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Nasal obstruction symptom evaluation score outcomes in patients awaiting septoplasty at a tertiary ENT centre

Published online by Cambridge University Press:  16 April 2024

Isabelle J M Williams Open the ORCID record for Isabelle J M Williams [Opens in a new window] ,
Melanie Chin Liu ,
Annakan V Navaratnam Open the ORCID record for Annakan V Navaratnam [Opens in a new window]  and
Mark Ferguson
Isabelle J M Williams*
Affiliation:
Evelina London Children's Hospital, London, UK ENT Department, Imperial College Healthcare NHS Trust, London, UK
Melanie Chin Liu
Affiliation:
ENT Department, Imperial College Healthcare NHS Trust, London, UK University of Leeds, Leeds, UK
Annakan V Navaratnam
Affiliation:
ENT Department, Imperial College Healthcare NHS Trust, London, UK University College London Hospitals NHS Foundation Trust, London, UK
Mark Ferguson
Affiliation:
ENT Department, Imperial College Healthcare NHS Trust, London, UK
*
Corresponding author: Isabelle Williams; Email: isabelle.williams7@nhs.net
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Abstract

Objective

Nasal septoplasty is one of the most performed procedures within ENT. Nasal obstruction secondary to a deviated nasal septum is the primary indication for functional septoplasty. Since the coronavirus disease 2019 pandemic, waiting lists have increased and are now long. This study assessed patients on the waiting list for septoplasty and/or inferior turbinate reduction surgery using the Nasal Obstruction Symptom Evaluation instrument.

Method

Patients on our waiting list for septoplasty and/or inferior turbinate reduction surgery were reviewed using a validated patient-reported outcome measure tool to assess symptom severity.

Results

Eighty-six out of a total of 88 patients (98 per cent) had Nasal Obstruction Symptom Evaluation scores of 30 or more. In addition, 78 (89 per cent) and 50 (57 per cent) patients were classified as having ‘severe’ or ‘extreme’ nasal obstruction, respectively. Two patients scored less than 30 and were classified as having non-significant nasal obstruction.

Conclusion

The Nasal Obstruction Symptom Evaluation instrument is a quick and easy way to validate septoplasty waiting lists. In this study, two patients were identified who no longer required surgery.

Keywords

Clinical trialcost-effectivenessnasal obstructionnasal septumseptoplastyturbinates
Type
Main Article
Information
The Journal of Laryngology & Otology , First View , pp. 1 - 4
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Isabelle Williams takes responsibility for the integrity of the content of the paper

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