Erdem MENGİ, İbrahim ÇUKUROVA, Yusuf YALÇIN, Orhan Gazi YİĞİTBAŞI, Yücel KARAMAN

Nazal septum deviyasyonlu hastalarda ameliyat başarısının yaşam kalitesi ölçeği ve objektif yöntemler ile değerlendirilmesi

Amaç: Bu çalışmada, nazal septum deviyasyonu tanısı konulmuş hastalarda yaşam kalitesinin septoplasti öncesi ve sonrasında değerlendirilmesi, ayrıca akustik rinometri ve rinomanometri yöntemlerinin cerrahi başarının objektif olarak ortaya konulmasındaki yeri ve öneminin gösterilmesi amaçlandı.Hastalar ve Yöntemler: Bu çalışma septoplasti ameliyatı uygulanan 44 hasta üzerinde yapıldı. Hastaların ameliyat öncesi yakınmaları Nazal Obstrüksiyon Semptom Değerlendirme NOSE skalası ile değerlendirildi. Hastaların eş zamanlı olarak dekonjesyon öncesi ve sonrası akustik rinometri ve rinomanometri verileri kaydedildi. Septal cerrahi yöntemi olarak Cottle septoplastisi uygulanan hastalar, ameliyattan bir ay sonra NOSE skalası, akustik rinometri ve rinomanometri ile tekrar değerlendirildi ve bulgular ameliyat öncesi verilerle karşılaştırıldı.Bulgular: Hastaların ameliyat öncesine göre NOSE skoru değerlerinde anlamlı azalma p

Anahtar Kelimeler:

Akustik rinometri, Nazal Obstrüksiyon Semptom Değerlendirme skalası, rinomanometri, septoplasti.

Evaluation of operation success in patients with nasal septal deviation with quality of life scale and objective methods

Objectives: In this study we aimed to evaluate the quality of life during before, and after septoplasty in patients who were diagnosed with nasal septal deviation and also to demonstrate the role and importance of acoustic rhinometry and rhinomanometry methods in objectively demonstrating surgical success. Patients and Methods: This study was carried out in 44 patients undergoing septoplasty surgery. Patients’ preoperative complaints were evaluated by Nasal Obstruction Symptom Evaluation NOSE scale. The pre- and postdecongestion acoustic rhinometry and rhinomanometry data of the patients were recorded simultaneously. One month after Cottle’s septoplasty performed as the septal surgery method, patients were re-evaluated by NOSE scale, acoustic rhinometry and rhinomanometry and the findings were compared with the preoperative data. Results: Compared to the patients’ preoperative values, a significant decrease in NOSE scores p<0.05 ; a significant increase in the minimal cross-sectional area MCA1, MCA2 and volume values measured by acoustic rhinometry p<0.05 and a significant decrease in the nasal resistance values measured by rhinomanometry p<0.05 were observed. No significant relationship was found between the change in patients’ preand postoperative NOSE score values and the change in their acoustic rhinometry and rhinomanometry data p>005 . Conclusion: Nowadays, evidence-based medical practices are increasingly gaining importance and acoustic rhinometry and rhinomanometry are methods that can be used in objective evaluation of operation success.

Keywords:

Acoustic rhinometry, Nasal Obstruction Symptom Evaluation scale, rhinomanometry, septoplasty,

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