Comparing the outcome of septoplasty and septoplasty with turbinectomy in patients with deviated nasal septum

Authors

  • Nayanna Karodpati Department of ENT, Dr D Y Patil Medical College, DPU, Pune, Maharashtra, India
  • Mayur Ingale Department of ENT, Dr D Y Patil Medical College, DPU, Pune, Maharashtra, India
  • Sharad Rawat Department of ENT, Dr D Y Patil Medical College, DPU, Pune, Maharashtra, India
  • Vinayak Kuradagi Department of ENT, Dr D Y Patil Medical College, DPU, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20193616

Keywords:

Nasal obstruction, Septoplasty, Septoplasty with turbinectomy, NOSE score

Abstract

Background: Deviated nasal septum is a bodily disorder results in nasal obstruction. Many surgical procedures are available in correcting the disorder. The present study aimed to compare the surgical outcome of septoplasty alone and septoplasty with turbinectomy in patients with deviated nasal septum.

Methods: This prospective study was done on 50 patients attending to the department of ENT of Dr. D. Y. Patil Medical College and Hospital, DPU with complaints of nasal obstruction due to inferior turbinate hypertrophy with deviated nasal septum. The severity of nasal obstruction was assessed by NOSE (nasal obstruction symptom evaluation) scale. Of them, 25 patients were managed with septoplasty alone and other 25 patients with septoplasty and turbinectomy. The outcome of both the procedures was assessed statistically by using NOSE scale.  

Results: Postoperative symptom improvement was seen in the both groups following surgery (p<0.05). When the NOSE scores are compared between two groups, statistically significant improvement in the symptoms (NOSE score) was seen in the group of patients treated with septoplasty and turbinectomy compared to septoplasty alone (p<0.05).

Conclusions: This study re-iterates both septoplasty and concurrent turbinectomy are established mode of treatment in deviated nasal septum along with hypertrophy of inferior turbinates when the preoperative and postoperative symptoms are compared. However, the symptomatic outcomes and diagnostic nasal endoscopic findings are significantly better in patients who underwent septoplasty with concurrent resection of the inferior turbinate. 

References

Shamanna K, Godse A. Comparative Study on Outcome of Septoplasty with or without Turbinoplasty Based on NOSE Score. Res Otolaryngol. 2018;7(3):55-9.

Lipan MJ, Most SP. Development of a Severity Classification System for Subjective Nasal Obstruction. JAMA Facial Plast Surg. 2013;15(5):358-61.

Dinesh Kumar R, Rajashekar M. Comparative Study of Improvement of Nasal Symptoms Following Septoplasty with Partial Inferior Turbinectomy Versus Septoplasty Alone in Adults by NOSE Scale: A Prospective Study. Indian J Otolaryngol Head Neck Surg. 2016;68(3):275-84.

Konstantinidis I, Triaridis S, Triaridis A, Karagiannidis K, Kontzoglou G. Long term results following nasal septal surgery. Focus on patients’ satisfaction. Auris Nasus Larynx. 2005;32(4):369–74.

Bandos RD, Mello VR, Ferreira MDS, Rossato M, Anselmo-Lima WT. Clinical and ultrastructural study after partial inferior turbinectomy. Braz J Otorhinolaryngol. 2006;72(5):609-16.

Neumann A, Lehmann N, Stange T, Unkel C, Pearson MD, Gostian T, Jahnke K,Schultz-Coulon HJ. [Patients' satisfaction after nasal septal and turbinate surgery. Results of a questionnaire. Laryngorhinootologie. 2007;86(10):706-13.

Egeli E, Demirci L, Yazýcý B, Harputluoglu U. Evaluation of the inferior turbinate in patients with deviated nasal septum by using computed tomography. Laryngoscope. 2004;114(1):113-7.

Stölzel K, Bandelier M, Szczepek AJ, Olze H, Dommerich S. Effects of surgical treatment of hypertrophic turbinates on the nasal obstruction and the quality of life. Am J Otolaryngol. 2017;38(6):668-72.

Velasco LC, Arima LM, Tiago RS. Assessment of symptom improvement following nasal septoplasty with or without turbinectomy. Braz J Otorhinolaryngol. 2011;77(5):577-83.

Moxness MH, Nordgård S. An observational cohort study of the effects of septoplasty with or without inferior turbinate reduction in patients with obstructive sleep apnea. BMC Ear Nose Throat Disord. 2014;14:11.

Illum P. Septoplasty and compensatory inferior turbinate hypertrophy: long-term results after randomized turbinoplasty. Eur Arch Otorhinolaryngol. 1997;254:89-92.

Hong SD, Lee NJ, Cho HJ, Jang MS, Jung TY, Kim HY, et al. Predictive factors of subjective outcomes after septoplasty with and without turbinoplasty: can individual perceptual differences of the air passage be a main factor? Int Forum Allergy Rhinol. 2015;5(7):616-21.

Tsang CLN, Nguyen T, Sivesind T, Cervin A. Long-term patient-related outcome measures of septoplasty: a systematic review. Eur Arch Otorhinolaryngol. 2018;275(5):1039-48.

Roithmann R, Cole P, Chapnik J, Barreto SM, Szalai JP, Zamel N. Acoustic rhinometry, rhinomanometry and the sensation of nasal patency: a correlative study. J Otolaryngol. 1994;23:454-8.

Sozansky J, Houser SM. The physiological mechanism for sensing nasal airflow: a literature review. Int Forum Allergy Rhinol. 2014;4:834-8.

Downloads

Published

2019-08-27

Issue

Section

Original Research Articles