Olfaction and quality of life in patients with nasal septal deviation treated with septoplasty

Nasal obstruction, the most common presenting symptom in nasal and sinus disease, is defined as patient discomfort manifested as a sensation of insufficient airflow through the nose. Nasal septal deviation is the most common anatomical cause of nasal obstruction. Surgical correction of a deviated septum, nasal septoplasty, is the definitive treatment for septal deviation. Many studies have discussed about outcomes of septoplasty. However, there is limited published literature on nasal septoplasty and its outcome in Nepal. The aim of this study is to evaluate the outcome of septoplasty using Nasal Obstruction Symptom Evaluation (NOSE) scale, a validated outcome instrument assessing quality of life (QoL) related to nasal obstruction. A total of 52 patients aged 18 years and above, with nasal obstruction at least for 3 months, undergoing septoplasty alone were included in the study. Baseline NOSE score was calculated a week before surgery. The patients were followed up after 3 months to record postoperative NOSE score. On statistical analysis, the mean NOSE scores before and 3 months after septoplasty were 45.58±21.38 and 8.46±8.37 respectively. The mean difference was 37.11± 21.22 and p value on paired t test was less than 0.001(highly significant). The mean differences of each component of the NOSE scale questionnaire were also found to be highly significant statistically with p values less than 0.001. Gender and age did not seem to affect the outcomes. In conclusion, NOSE scale is a valid, reliable and responsive instrument that is brief and easy to complete and has potential use for outcome studies in adults with nasal obstruction. This instrument showed that septoplasty, if done in properly selected patients, results in significant improvement in nasal obstruction and disease specific quality of life with high patient satisfaction.

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Septoplasty Improves Life Quality Related to Allergy in Patients with Septal Deviation and Allergic Rhinitis

Otolaryngology ◽

10.1177/0194599811424119 ◽

2011 ◽

Vol 145 (6) ◽

pp. 910-914 ◽

Cited By ~ 10

Author(s):

Young Hyo Kim ◽

Beom Joon Kim ◽

Kang Hyun Bang ◽

Yoonseok Hwang ◽

Tae Young Jang

Keyword(s):

Quality Of Life ◽

Allergic Rhinitis ◽

Clinical Course ◽

Septal Deviation ◽

Vas Score ◽

Medication Score ◽

Significant Difference ◽

Group A ◽

Group B

Objective. Evaluate the effect of septoplasty on the clinical course of allergic rhinitis by comparing (1) symptom change using the Visual Analogue Scale (VAS), (2) change of the medication score, and (3) improvement of the quality of life using a questionnaire. Study Design. Prospective pilot. Setting. Academic tertiary rhinological practice. Subjects and Methods. Sixty-two patients who had undergone septoplasty and turbinoplasty for septal deviation and allergic rhinitis were enrolled in group A. Twenty-six patients who had undergone only turbinoplasty for allergic rhinitis were enrolled in group B. The VAS score, the Average Rescue Medication Score (ARMS), and the Rhinasthma Questionnaire for the quality of life were all obtained from each patient. These parameters were compared before and after the surgery and between the groups. Results. Both groups showed significant improvement of the VAS score ( P < .001). When the change of VAS was compared between groups, there was a significant difference in group A only for nasal obstruction ( P = .047). Comparison of the ARMS between groups showed significant improvement in both groups after the surgery ( P < .01). However, there were no differences between the groups. The Rhinasthma score of group A was significantly lowered after the surgery (56.4 ± 13.2 to 34.1 ± 12.3, P < .001). The Rhinasthma score of group A was significantly lower than that of group B after the surgery ( P = .004). Conclusions. This is the first research about the potential effect of septoplasty on the clinical course of allergic rhinitis. Further studies are needed to elucidate the mechanisms underlying these effects.

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Impact of septoplasty on quality of sexual life of males with nasal septal deviation

Journal of Clinical and Analytical Medicine ◽

10.4328/jcam.5140 ◽

2017 ◽

Vol 8 (6) ◽

Author(s):

Gul Soylu Ozler

Keyword(s):

Septal Deviation ◽

Sexual Life ◽

Nasal Septal Deviation

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Examination versus subjective nasal obstruction in the evaluation of the nasal septal deviation

Rhinology Journal ◽

10.4193/rhino13.057 ◽

2014 ◽

Vol 52 (2) ◽

pp. 122-126

Author(s):

M. Salihoglu ◽

E. Cekin ◽

A. Altundag ◽

E. Cesmeci

Keyword(s):

Nasal Obstruction ◽

Classification Scheme ◽

Mode Of Delivery ◽

Turkish Population ◽

Septal Deviation ◽

Nasal Septal Deviation ◽

Young Males ◽

Different Populations ◽

Complex Methods

Background: Nasal septal deviation (NSD) is a frequent complaint among patients in an otolaryngology clinic. The prevalence of NSD varies in different populations and NSD classification schemes are complex. Methods: We aimed to determine the prevalence of NSD in a population of Turkish young males using a new NSD classification method that we developed. We compared the results with patients' complaints. All patients underwent two nasal examinations, which were performed using a nasal speculum with and without administration of vasoconstrictor agents. Inferior Concha Hypertrophy (ICH) was evaluated in the first examination and NSDs were scored during the second examination. All findings were recorded according to our classification scheme. Severity of nasal obstruction was subjectively evaluated by using a visual analogue scale (VAS). Results: We found a significant association between prevalence of NSD and nasal injuries, but there was no association between the mode of delivery and prevalence of NSD. Surprisingly, about 30 % of the participants with NSD had no complaint of nasal obstruction. Although most of the participants in the study had no severe nasal obstruction complaint, we found an association between NSD presence and patient's VAS. Conclusion: NSD is very frequent in the Turkish population and most often related to trauma; however, its effect on patient quality of life varies.

