The accuracy of different methods for diagnosing septal deviation in patients undergoing septorhinoplasty: A prospective study

Andrades, Patricio; Cuevas, Pedro; Danilla, Stefan; Bernales, Joaquin; Longton, Cristobal; Borel, Claudio; Hernández, Rodrigo; Villalobos, Rodrigo

doi:10.1016/j.bjps.2016.02.019

Cited by 16 publications

(17 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Deviations of the nasal septum are extremely common. Anatomic studies on human skulls revealed that 75–80% of all humans have a septal deviation to some degree [1, 2]. Hence, that septoplasty is one of the most frequently performed operation by otolaryngologists through the world [3–7].…”

Section: Introductionmentioning

confidence: 99%

Complications in septoplasty based on a large group of 5639 patients

Dąbrowska-Bień

Skarżyńśki

Gwizdalska

et al. 2018

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

PurposeSeptoplasty is a common surgical procedure used for correction of the nasal obstruction caused by a deviated septum. The aim of the study was to identify complications in septoplasty and analyze incidence depending on the surgical technique, based on the material from 2009 till 2017.MethodsThe material consisted of 5639 medical records from patients aged 16–69, operated in the tertiary referral center. Patients were divided into two groups (2784 exclusively with septoplasty and 2855 with combined septoplasty and turbinoplasty). Z test for the equality of two proportions was made to investigate the assumption that the proportions from two populations are equal, based on two samples, one from each population.ResultsComplications were listed according to international standards. Among the whole study group, different types of complications were noted in 193 patients (3.42%). The most frequent complication was excessive bleeding. Significant differences were observed between the two investigated groups. In patients with combined septoplasty and turbinoplasty septal hematoma, hyposmia, prolonged healing due to infection, adhesions and temporary reduced visual acuity were significantly more often encountered.ConclusionsMeticulous attention to detail in identifying the appropriate anatomy and maintaining good visualization is the key to a safe and effective septoplasty, enabling for very low complication rate.

show abstract

Section: Introductionmentioning

confidence: 99%

Complications in septoplasty based on a large group of 5639 patients

Dąbrowska-Bień

Skarżyńśki

Gwizdalska

et al. 2018

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…On the other hand, nasal trauma types III and IV require a CTor endoscopy for adequate diagnosis of the septum and precise operative planning. 30 Surgery is a spectrum that goes from closed nasal bone reduction, open septoplasty, open reduction with internal fixation, or a combination of all. Nasal repair may also include osteotomies and cartilage graft if required in a progressive fashion.…”

Section: Discussionmentioning

confidence: 99%

A Five-Year Retrospective Cohort Study Analyzing Factors Influencing Complications after Nasal Trauma

Andrades

Pereira

Rodriguez

et al. 2019

Craniomaxillofacial Trauma & Reconstruction

Self Cite

View full text Add to dashboard Cite

The purpose of this study was to assess the outcomes of patients with nasal trauma during a long period of time and determine factors predisposing to complications after nasal trauma treatment. A retrospective cohort study was conducted that included all patients who were attended for a nasal trauma between January and December 2010. In 2015, the charts were retrospectively reviewed and the patients were prospectively followed up looking for outcomes after treatment of nasal trauma. A univariate analysis between complications and risk factors was performed and a logistic regression model was used to explore the prognostic role of the variables considered to have clinical relevance and to estimate the odds ratio for the occurrence of postoperative complications. A total of 220 consecutive patients with nasal trauma were included in the study. The mean follow-up was 44.3 ± 10.3 months (3–67) with 10% of lost patients. The most important factors determining complications after nasal trauma treatment were male gender, acute septal injury, chronic septal deviation, displaced or comminuted fractures in the radiologic study, and late nasal reduction surgery. A decision-making algorithm is proposed based on the fact that nasal bone fracture is not a minor problem and that closed nasal bone reduction is not the treatment of choice for all patients with nasal trauma.

show abstract

“…The nasal septum is a cartilaginous structure that plays a major role in supporting and shaping the nose [10,11].…”

Section: Introductionmentioning

confidence: 99%

Is there a relationship between Eustachian tube dysfunction and nasal septal deviation in a sample of the Lebanese population?

et al. 2020

View full text Add to dashboard Cite

Background The Eustachian tube (ET) is considered an organ by itself due to its specific functions. An ET Dysfunction (ETD) is discussed when this tube is unable to ventilate the middle ear properly. Clinically, the patient reports usually some aural fullness, “popping”, “under water” sensation as if the ear is clogged. This condition is common affecting at least 5% of the adult population. It can impair quality of life and become disabling. On the other side, the prevalence of nasal septal deviation (NSD) is believed to be around 22.83% in the adult population. Nasal septal deviation is thought to cause a decline in the middle ear ventilation according to certain authors. The primary outcome is to define the predictive value of the side of Eustachian Tube Dysfunction (ETD) symptoms vis-à-vis the side of nasal septal deviation (NSD) in patients having the two conditions concomitantly. Methods A cross-sectional study was conducted between July 2018 and September 2019. Overall, 60 consecutive subjects (total of 120 ears), randomly seen at the Otorhinolaryngology Outpatient Clinics at the Eye and Ear International Hospital, Lebanon, all year-round were enrolled and tested without any geographic preferences. The Eustachian Tube Dysfunction Questionnaire (ETDQ) -7 questionnaire was used to evaluate ETD. Results A significantly higher ETD score was found in males compared to females, in those with left septal deviation compared to right and in those who have symptoms on the left compared to right side. Frequent exposure to higher changes in altitude (commute from home to workplace) was also significantly associated with higher ETD scores (r = 0.265), whereas higher Left Tympanometric peak pressure (TPP in daPa) on tympanometry was significantly associated with lower ETD score (r = − 0.467). Furthermore, 25 patients who had symptoms on the left side had also a septal deviation to the left side (86.2%), whereas 29 (93.5%) patients who had the symptoms on the right side had septal deviation to the right side (p < 0.001). Conclusion Our data highlighted the importance of altitude and geographic distribution of patients especially in a population exposed to barotrauma on a daily basis like the Lebanese population. Tympanometry, on the other hand, failed to correlate with patient reported symptoms and thus needs further evaluation. The reported ETD symptoms of the patient correlates to the side of NSD.

show abstract

The accuracy of different methods for diagnosing septal deviation in patients undergoing septorhinoplasty: A prospective study

Cited by 16 publications

References 20 publications

Complications in septoplasty based on a large group of 5639 patients

Complications in septoplasty based on a large group of 5639 patients

A Five-Year Retrospective Cohort Study Analyzing Factors Influencing Complications after Nasal Trauma

Is there a relationship between Eustachian tube dysfunction and nasal septal deviation in a sample of the Lebanese population?

Contact Info

Product

Resources

About