Septoplasti hastalarının yaşam kalitesi ölçeği, rinomanometri ve bilgisayarlı tomografi ile değerlendirilmesi

Amaç: Deviye nazal septum DNS tanısı konan hastalarda spesifik yaşam kalitesi septoplasti öncesi ve sonrasında değerlendirildi; ayrıca, tanının laboratuvar bulgularla anterior rinomanometri ve bilgisayarlı tomografi ilişkisi incelendi.Hastalar ve Yöntemler: Çalışmaya DNS tanısı konan 39 hasta alındı. Hastalar septoplasti öncesinde, koronal planda paranazal sinüs tomografisi, anterior rinomanometri ve Burun Tıkanıklığı Şikayet Değerlendirme Formu BTŞDF ile incelendi. Ameliyat sonrası üçüncü ayda anterior rinomanometri ve BTŞDF tekrarlandı.Bulgular: Hastaların BTŞDF puanlarında ameliyat öncesine göre anlamlı azalma p

Anahtar Kelimeler:

Manometri, burun tıkanıklığı/tanı/cerrahi, nazal septum/cerrahi, anket, rinoplasti, bilgisayarlı tomografi

Evaluation of septoplasty patients with health status scale, rhinomanometry, and computed tomography

Objectives: We evaluated disease-specific health status prior to and after septoplasty in patients with nasal septal deviation NSD , and sought correlation between diagnosis and laboratory findings anterior rhinomanometry and computed tomography . Patients and Methods: The study included 39 patients 8 females, 31 males; mean age 41 years; range 18 to 59 years with a diagnosis of NSD. Prior to septoplasty, all patients were evaluated by coronal paranasal sinus computed tomography CT , anterior rhinomanometry and the Nasal Obstruction Symptom Evaluation NOSE scale. Rhinomanometry and the NOSE scale were repeated three months after septoplasty. Results: Compared to the preoperative values, the patients exhibited a significant decrease in NOSE scores, and in rhinomanometry, significantly increased nasal airflow and decreased total nasal airway resistance p<0.05 . No relationship was found between preand postoperative NOSE scores and total nasal airway resistance, and between preoperative NOSE scores and the severity of NSD assessed by CT p>0.05 . Conclusion: The NOSE scale is a reliable test to assess health status of patients with nasal obstruction symptoms. The diagnosis of NSD does not require rhinomanometry or computed tomography.

Keywords:

Manometry nasal obstruction/diagnosis/surgery, nasal septum/surgery, questionnaires, rhinoplasty, tomography, X-ray computed,

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