Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 3 Issue 6

Objective and Subjective Evaluation of Nasal Patency Post Septal Surgery: A Single Center Case Series

Jalal Al Marzooq and Fatema Alasfoor*

Department of ENT and Head and Neck Surgery, Salmaniya Medical Complex, Manama, Bahrain

*Corresponding Author: Fatema Alasfoor, Department of ENT and Head and Neck Surgery, Salmaniya Medical Complex, Manama, Bahrain.

Received: May 17, 2021; Published: June 04, 2021

Abstract

Introduction: Nasal obstruction due to a deviated nasal septum is a common indication for nasal septal surgery. Thus, septoplasty is one of the most common procedures in otolaryngology practice. This is a clinical prospective case series study that subjectively and objectively assessed the impact of septoplasty and septorhinoplasty on nasal obstruction.

Materials and Methods: Patients undergoing septoplasty or functional septorhinoplasty after no clinical improvement of nasal obstruction with medical treatment were assessed by measuring the Peak Nasal Inspiratory Flow and using Sino-nasal Outcome Test-22 questionnaire before and three months after surgery.

Results: Twenty-five patients were included in the study. Pre- and post-operative measures showed statistically significant difference in the Peak Nasal Inspiratory Flow measurements with a mean increase of 38 (99% CI24-52, SD 24, p < 0.001) and in the Sino-nasal Outcome Test-22 questionnaire scores before and after surgery with a mean decrease of 26 (99% CI 32-19, SD 12, p < 0.001).

Conclusion: This study suggests that septoplasty and septorhinoplasty improve nasal breathing as well as related disease specific quality of life.

Keywords: Nasal Obstruction; Deviated Nasal Septum; Septoplasty; Septorhinoplasty; PNIF; SNOT-22

References

  1. Clark David W., et al. “Nasal Airway Obstruction: Prevalence and Anatomic Contributors”. Ear, Nose and Throat Journal6 (2018): 173-176.
  2. Bezerra Thiago Freire Pinto., et al. “Quality of Life Assessment Septoplasty in Patients with Nasal Obstruction”. Brazilian Journal of Otorhinolaryngology3 (2012): 57-62.
  3. Gandomi Behroz., et al. “Outcomes of Septoplasty in Young Adults: The Nasal Obstruction Septoplasty Effectiveness Study”. American Journal of Otolaryngology - Head and Neck Medicine and Surgery3 (2010): 189-192.
  4. Moore M and R Eccles. “Objective Evidence for the Efficacy of Surgical Management of the Deviated Septum as a Treatment for Chronic Nasal Obstruction: A Systematic Review”. Clinical Otolaryngology2 (2011): 106-113.
  5. Van Egmond MMHT., et al. “Septoplasty for Nasal Obstruction Due to a Deviated Nasal Septum in Adults: A Systematic Review”. Rhinology Journal3 (2018): 195-208.
  6. Satish HS and KT Sreedhar. “Septoplasty Outcome Using Snot- 22 Questionnaire Study”. IOSR Journal of Dental and Medical Sciences5 (2013): 34-38.
  7. Teixeira Rodrigo Ubiratan Franco., et al. “Peak Nasal Inspiratory Flow Evaluation as an Objective Method of Measuring Nasal Airflow”. Brazilian Journal of Otorhinolaryngology4 (2011): 473-480.
  8. Ottaviano G and WJ Fokkens. “Measurements of Nasal Airflow and Patency: A Critical Review with Emphasis on the Use of Peak Nasal Inspiratory Flow in Daily Practice”. Allergy: European Journal of Allergy and Clinical Immunology 71 (2016): 162-174.
  9. Xavier Rui. “Does Rhinoplasty Improve Nasal Breathing?” Facial Plastic Surgery4 (2010): 328-332.
  10. Morley AD and HR Sharp. “A Review of Sinonasal Outcome Scoring Systems - Which Is Best?” Clinical Otolaryngology4 (2006): 340.
  11. Tsounis Michael., et al. “Clinical Value of Peak Nasal Inspiratory Flow, Peak Oral Inspiratory Flow, and the Nasal Patency Index”. Laryngoscope12 (2014): 2665-2669.

Citation

Citation: Jalal Al Marzooq and Fatema Alasfoor. “Objective and Subjective Evaluation of Nasal Patency Post Septal Surgery: A Single Center Case Series". Acta Scientific Otolaryngology 3.7(2020): 02-06.

Copyright

Copyright: © 2021Jalal Al Marzooq and Fatema Alasfoor. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

Indexed In







News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US