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Erschienen in: European Archives of Oto-Rhino-Laryngology 10/2015

01.10.2015 | Rhinology

Long-term symptom relief after septoplasty

verfasst von: Carolina Sundh, Ola Sunnergren

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 10/2015

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Abstract

The results for long-term symptom relief after septoplasty are contradictory in reviewed publications but the findings suggest that results are unsatisfactory. In this study, we analyzed and compared short- and long-term symptom relief after septoplasty and factors possibly associated with symptom relief. 111 patients that underwent septoplasty between 2008 and 2010 were included in the study. Medical charts were reviewed for preoperative characteristics and assessments. Data on short-term symptom relief (6 months) were retrieved from the Swedish National Quality Registry for Septoplasty; data on long-term symptom relief (34–70 months) were collected through a questionnaire. Upon the 34–70 month follow-up, 53 % of the patients reported that symptoms either remained or had worsened and 83 % reported nasal obstruction. Degree of symptom relief was significantly higher among patients not reporting nasal obstruction than among patients reporting nasal obstruction at long-term follow-up. The proportion of patients that reported “my symptoms are gone” declined from 53 % after 6 months to 18 % after 34–70 months. None of the factors taken into consideration, age at surgery, gender, follow-up time, primary operation/reoperation, history of nasal trauma, self-reported allergy, rhinometric obstruction, or same sided rhinometric, clinical and subjective nasal obstruction were associated with symptom relief. The long-term results after septoplasty are unsatisfactory. A majority of patients report that their symptoms remain after septoplasty.
Literatur
1.
Zurück zum Zitat Ho WK, Yuen AP, Tang KC, Wei WI, Lam PK (2004) Time course in the relief of nasal blockage after septal and turbinate surgery. Arch Otolaryngol Head Neck Surg 130:324–328CrossRefPubMed Ho WK, Yuen AP, Tang KC, Wei WI, Lam PK (2004) Time course in the relief of nasal blockage after septal and turbinate surgery. Arch Otolaryngol Head Neck Surg 130:324–328CrossRefPubMed
2.
Zurück zum Zitat Jessen M, Ivarsson A, Malm L (1989) Nasal airway resistance and symptoms after functional septoplasty: comparison of findings at 9 months and 9 years. Clin Otolaryngol Allied Sci 14:231–234CrossRefPubMed Jessen M, Ivarsson A, Malm L (1989) Nasal airway resistance and symptoms after functional septoplasty: comparison of findings at 9 months and 9 years. Clin Otolaryngol Allied Sci 14:231–234CrossRefPubMed
3.
Zurück zum Zitat Bohlin L, Dahlqvist A (1994) Nasal airway resistance and complications following functional septoplasty: a ten-year follow-up study. Rhinology 32:195–197PubMed Bohlin L, Dahlqvist A (1994) Nasal airway resistance and complications following functional septoplasty: a ten-year follow-up study. Rhinology 32:195–197PubMed
4.
Zurück zum Zitat Dinis PB, Haider H (2002) Septoplasty: long-term evaluation of results. Am J Otolaryngol 23:85–90CrossRefPubMed Dinis PB, Haider H (2002) Septoplasty: long-term evaluation of results. Am J Otolaryngol 23:85–90CrossRefPubMed
5.
Zurück zum Zitat Konstantinidis I, Triaridis S, Triaridis A, Karagiannidis K, Kontzoglou G (2005) Long term results following nasal septal surgery. Focus on patients’ satisfaction. Auris Nasus Larynx 32:369–374CrossRefPubMed Konstantinidis I, Triaridis S, Triaridis A, Karagiannidis K, Kontzoglou G (2005) Long term results following nasal septal surgery. Focus on patients’ satisfaction. Auris Nasus Larynx 32:369–374CrossRefPubMed
6.
