54 years (mean age, 30.3 ± 9.7 years) participated in this study. Among them, 56 patients underwent septoplasty combined with inferior turbinate outfracture, while 40 patients underwent septoplasty alone. Preoperative nasal examinations were performed on all patients. The direction, location, nasal septum deviation classification, and inferior turbinate hypertrophy size classification were carefully evaluated and compared with the NOSE survey results. PSCT of 56 patients were evaluated and classified by calculating the coronal location of septum deviation, the axial location of septum deviation, the coronal angle of septum deviation, and the axial angle of septum deviation. Results A positive correlation was found between the coronal location of the septal deviation and the preoperative NOSE 2, and the NOSE total, and the difference of postoperative and preoperative NOSE (p = 0.032, p = 0.007, p = 0.021, respectively). There was a statistically significant relationship between the coronal location of the septal deviation classification and the NOSE preoperative total values (p = 0.26). A negative statistically significant correlation was found between inferior turbinate hypertrophy and preoperative NOSE 5 values (p = 0.029). Conclusion We conclude that the combination of PSCT and the NOSE scale is helpful in determining the severity of nasal obstruction prior to surgery. Specifically, we found that nasal septum deviations located in the anterior and coronal planes have a greater impact on nasal obstruction compared to deviations in the axial plane. Inferior turbinate fracture does not provide more benefit than septoplasty alone in treating patients’ nasal obstruction. These findings emphasize the importance of a comprehensive approach in addressing nasal obstruction for optimal patient outcomes.

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Evaluation of the Effect of Localization of Septal Deviation on the Success of Septoplasty using NOSE Scale

Cited by 2 publications

References 9 publications

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

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

Impact of septal deviation and turbinate hypertrophy on nasal airway obstruction: insights from imaging and the NOSE scale: a retrospective study

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