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Quality of life assessment septoplasty in patients with nasal obstruction
Authors:Thiago Freire Pinto Bezerra  Michael G Stewart  Marco Aurelio Fornazieri  Renata Ribeiro de Mendonca Pilan  Fabio de Rezende Pinna  Francini Grecco de Melo Padua  Richard Louis Voegels
Institution:1. PhD student – FMUSP (University of São Paulo Medical School) (ENT Physician).;2. MD, MPH (Professor and Chairman, Department of Otolaryngology - Head & Neck Surgery).;3. ENT Physician (Rhinology Fellow - FMUSP).;4. PhD student – FMUSP (ENT Physician).;5. PhD (Attending physician – HCFMUSP – FMUSP University Hospital).;6. PhD (ENT Physician).;7. Senior Associate Professor (Chairman of Rhinology - HCFMUSP). Faculdade de Medicina da Universidade de São Paulo. Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial.
Abstract:Naasal obstruction is a common complaint in the population. When caused by a deviated nasal septum, septoplasty is the procedure of choice for treating these patients. NOSE is a tool for assessing the disease-specific quality of life related to nasal obstruction.AimTo assess the impact of septoplasty on patients with nasal obstruction secondary to deviated nasal septum based on the disease-specific quality-of-life questionnaire. Design: Prospective.MethodsPatients undergoing septoplasty with/ without turbinectomy after no clinical improvement with medical treatment were assessed by the NOSE questionnaire before and 3 months after surgery. We evaluated the surgical improvement based on total score, the magnitude of the surgery in the disease-specific quality of life and the correlation between the preoperative score and postoperatively improvement.ResultsFourty-six patients were included in the study. There was a statistically significant improvement in the preoperative NOSE score (md = 75, IQR = 26) and after three months (md = 10, IQR = 20) (p < 0.001.T-Wilcoxon). The standardized response mean was 3.07. We found a strong correlation between the preoperative score in the NOSE questionnaire and improvements in the postoperative period (r = -0.789, p < 0.001, Spearman). No difference was found in improvement scores by gender. (p = 0.668, U-Mann-Whitney).ConclusionSeptoplasty resulted in a statistically significant improvement in the disease-specific QOL questionnaire.
Keywords:nasal obstruction  nasal septum  quality of life
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