Quality of life and symptoms before and after nasal septoplasty compared with healthy individualsReportar como inadecuado




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BMC Ear, Nose and Throat Disorders

, 16:13

First Online: 28 October 2016Received: 09 April 2016Accepted: 31 July 2016

Abstract

BackgroundThe goal of this study is to compare quality of life Qol and symptoms in 91 patients with a deviated nasal septum preoperatively and postoperatively with a control group of 93 healthy individuals.

MethodsAll patients reported Qol on Sino-Nasal-Outcome-Test-20 SNOT-20 and symptoms on visual analogue scale VAS preoperatively and 6 months after surgery and the results were compared with the controls.

ResultsMean SNOT-20 score improved from 1.8SD0.9 preoperatively to 0.9SD0.8 postoperatively p < 0.000 but did not reach the same level as the controls 0.4SD0.5. Septum surgery leads to a significant symptom improvement for all symptoms investigated p < 0.000 on VAS. The patients reached the same level as the healthy controls in 6 of 11 symptoms headache, facial pain, sneezing, trouble with rhinosinusitis, cough and snoring but the patients group had significantly more trouble with nasal blockage VAS 29 vs 9, change in sense of smell VAS 12 vs5, nasal discharge VAS 22 vs 11, oral breathing VAS 23 vs 13 and reduced general health VAS 12 vs 5 also postoperatively p < 0.01. Sub analyses showed that allergic patients reported a VAS score of 36 SD30 for nasal blockage and 17 SD22 for facial pressure postoperatively versus 23SD22 and 6SD13 in non-allergic patients p < 0.03 and p < 0.01. Patients with obstructive sleep apnea syndrome OSAS reported more trouble with snoring on VAS postoperatively than other patients, 42SD28 versus 20SD23 p < 0.002.

ConclusionSeptoplasty leads to a highly significant improvement in Qol and symptoms. The patients do not reach the same level of Qol as healthy controls. All symptoms are reported as mild on VAS postoperatively.

Allergic patients tend to report more nasal blockage and facial pressure postoperatively than other patients and a focus on medical treatment should be kept also postoperatively. Patients with obstructive sleep apnea report more trouble with snoring postoperatively and alterative treatment options for snoring may be considered in these patients.

KeywordsNasal septoplasty SNOT Allergic rhinitis Allergy Snoring Obstructive sleep apnea Chronic rhinosinusitis AbbreviationsAHIApnea hypopnea index

CPAPContinuous positive airway pressure

CRSChronic rhinosinusitis

NPNasal polyps

OSASObstructive sleep apnea syndrome

QolQuality of life

SDStandard deviation

SNOT-20Sino-Nasal-Outcome-Test-20

VASVisual analogue scale

vsVersus

Electronic supplementary materialThe online version of this article doi:10.1186-s12901-016-0031-7 contains supplementary material, which is available to authorized users.

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Autor: Vegard Bugten - Ann Helen Nilsen - Wenche Moe Thorstensen - Mads Henrik Strand Moxness - Marit Furre Amundsen - Ståle 

Fuente: https://link.springer.com/







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