Comparison of Subjective and Objective Success of Septoplasty in Patients with Nasal Septum Deviation: A Before and After Study

Comparison of Subjective and Objective Success of Septoplasty in Patients with Nasal Septum Deviation: A Before and After Study

Objective: Aim of the study is to evaluate the subjective outcomes and objective outcomes postoperatively and investigate correlations between these measurements. Material and Methods: This prospective before and after surgical study was conducted with patients admitted with symptomatic nasal septum deviation (NSD) and who underwent Cottle’s septoplasty. Morphometric diameters of the nasal cavity were measured using a multi-detector computed tomography. Preoperative and postoperative one-month Nasal Obstruction Symptom Evaluation Scale (NOSE) score, acoustic rhinometry (AR), and anterior active rhinomanometry (AAR) measurements were used to evaluate the success of surgery. The correlations between these measurements were also evaluated. Results: The study population consisted of 30 patients, including 19 males and 11 females, with a median age of 27.5 years. There was a statistically significant difference between pre and postoperative NOSE scores, with a mean difference of 53.17 points (p

___

  • Konstantinidis I, Triaridis S, Triaridis A, Karagiannidis K, Kontzoglou G. Long term results following nasal septal surgery. Focus on patients’ satisfaction. Auris, Nasus, Larynx 2005;32(4):369-74.
  • Tsang CLN, Nguyen T, Sivesind T, Cervin A. Long-term patientrelated outcome measures of septoplasty: a systematic review. European archives of oto-rhino-laryngology: official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS): affiliated with the German Society for Oto-Rhino- Laryngology - Head and Neck Surgery 2018;275(5):1039-48.
  • Sedaghat AR, Busaba NY, Cunningham MJ, Kieff DA. Clinical assessment is an accurate predictor of which patients will need septoplasty. Laryngoscope 2013;123(1):48-52.
  • Shah J, Roxbury CR, Sindwani R. Techniques in Septoplasty: Traditional Versus Endoscopic Approaches.Otolaryngol Clin North Am 2018;51(5):909-17.
  • Hsu HC, Tan CD, Chang CW, Chu CW, Chiu YC, Pan CJ, et al. Evaluation of nasal patency by visual analogue scale/nasal obstruction symptom evaluation questionnaires and anterior active rhinomanometry after septoplasty: a retrospective oneyear follow-up cohort study.Clin Otolaryngol 2017;42(1):53-9.
  • Moore M, Eccles R. Objective evidence for the efficacy of surgical management of the deviated septum as a treatment for chronic nasal obstruction: a systematic review. Clin Otolaryngol 2011;36(2):106-13.
  • Fettman N, Sanford T, Sindwani R. Surgical management of the deviated septum: techniques in septoplasty. Otolaryngol Clin North Am 2009;42(2):241-52.
  • Kim JS, Heo SJ. Questionable Effect of Crosshatching Incision in Septoplasty. Clin Exp Otorhinolaryngol 2020;13(1):47-51.
  • Most SP, Rudy SF. Septoplasty: Basic and Advanced Techniques. Facial Plast Surg Clin North Am 2017;25(2):161-9.
  • Mondina M, Marro M, Maurice S, Stoll D, de Gabory L. Assessment of nasal septoplasty using NOSE and RhinoQoL questionnaires. Eur Arch Otorhinolaryngol 2012;269(10):2189-95.
  • Sahin C. Evaluation of Patient Satisfaction After Nasal Septoplasty Operation Using Peak Nasal Inspiratory Flow and Nasal Obstruction Symptom Score Questionnaire. J Craniofac Surg 2016;27(5):1289- 91.
  • Floyd EM, Ho S, Patel P, Rosenfeld RM, Gordin E. Systematic Review and Meta-analysis of Studies Evaluating Functional Rhinoplasty Outcomes with the NOSE Score. Otolaryngol Head Neck Surg 2017;156(5):809-15.
