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Correlations between objective and subjective tests of nasal patency in patients undergoing septoplasty

Published online by Cambridge University Press:  24 May 2022

M Karataş
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Adiyaman University, Turkey
M Koparal*
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Adiyaman University, Turkey
C Yılmazer
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Adiyaman University, Turkey
M Kelles
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Turgut Özal University, Malatya, Turkey
*
Author for correspondence: Dr M Koparal, Department of Otolaryngology, Faculty of Medicine, Adiyaman University, Altınsehir Street, Adiyaman 02040, Turkey E-mail: drmehtapkoparal@gmail.com Fax: +90 416 214 55 99

Abstract

Objective

This study assessed correlations between pre- and post-operative objective and subjective nasal patency test results in patients undergoing septoplasty to treat nasal septum deviation.

Method

Eighty nasal septum deviation patients who underwent septoplasty were prospectively enrolled. Nasal Obstruction Symptom Evaluation questionnaire scores, anterior rhinomanometry and acoustic rhinometry data were compared pre-operatively and three months after surgery. The left, right and total volume and left, right and total minimum cross-sectional area acoustic rhinometry values were compared.

Results

The left volume, total volume, left minimum cross-sectional area and total minimum cross-sectional area differed significantly between the two time-points (all p < 0.05). The total resistance, inspiratory total airflow, expiratory total resistance and expiratory total airflow rhinomanometric data did not differ between the two timepoints (all p > 0.05).

Conclusion

This study suggested that subjective tests such as the Nasal Obstruction Symptom Evaluation questionnaire are optimal to identify complaints and assess post-operative satisfaction.

Type
Main Article
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr M Koparal takes responsibility for the integrity of the content of the paper

