Outcomes after Nasal Septoplasty: Results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) Study
2004; Wiley; Volume: 130; Issue: 3 Linguagem: Inglês
10.1016/j.otohns.2003.12.004
ISSN1097-6817
AutoresMichael G. Stewart, Timothy L. Smith, Edward M. Weaver, David L. Witsell, Bevan Yueh, Maureen Hannley, Jonas T. Johnson,
Tópico(s)Allergic Rhinitis and Sensitization
ResumoOBJECTIVE Our goal was to assess disease‐specific quality of life outcomes after nasal septoplasty in adults with nasal obstruction. DESIGN, SETTINGS, AND PATIENTS We conducted a prospective observational outcomes multicenter study with 14 sites and 16 investigators, including private practice and academic settings. Patients had had septal deviation and symptomatic nasal obstruction for at least 3 months, and medical management had failed. METHODS Patients with septal deviation completed a validated outcomes instrument (the Nasal Obstruction Septoplasty Effectiveness (NOSE) scale) before and 3 and 6 months after septoplasty, with or without partial turbinectomy. RESULTS Fifty‐nine patients underwent surgery; there was a significant improvement in mean NOSE score at 3 months after septoplasty (67.5 versus 23.1, P < 0.0001), and this improvement was unchanged at 6 months. Patient satisfaction was very high, and patients used significantly fewer nasal medications. CONCLUSIONS In patients with septal deformity, nasal septoplasty results in significant improvement in disease‐specific quality of life, high patient satisfaction, and decreased medication use. (Otolaryngol Head Neck Surg 2004;130:283–90.)
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