  • Mladina R. The role of maxillary morphology in the development of pathological septal deformities. Rhinology. 1987;25(3):199-205.
  • Aksu F GMN, Kahveci O, Cırpan S, Karabekir S. Diameters of piriform aperture and choana: An anatomic study. Dokuz Eylül Univ Sch Med J. 2013;27(1):1-6.
  • Hilberg O, Pedersen OF. Acoustic rhinometry: recommendations for technical specifications and standard operating procedures. Rhinol Suppl 2000;16:3-17.
  • Clement PA, Gordts F. Consensus report on acoustic rhinometry and rhinomanometry. Rhinology 2005;43(3):169-79.
  • Cantone E, Ricciardiello F, Oliva F, De Corso E, Iengo M. Septoplasty: is it possible to identify potential “predictors” of surgical success? Acta Otorhinolaryngol Ital 2018;38(6):528-35.
  • André RF, Vuyk HD, Ahmed A, Graamans K, Nolst Trenité GJ. Correlation between subjective and objective evaluation of the nasal airway. A systematic review of the highest level of evidence. Clin Otolaryngol 2009;34(6):518-25.
  • Apaydın E, İkincioğulları A, Çolak M, Atan D, Ensari S, Dere HH. The Voice Performance After Septoplasty With Surgical Efficacy Demonstrated Through Acoustic Rhinometry and Rhinomanometry. J Voice 2020;34(4):649.e15-.e20.
  • Eren SB, Tugrul S, Dogan R, Ozucer B, Ozturan O. Objective and subjective evaluation of operation success in patients with nasal septal deviation based on septum type. Am J Rhinol Allergy 2014;28(4):e158-62.
  • Lodder WL, Leong SC. What are the clinically important outcome measures in the surgical management of nasal obstruction? Clin Otolaryngol 2018;43(2):567-71.
  • Ziai H, Bonaparte JP. Determining a Successful Nasal Airway Surgery: Calculation of the Patient-Centered Minimum Important Difference. Otolaryngol Head Neck Surg 2017;157(2):325-30.
  • Stewart MG, Smith TL, Weaver EM, Witsell DL, Yueh B, Hannley MT, et al. Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Otolaryngol Head Neck Surg 2004;130(3):283-90.
  • Vogt K, Jalowayski AA, Althaus W, Cao C, Han D, Hasse W, et al. 4-Phase-Rhinomanometry (4PR)--basics and practice 2010. Rhinol Suppl 2010;21:1-50.
  • Lara-Sánchez H, Álvarez Nuño C, Gil-Carcedo Sañudo E, Mayo Iscar A, Vallejo Valdezate L. Assessment of nasal obstruction with rhinomanometry and subjective scales and outcomes of surgical and medical treatment. Acta Otorrinolaringol Esp 2017;68(3):145- 50.
  • Mengi E, Cukurova I, Yalçın Y, Yiğitbaşı OG, Karaman Y. [Evaluation of operation success in patients with nasal septal deviation with quality of life scale and objective methods]. Tr-ENT 2011;21(4):184- 91.
  • Gamerra M, Cantone E, Sorrentino G, De Luca R, Russo MB, De Corso E, et al. Mathematical model for preoperative identification of obstructed nasal subsites. Acta Otorhinolaryngol Ital. 2017;37(5):410-5.
  • Jones AS, Willatt DJ, Durham LM. Nasal airflow: resistance and sensation. J Laryngol Otol 1989;103(10):909-11.
  • Pirilä T, Tikanto J. Acoustic rhinometry and rhinomanometry in the preoperative screening of septal surgery patients. Am J Rhinol Allergy 2009;23(6):605-9.
  • Haavisto LE, Sipilä JI. Acoustic rhinometry, rhinomanometry and visual analogue scale before and after septal surgery: a prospective 10-year follow-up. Clin Otolaryngol 2013;38(1):23-9.
  • De Corso E, Bastanza G, Di Donfrancesco V, Guidi ML, Morelli Sbarra G, Passali GC, et al. Radiofrequency volumetric inferior turbinate reduction: long-term clinical results. Acta Otorhinolaryngol Ital 2016;36(3):199-205.