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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery
Indexed/Abstracted in: EMBASE, Scopus
Otorinolaringologia 2016 September;66(3):54-8
Assessment of the septoplasty outcome
Ehab T. YASSEN, Mohammed R. DAWOOD
Otolaryngology Department, College of Medicine, Al-Mustansiriya University, Baghdad, Iraq
BACKGROUND: Several studies had investigated the effect of septoplasty on patient nasal symptoms and the quality of life. This study was aimed to evaluate the subjective improvement of nasal symptoms and the disease related quality of life in patients underwent septoplasty with or without turbinectomy.
METHODS: A prospective study included 80 Septoplasties were divided according to clinical finding and decided surgery into two groups; 41 Septoplasties with inferior turbinectomy were tagged as “first group”, and 39 Septoplasties without inferior turbinectomy were tagged as “second group”. A questionnaire formula for data collection was evaluated by all patients through 2 types of validated disease-specific outcome instruments; Nasal obstruction septoplasty effectiveness scale (NOSE Scale) and Sino-nasal outcome test 22 (SNOT 22), 1 week before the operation and 6 months after it.
RESULTS: The pre and postoperative mean score for NOSE scale; was 14.77, and 5.66, andthe mean difference was 63.54%, with P value <0.001 in (1st group), and was 13.27, and 6.2, 53.29%, and the mean difference was 53.29%, with P value <0.002 in (2nd group respectively), while that for SNOT-22 scale; was 58.72 and 25.32 in (1st group), and was 35.49, and 17.87 in (2nd group), with P value <0.0001 in both groups.
CONCLUSIONS: The Septoplasty resulted in a statistically significant improvement in the disease-specific health-related quality of life, and this was more evident if combined with turbinectomy, and these disease-specific quality of life measurements were found to be useful tools in the evaluation outcome of the surgery.