Evaluation of the Effect of Localization of Septal Deviation on the Success of Septoplasty using NOSE Scale

Abstract

Objective:To measure the effect of localization of septal deviation on the success of septoplasty using the-Nose Obstruction Symptom Evaluation (NOSE) scale in patients undergoing septoplasty and endoscopic reduction of inferior turbinates.Methods:Patients who attended Oltu Goverment Hospital ENT clinic with nasal septal deviation between March 2011 and June 2012 were included in this study. Patients who had paranasal sinus problems other than concha hypertrophy and revision cases were excluded from this study. Septal deviation was classified according to the position of the internal nasal valve as anterior, posterior or anteroposterior. All patients were examined with nasal endoscopy before and after operation and received a preoperative paranasal tomography scan. The effect of septal deviation on quality of life was evaluated using the NOSE scale preoperatively and 6 months postoperatively. All patients had endoscopic septoplasty and inferior concha reduction under general anaesthesia.Results:Ninety-seven (40 female, 57 male) patients underwent endoscopic septoplasty and concha reduction between 2011 and 2012 in Oltu Government hospital. The mean age was 29.8 years. Anterior deviation was 45, posterior deviation was 33, and anteroposterior deviation was 19. Patients with anterior deviation had a mean NOSE scale of 78.2 preoperatively and 5.8 postoperatively. Patients with posterior deviation had a mean NOSE scale of 79.2 preoperatively and 15.4 postoperatively. Patients with anteroposterior deviation had a mean NOSE scale of 82.4 preoperatively and 22.5 postoperatively (p<0.01).Conclusion:Localization of septal deviation affected postoperative septoplasty satisfaction. Patients with anteroposterior deviation were the least satisfied and patients with anterior deviation were the most satisfied after septoplasty surgery.

Keywords

• septal deviation
• septoplasty
• nose scale
• quality of life