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Surgery to relieve nasal obstruction : Outcome for 366 patients operated on by one senior surgeon
Pedersen, Lars Aksel Dölvik, S. Holmberg, K. Emanuelsson, C. Ahlström Johansson, H. Schiöler, L. Hellgren, J. Steinsvåg, S.
Pedersen, Lars Aksel
Dölvik, S.
Holmberg, K.
Emanuelsson, C. Ahlström
Johansson, H.
Schiöler, L.
Hellgren, J.
Steinsvåg, S.
Abstract
Background
Studies of patient-rated outcome in septoplasty and turbinoplasty most frequently involve several surgeons with varying surgical skills, techniques and experience. The aim of the present study was to evaluate outcome based on one experienced surgeon.
Methods
Three hundred and sixty-six consecutive patients referred for nasal obstruction were included. All the patients were examined with nasal endoscopy before and after decongestion, they filled out a nose VAS and rated their overall general health before and three to six months after surgery. The patients underwent septoplasty, septoplasty plus turbinoplasty or turbinoplasty.
Results
The mean nose VAS for nasal obstruction (0–100) preoperatively was 64.7 for all patients. Patients undergoing septoplasty (n = 159) were younger than patients undergoing septoplasty + turbinoplasty (n = 79) or patients undergoing turbinoplasty alone (n = 128). The nose VAS for nasal obstruction improved significantly in all three groups and 25% had a normal nose VAS after surgery in the septoplasty and septoplasty + turbinoplasty groups compared to only 8% in the turbinoplasty alone group. There was no significant difference in the improvement in nasal obstruction between septoplasty and septoplasty + turbinoplasty, but the septoplasty + turbinoplasty group experienced a significantly greater improvement in general health.
Conclusions
In 366 patients operated on by one experienced surgeon, septoplasty and septoplasty + turbinoplasty were more effective at relieving nasal obstruction than turbinoplasty alone. Septoplasty + turbinoplasty resulted in a greater improvement in general health than septoplasty alone, despite the same improvement in nasal obstruction, indicating a beneficial effect of additional turbinoplasty in septoplasty.
Keywords
general health, nose VAS, septoplasty, turbinoplasty
Date
2021
Type
Journal article
Journal
European Archives of Oto-Rhino-Laryngology
Book
Volume
278
Issue
10
Page Range
3867-3875
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY 4.0
File Access
Open