Septoplasty outcome in patients with and without allergic rhinitis

Abstract

The surgeon should proceed with caution when managing patients with allergic rhinitis and nasal septum deviation. These patients are more likely to be less satisfied after septoplasty compared to patients without allergy. Adequate medical management of allergic rhinitis should be the first priority for these cases.

Non‐invasive Assessment and Symptomatic Improvement of the Obstructed Nose (NASION): a physiology‐based patient‐centred approach to treatment selection and outcomes assessment in nasal obstruction

“…Indeed, the presence of nasal allergy was the only significant predictor of failure of surgical therapy in this series. These findings are consistent with earlier reports . On the one hand, this emphasises the importance of universally undertaken nasal allergy testing before surgery, and on the other hand, it raises an interesting question about the role and threshold for offering surgery to correct the structural component of nasal obstruction in patients with mucosal–structural disease.…”

A Study on the Relationship of Deviated Nasal Septum With Middle Ear Pressure Among Patients Treated in a Tertiary Care Centre

“…The chi-square test showed a value of 9.075 with a p-value of 0.003 which had strong significance. The result is comparable to that of the study by Karatzanis AD et al 14 which showed that improvement after septoplasty was less in patients who were also having allergic rhinitis.…”

“…Inflammatory conditions like allergic rhinitis and chronic sinusitis lead to ETD and negative MEP. Studies by Karatzanis AD et al 14 and Rudmik L et al 15 showed that mere correction of DNS didn't have much effect on allergic rhinitis and chronic sinusitis respectively, and thereby on Eustachian tube function and MEP.…”

Predictive factors of subjective outcomes after septoplasty with and without turbinoplasty: can individual perceptual differences of the air passage be a main factor?

“…The presence of allergies also failed to show a relationship with outcomes in this study, despite its correlation with subjective satisfaction in 1 prior study. 8 There is some limitation in measurement of the severity of septal deviation. Classification used in this study, according to 1 of 3 categories using nasal endoscope, was not validated method.…”