Quality of life and symptoms before and after nasal septoplasty compared with healthy individuals

Abstract

BackgroundThe goal of this study is to compare quality of life (Qol) and symptoms in 91 patients with a deviated nasal septum preoperatively and postoperatively with a control group of 93 healthy individuals.MethodsAll patients reported Qol on Sino-Nasal-Outcome-Test-20 (SNOT-20) and symptoms on visual analogue scale (VAS) preoperatively and 6 months after surgery and the results were compared with the controls.ResultsMean SNOT-20 score improved from 1.8(SD0.9) preoperatively to 0.9(SD0.8) postoperatively (p < 0.000) but did not reach the same level as the controls 0.4(SD0.5). Septum surgery leads to a significant symptom improvement for all symptoms investigated (p < 0.000) on VAS. The patients reached the same level as the healthy controls in 6 of 11 symptoms (headache, facial pain, sneezing, trouble with rhinosinusitis, cough and snoring) but the patients group had significantly more trouble with nasal blockage (VAS 29 vs 9), change in sense of smell (VAS 12 vs5), nasal discharge (VAS 22 vs 11), oral breathing (VAS 23 vs 13) and reduced general health (VAS 12 vs 5) also postoperatively (p < 0.01). Sub analyses showed that allergic patients reported a VAS score of 36 (SD30) for nasal blockage and 17 (SD22) for facial pressure postoperatively versus 23(SD22) and 6(SD13) in non-allergic patients (p < 0.03 and p < 0.01). Patients with obstructive sleep apnea syndrome (OSAS) reported more trouble with snoring on VAS postoperatively than other patients, 42(SD28) versus 20(SD23) (p < 0.002).ConclusionSeptoplasty leads to a highly significant improvement in Qol and symptoms. The patients do not reach the same level of Qol as healthy controls. All symptoms are reported as mild on VAS postoperatively.Allergic patients tend to report more nasal blockage and facial pressure postoperatively than other patients and a focus on medical treatment should be kept also postoperatively. Patients with obstructive sleep apnea report more trouble with snoring postoperatively and alterative treatment options for snoring may be considered in these patients.Electronic supplementary materialThe online version of this article (doi:10.1186/s12901-016-0031-7) contains supplementary material, which is available to authorized users.

Efecto de la intervención nasal y nasosinusal en calidad de sueño en el Hospital Edgardo Rebagliati Martins 2017

“…Estos datos no solo reflejan una diferencia de medias significativa (4,87 postoperatorio, versus 8,35 preoperatorio), sino que también implica que, antes de la intervención, tenían mala calidad de sueño (valor menor a 6) que se corrigió después de la operación. Esta información es similar a la reportada en otros estudios (1)(2)(3)(4)(5)(13)(14)(15) . Los procedimientos corrigen el bloqueo nasal y mejoran la calidad de sueño en general.…”

The effect of open technique septoplasty on quality of life

“…Bugten ve ark. [2] septoplasti uygulanan hastalarda SNOT-20 ve VAS skorları değerlendirmeleri sonucunda semptomlarda istatistiksel olarak anlamlı bir düzelme saptamışlardır. Burun Tıkanıklığı Belirti Değerlendirme Ölçeği (NOSE) skoru ile septoplasti başarısını değerlendiren Gandomi ve ark.…”

“…Septum deviasyonu prevelansı %19 ile %65 arasında değişmektedir ve septum deviasyonunun kent merkezlerinde görülme sıklığı ise %26.7 olarak bildirilmiştir. [1,2] Septum deviasyonu olan hastalarda sıklıkla burun travması öyküsü olsa da hastalar genel olarak net bir öz geçmiş öyküsü vermemektedir. Bunun yanında, septum deviasyonunun genetik faktörler dışında doğum travması veya yaşamın erken dönemlerindeki travmalar sonucunda septal kıkırdakta oluşabilecek mikro çatlaklar ile meydana gelebileceği de düşünülmektedir.…”

Patient’s Perspectives on Endoscopic SMR with Spurectomy and Post-operative Synechia Formation

“…These surgical procedure aims to remove or straighten the deviated cartilage and bone of the nasal septum. However, complications like hematoma, adhesions, septal perforation, infections are often reported in submucosal resection [7][8][9] . Nasal packaging or internal septal splinting is routinely adopted by surgeons, before having any postoperative complications.…”