References

Yepes-Nuñez, JJ, Bartra, J, Muñoz-Cano, R, Sánchez-López, J, Serrano, C, Mullol, J et al. Assessment of nasal obstruction: correlation between subjective and objective techniques. Allergol Immunopathol 2013;41:397401CrossRefGoogle ScholarPubMed
Gandomi, B, Bayat, A, Kazemei, T. Outcomes of septoplasty in young adults: the Nasal Obstruction Septoplasty Effectiveness study. Am J Otolaryngol 2010;31:189–92CrossRefGoogle ScholarPubMed
Hilberg, O. Objective measurement of nasal airway dimensions using acoustic rhinometry: methodological and clinical aspects. Allergy 2002;57:539CrossRefGoogle ScholarPubMed
Stewart, MG, Witsell, DL, Smith, TL, Weaver, EM, Yueh, B, Hannley, MT. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg 2004;130:157–63CrossRefGoogle ScholarPubMed
Lara-Sánchez, H, Álvarez Nuño, C, Gil-Carcedo Sañudo, E, Mayo Iscar, A, Vallejo Valdezate, LÁ. Assessment of nasal obstruction with rhinomanometry and subjective scales and outcomes of surgical and medical treatment. Acta Otorrinolaringol Esp (Engl Ed) 2017;68:145–50CrossRefGoogle ScholarPubMed
Hsu, HC, Tan, CD, Chang, CW, Chu, CW, Chiu, YC, Pan, CJ et al. Evaluation of nasal patency by visual analogue scale/nasal obstruction symptom evaluation questionnaires and anterior active rhinomanometry after septoplasty: a retrospective one-year follow-up cohort study. Clin Otolaryngol 2017;42:53–9CrossRefGoogle ScholarPubMed
Grymer, LF, Hilberg, O, Pedersen, OF, Rasmussen, TR. Acoustic rhinometry: values from adults with subjective normal nasal patency. Rhinology 1991;29:3547Google ScholarPubMed
Salihoglu, M, Cekin, E, Altundag, A, Cesmeci, E. Examination versus subjective nasal obstruction in the evaluation of the nasal septal deviation. Rhinology 2014;52:122–6CrossRefGoogle ScholarPubMed
Moshfeghi, M, Abedian, B, Ghazizadeh Ahsaie, M, Tajdini, F. Prevalence of nasal septum deviation using cone-beam computed tomography: a cross-sectional study. Contemp Clin Dent 2020;11:223–8Google ScholarPubMed
Kahveci, OK, Miman, MC, Yucel, A, Yucedag, F, Okur, E, Altuntas, A. The efficiency of Nose Obstruction Symptom Evaluation (NOSE) scale on patients with nasal septal deviation. Auris Nasus Larynx 2012;39:275–9CrossRefGoogle ScholarPubMed
Jessen, M, Ivarsson, A, Malm, L. Nasal airway resistance and symptoms after functional septoplasty: comparison of findings at 9 months and 9 years. Clin Otolaryngol Allied Sci 1989;14:231–4CrossRefGoogle ScholarPubMed
Haye, R, Døsen, LK, TarAngen, M, Gay, C, Egeland, MT, Shiryaeva, O. Septoplasty: early (first year) and late (fourth year) postoperative results in 604 patients. J Laryngol Otol 2022;136:514–19CrossRefGoogle ScholarPubMed
Jones, AS, Willatt, DJ, Durham, LM. Nasal airflow: resistance and sensation. J Laryngol Otol 1989;103:909–11CrossRefGoogle ScholarPubMed
Güngör, A, Moinuddin, R, Nelson, RH, Corey, JP. Detection of the nasal cycle with acoustic rhinometry: techniques and applications. Otolaryngol Head Neck Surg 1999;120:238–47CrossRefGoogle ScholarPubMed
van Egmond, MMHT, Rovers, MM, Hannink, G, Hendriks, CTM, van Heerbeek, N. Septoplasty with or without concurrent turbinate surgery versus non-surgical management for nasal obstruction in adults with a deviated septum: a pragmatic, randomised controlled trial. Lancet 2019;394:314–21CrossRefGoogle ScholarPubMed
André, RF, Vuyk, HD, Ahmed, A, Graamans, K, Nolst Trenité, GJ. Correlation between subjective and objective evaluation of the nasal airway. A systematic review of the highest level of evidence. Clin Otolaryngol 2009;34:518–25CrossRefGoogle ScholarPubMed
Døsen, LK, Kvinnesland, K, TarAngen, M, Shiryaeva, O, Gay, C, Haye, R. Unilateral and bilateral PNIF in quality control of nasal septal surgery. Int J Otolaryngol 2018;2018:7846843CrossRefGoogle ScholarPubMed
Şahin, C. Evaluation of patient satisfaction after nasal septoplasty operation using peak nasal inspratuar flow and nasal obstruction symptom score questionnaire. J Craniofac Surg 2016;27:1289–91CrossRefGoogle Scholar
Eren, SB, Tugrul, S, Dogan, R, Ozucer, B, Ozturan, O. Objective and subjective evaluation of operation success in patients with nasal septal deviation based on septum type. Am J Rhinol Allergy 2014;28:e158–62CrossRefGoogle ScholarPubMed
Kaura, A, Pendolino, AL, Navaratnam, A, Andrews, PJ, Leung, TS. The Nasal Obstruction Balance Index: a novel approach to improving correlation between unilateral nasal airway measurements and evaluating nasal airway asymmetry. Laryngoscope 2021;131:E2833–40CrossRefGoogle ScholarPubMed
Mondina, M, Marro, M, Maurice, S, Stoll, D, de Gabory, L. Assessment of nasal septoplasty using NOSE and RhinoQoL questionnaires. Eur Arch Otorhinolaryngol 2012;269:2189–95CrossRefGoogle ScholarPubMed
Mamikoğlu, B, Houser, S, Akbar, I, Ng, B, Corey, JP. Acoustic rhinometry and computed tomography scans for the diagnosis of nasal septal deviation, with clinical correlation. Otolaryngol Head Neck Surg 2000;123:61–8CrossRefGoogle ScholarPubMed
Siegel, NS, Gliklich, RE, Taghizadeh, F, Chang, Y. Outcomes of septoplasty. Otolaryngol Head Neck Surg 2000;122:228–32CrossRefGoogle ScholarPubMed
Seden, N, Araz Server, E, Yigit, O, Misir, E. Does turbinate reduction combined with septoplasty have better outcomes than septoplasty alone? A randomised, controlled study. J Laryngol Otol 2022;136:55–9CrossRefGoogle Scholar