Patients’ evaluation for the surgical management of nasal obstruction

Abstract

SummaryStatement of problem: Surgery for nasal obstruction is performed to give a subjective benefit. We aimed to evaluate the surgical management of the nasal obstruction in the patient's perception. Methods of study:The study was performed prospectively with 134 patients over the age of 18. They were allotted to three groups according to the level of nasal obstruction by clinical examination. The G1 group had only a deviated nasal septum (DNS), G2 had DNS and hypertrophy of inferior turbinates, and G3 had nasal valve problems in conjunction with DNS. All the patients had surgery focused on obstructive pathologies. The study was conducted using three different scoring systems to determine the patients' evaluation of the surgical procedures. Results:The study included more man than woman, with a mean age around 28 (wide range). Twenty six patients were in G1, 73 patients in G2 and 35 patients in G3. Total and general Glasgow Benefit Inventory (GBI) scores for each group showed improvement postoperatively. There was a significant difference between the groups for general GBI score, and Post-hoc test showed that the improvement of G1 was greater than of G3. The influence of the surgery on physical health, psycho-social function and social interaction scores for each group showed no changes postoperatively. There was a significant improvement in all Nasal Obstruction Septoplasty Effectiveness (NOSE) scores and Likert Scale scores for each group. The improvement of G1 and G2 were greater than G3 on the Likert Scale. Conclusion:Surgical management targeted to the region of obstruction improves symptoms and benefit in the patient's perception.

The Glasgow Benefit Inventory: a systematic review of the use and value of an otorhinolaryngological generic patient‐recorded outcome measure

“…Subscales reported. Distribution of individual data given Low grade: Children in cohort and not reported separately.…”

“…Fourteen papers 11,36,37,[47][48][49]53,64,83,88,92,95,98,119 compared one type of surgery against another type of surgery for the same condition. In none was a power analysis reported of the numbers required having each operation to show a difference.…”

Quality of life of patients who underwent aesthetic rhinoplasty: 100 cases assessed with the Glascow Benefit Inventory

“…The majority of the studies concerned ear surgery and cochlear implants, but it has also been used in other operations such as tonsillectomy, dacryocystorhinostomy, functional endoscopic sinus surgery, and phonosurgery . In addition, the GBI has been used in nasal operations such as septoplasty, nasal valve surgery, and rhinoplasty …”

“…[11][12][13][14] In addition, the GBI has been used in nasal operations such as septoplasty, nasal valve surgery, and rhinoplasty. 6,[15][16][17] The GBI is composed of 18 questions, and the results are divided into four groups: general score, general subscale, social support subscale, and physical health subscale. All questions are balanced and have the same validity.…”

Evaluation of a nasal surgical questionnaire designed for monitoring surgical outcomes and comparing different techniques

“…[1][2][3][4] However, subjective methods have increasingly been used in recent years. 11,12 Prospective studies of surgical results often have a dual purpose: to monitor the results of current surgical techniques and procedures, and to compare the results of different surgical techniques. 10 Other studies have validated the usefulness of subjective methods.…”