Nasal septal deviation: Associated anatomical variations and outcome of surgery Presented by

Haridy, Ahmed Mohamed

doi:10.21608/smj.2017.36505

Nasal septal deviation: Associated anatomical variations and outcome of surgery Presented by

Document Type : Original Article

Author

Ahmed Mohamed Haridy

Department of ENT, Faculty of Medicine, Sohag University

10.21608/smj.2017.36505

Abstract

Objective: Sino Nasal Outcome Test – 22 (SNOT-22) Questionnaire study was done to analyse the effectiveness of septoplasty surgery by noting the improvement of nasal symptoms & general quality of life(QOL) by means of SNOT-22 questionnaire given to patients before the surgery and 3 monthes after the surgery. Analysis of effectiveness of septoplasty is usually done by noting pre and post operative symptoms.
Study Design: This is a prospective study and our data analysis consisted originally of 40 patients all of them answered the SNOT-22 questions both preoperatively and postoperatively. The age group of the patients was between 18 to 47 years.
Results: In the post operative SNOT- 22, the need to blow nose, sneezing, running nose, nasal obstruction, loss of smell or taste, post nasal discharge, facial pain/pressure, difficulty in falling asleep, waking up at night lack of good night's sleep, wake up tired, reduced productivity and embarrassed improved significantly.
Conclusion: Evaluation of symptoms & findings in the patient is essential in deciding whether surgery or other treatment can be done in individual patient having nasal blockage symptoms. The results are encouraging us to use the systematic questionnaire (SNOT -22) to estimate the severity of symptoms in daily clinical practice

Keywords

References

1- Neskey, D., Eloy, J.A. and Casiano, R.R. (2009) Nasal, Septal and Turbinate Anatomy and Embryology. Otolaryngologic Clinics of North America, 42, 193- 205. http://dx.doi.org/10.1016/j.otc.2009.01.008.

2- Roblin DG, Eccles R. What, if any, is the value of septal surgery?Clin Otolaryngol Allied Sci 2002; 27: 77-80.

3- Stewart MG, Smith TL, weaver EM et al (2004) Outcomes after nasal septoplasty: results from the nasal obstuction Septoplasty effectiveness(NOSE) study. Otolaryngol Head neck Surg 130(3):283-290.

4- Pirila T, Tikanto J. Unilateral and bilateral effects of nasal septum surgery demonstrated with acoustic rhinometry, rhinomanometry, and subjective assessment. Am J Rhinol 2001;15:127-33.

5- Arunachalam PS, Kitcher E, Gray J, Wilson JA (2001) Nasal septal surgery: Evaluation of symptomatic and general health outcomes. Clinical Otolaryngology 26:367–370

6- Anderson FR, Murphy MP, Weymuller ER (1999) Clinimetric evaluation of the Sinonasal Outcome Test 16. Otolaryngology Head and Neck Surgery 14:702–707

7- Buckland JR, Thomas S, Harries PG(2003) Can the Sinonasal outcome test(SNOT-22) be used as a reliable outcome measure for successful septal surgery? Clinical Otolaryngol Allied Sci 28(1):43-47.

8- Hopkins C, Gillett S, Slack R et al (2009) Psychometric validity of the 22-item Sinonasal outcome Test.Clin Otolaryngol 34(5):447-454

9- BROWNE, J. P., HOPKINS, C., SLACK, R., TOPHAM, J., REEVES, B., LUND, V., BROWN, P., COPLEY, L. & VAN DER MEULEN, J. 2006. Health-Related Quality of Life after Polypectomy with and without Additional Surgery. The Laryngoscope, 116, 297-302.