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PENGARUH SEPTOPLASTI TERHADAP SUMBATAN HIDUNG

Majalah Kedokteran Andalas ◽

10.22338/mka.v37.i2.p107-114.2014 ◽

2015 ◽

Vol 37 (2) ◽

pp. 107

Author(s):

Bestari J Budiman ◽

Effy Huriati ◽

Hafni Bachtiar ◽

Ade Asyari

Keyword(s):

Quality Of Life ◽

Experimental Study ◽

Diagnostic Test ◽

Severe Symptom ◽

Nasal Congestion ◽

Septal Deviation ◽

Test Design ◽

Post Test ◽

Septum Nasi

AbstrakGejala sumbatan hidung meskipun bukan suatu gejala penyakit yang berat, tetapi dapat menurunkan kualitas hidup dan aktivitas penderita. Salah satu penyebabnya adalah deviasi septum nasi. Pemeriksaan penunjang yang dapat digunakan untuk mendiagnosis dan mengevaluasi gejala sumbatan hidung, diantaranya adalah Nasal Inspiratory Peak Flowmeter (NIPF). Tujuan penelitian ini adalah untuk mengetahui pengaruh septoplasti terhadap sumbatan hidung pada deviasi septum dengan pemeriksaan NIPF. Metode penelitian ini adalah eksperimental studi dengan teknik pre dan post-test design untuk mengetahui gambaran hasil NIPF pada penderita deviasi septum nasi dengan sumbatan hidung. Pengukuran NIPF dilakukan sebelum operasi, minggu ke-2, ke-4 dan ke-6 setelah operasi. Hasil penelitian ini menunjukkan terdapat 11 pasien (93%) dari 12 pasien secara subyektif mengalami perbaikan sumbatan hidung. Terdapat perubahan sumbatan hidung yang bermakna pada minggu ke-4 (p=0,01), dan ke-6 (p=0,01). Kesimpulan penelitian ini adalah septoplasti dapat memperbaiki sumbatan hidung pada deviasi septum nasi.AbstractEven though nasal congestion is not a severe symptom, it can reduce quality of life and patient’s activities. One of the causes of nasal congestion is septal deviation. Diagnostic test that could be used to evaluate nasal congestion is Nasal Inspiratory Peak Flowmeter (NIPF). The objective of this study was to measure the effect of septoplasty to nasal congestion caused by septal deviation with NIPF examination. This research was experimental study by pre and post-test design to evaluate NIPF of patients with nasal congestion due to septal deviation. NIPF was measured before operation surgery, second week, fourth week and sixth week after surgery. The result showed that there were 11 patients (93%) of 12 patients with decreased of nasal congestion subjectively. There were significant decrease of nasal congestion at fourth week (p=0.01) and sixth week (p=0.01). The conclusion of this study is septoplasty can reduce nasal congestion on septal deviation.

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Self-Compassion and Quality of Life in Adults Who Stutter

American Journal of Speech-Language Pathology ◽

10.1044/2020_ajslp-20-00055 ◽

2020 ◽

Vol 29 (4) ◽

pp. 2097-2108

Author(s):

Robyn L. Croft ◽

Courtney T. Byrd

Keyword(s):

Quality Of Life ◽

Social Connectedness ◽

The Self ◽

Future Research ◽

Self Compassion ◽

Adults Who Stutter ◽

And Gender ◽

Relationship Of ◽

The Impact

Purpose The purpose of this study was to identify levels of self-compassion in adults who do and do not stutter and to determine whether self-compassion predicts the impact of stuttering on quality of life in adults who stutter. Method Participants included 140 adults who do and do not stutter matched for age and gender. All participants completed the Self-Compassion Scale. Adults who stutter also completed the Overall Assessment of the Speaker's Experience of Stuttering. Data were analyzed for self-compassion differences between and within adults who do and do not stutter and to predict self-compassion on quality of life in adults who stutter. Results Adults who do and do not stutter exhibited no significant differences in total self-compassion, regardless of participant gender. A simple linear regression of the total self-compassion score and total Overall Assessment of the Speaker's Experience of Stuttering score showed a significant, negative linear relationship of self-compassion predicting the impact of stuttering on quality of life. Conclusions Data suggest that higher levels of self-kindness, mindfulness, and social connectedness (i.e., self-compassion) are related to reduced negative reactions to stuttering, an increased participation in daily communication situations, and an improved overall quality of life. Future research should replicate current findings and identify moderators of the self-compassion–quality of life relationship.

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