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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2021; 25(04): e575-e579
DOI: 10.1055/s-0040-1722162
Original Research

Quality of Life in Patients with Nasal Obstruction after Septoplasty: A Single Institution Prospective Observational Study

Justyna Dąbrowska-Bień 
1   Institute of Physiology and Pathology of Hearing, Warsaw, Poland
2   Otorhinolaryngology Surgery Clinic, World Hearing Center, Nadarzyn/Warsaw, Poland
,
Henryk Skarżyński 
1   Institute of Physiology and Pathology of Hearing, Warsaw, Poland
2   Otorhinolaryngology Surgery Clinic, World Hearing Center, Nadarzyn/Warsaw, Poland
,
Sebastian Filip Górski 
1   Institute of Physiology and Pathology of Hearing, Warsaw, Poland
2   Otorhinolaryngology Surgery Clinic, World Hearing Center, Nadarzyn/Warsaw, Poland
,
Piotr Henryk Skarżyński 
1   Institute of Physiology and Pathology of Hearing, Warsaw, Poland
2   Otorhinolaryngology Surgery Clinic, World Hearing Center, Nadarzyn/Warsaw, Poland
3   Department of Heart Failure and Cardiac Rehabilitation, Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland
4   Department of Teleaudiology and Screening, World Hearing Center, Institute of Physiology and Pathology of Hearing, Kajetany/Warsaw, Poland
5   Institute of Sensory Organs, Kajetany/Warsaw, Poland
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Abstract

Introduction Nasal obstruction is a common symptom in otorhinolaryngological practice. It can impact significantly on the quality of life of the individual.

Objective The primary goal of the present study was to evaluate quality of life after septoplasty in adults with nasal obstruction. A secondary goal was to assess the effectiveness of septoplasty.

Methods This was a single institution prospective observational study. Patients had experienced septal deviation and symptomatic nasal obstruction with no benefit from medical treatment. There were 51 patients who completed the Nasal Obstruction Symptom Evaluation (NOSE-POL) scale as well as theVisual Analogue Scale (VAS) before undergoing septoplasty, 3 months later, and finally 7 months after surgery. Patients evaluated changes in their nasal obstruction and changes in their quality of life using the Clinical Global Impression Scale (CGI-S).

Results There was a significant improvement in nasal obstruction after septoplasty. Before septoplasty, the mean score on NOSE was 60.3 ± 20.4; 3 months after surgery, it was 32.9 ± 16.8; and 7 months after surgery it was 39.6 ± 33.2. The VAS results also proved a significant enhancement in nasal obstruction after septoplasty. Patients reported an improvement in nasal obstruction as well as a positive change in quality of life, confirming the effectiveness of septoplasty.

Conclusions In patients with deformed septum, septoplasty contributes to high satisfaction of the patient and a compelling improvement in disease-specific quality of life. The NOSE-POL questionnaire is a useful tool for measuring the outcomes of this procedure.

Keywords

nasal obstruction - quality of life - septoplasty

Trial Registration

April 24, 2016.




Publication History

Received: 21 September 2020

Accepted: 25 October 2020

Article published online:
19 February 2021

© 2021. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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