Sükran Vural1, Ebru Taş, A Okan Gürsel. 1. Department of Otolaryngology, Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey. sukranvural@gmail.com
Abstract
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 pre-and 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 tool to assess health status of patients with nasal obstruction symptoms. The diagnosis of NSD does not require rhinomanometry or 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 pre-and 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 tool to assess health status of patients with nasal obstruction symptoms. The diagnosis of NSD does not require rhinomanometry or computed tomography.