Zurück zum Zitat Pirilä T, Tikanto J (2009) Acoustic rhinometry and rhinomanometry in the preoperative screening of septal surgery patients. Am J Rhinol Allergy 23:605–609CrossRefPubMed Pirilä T, Tikanto J (2009) Acoustic rhinometry and rhinomanometry in the preoperative screening of septal surgery patients. Am J Rhinol Allergy 23:605–609CrossRefPubMed
7.
Zurück zum Zitat Toyserkani NM, Frisch T (2012) Are too many septal deviations operated on? A retrospective patient’s satisfaction questionnaire with 11 years follow-up. Rhinology 50:185–190PubMed Toyserkani NM, Frisch T (2012) Are too many septal deviations operated on? A retrospective patient’s satisfaction questionnaire with 11 years follow-up. Rhinology 50:185–190PubMed
8.
Zurück zum Zitat Haavisto LE, Sipilä JI (2013) Acoustic rhinometry, rhinomanometry and visual analogue scale before and after septal surgery: a prospective 10-year follow-up. Clin Otolaryngol 38:23–29CrossRefPubMed Haavisto LE, Sipilä JI (2013) Acoustic rhinometry, rhinomanometry and visual analogue scale before and after septal surgery: a prospective 10-year follow-up. Clin Otolaryngol 38:23–29CrossRefPubMed
9.
Zurück zum Zitat Holmström M, Kumlien J (1988) A clinical follow-up of septal surgery with special attention to the value of preoperative rhinomanometric examination in the decision concerning operation. Clin Otolaryngol Allied Sci 13:115–120CrossRefPubMed Holmström M, Kumlien J (1988) A clinical follow-up of septal surgery with special attention to the value of preoperative rhinomanometric examination in the decision concerning operation. Clin Otolaryngol Allied Sci 13:115–120CrossRefPubMed
10.
Zurück zum Zitat Holmström M (2010) The use of objective measures in selecting patients for septal surgery. Rhinology 48:387–393PubMed Holmström M (2010) The use of objective measures in selecting patients for septal surgery. Rhinology 48:387–393PubMed
11.
Zurück zum Zitat Öppna jämförelser av hälso- och sjukvårdens kvalitet och effektivitet (2011) Jämförelser mellan landsting 2010. Sveriges Kommuner och Landsting. www.skl.se/publikationer ISBN 978-91-7164-742-9 (Swedish) Öppna jämförelser av hälso- och sjukvårdens kvalitet och effektivitet (2011) Jämförelser mellan landsting 2010. Sveriges Kommuner och Landsting. www.​skl.​se/​publikationer ISBN 978-91-7164-742-9 (Swedish)
12.
Zurück zum Zitat Magnusson A, Bjerklin K, Nilsson P, Jönsson F, Marcusson A (2011) Nasal cavity size, airway resistance, and subjective sensation after surgically assisted rapid maxillary expansion: a prospective longitudinal study. Am J Orthod Dentofacial Orthop. 140:641–651CrossRefPubMed Magnusson A, Bjerklin K, Nilsson P, Jönsson F, Marcusson A (2011) Nasal cavity size, airway resistance, and subjective sensation after surgically assisted rapid maxillary expansion: a prospective longitudinal study. Am J Orthod Dentofacial Orthop. 140:641–651CrossRefPubMed
13.
Zurück zum Zitat Thulesius HL, Thulesius HO, Jessen M (2009) What happens to patients with nasal stuffiness and pathological rhinomanometry left without surgery? Rhinology 47:24–27PubMed Thulesius HL, Thulesius HO, Jessen M (2009) What happens to patients with nasal stuffiness and pathological rhinomanometry left without surgery? Rhinology 47:24–27PubMed
14.
Zurück zum Zitat Jessen M, Malm L (1984) The importance of nasal airway resistance and nasal symptoms in the selection of patients for septoplasty. Rhinology 22:157–164PubMed Jessen M, Malm L (1984) The importance of nasal airway resistance and nasal symptoms in the selection of patients for septoplasty. Rhinology 22:157–164PubMed
Metadaten
Titel
Long-term symptom relief after septoplasty
verfasst von
Carolina Sundh
Ola Sunnergren
Publikationsdatum
01.10.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Oto-Rhino-Laryngology / Ausgabe 10/2015
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-014-3406-7

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