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

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.

scholarly journals Assessment of Septoplasty Outcome using Nasal Obstruction Symptom Evaluation Scale

2019 ◽  
Vol 21 (2) ◽  
pp. 142-146
Author(s):  
Kundan Kumar Shrestha ◽  
R.R. Joshi ◽  
A.S. Rijal ◽  
A. Dhungana ◽  
S. Maharjan
Keyword(s):  
Quality Of Life ◽  
Nasal Obstruction ◽  
Septal Deviation ◽  
Definitive Treatment ◽  
Nose Scale ◽  
Outcome Instrument ◽  
Symptom Evaluation ◽  
The Mean ◽  
Nasal 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.

Evaluation of Olfactory Sensation, Acoustic Rhinometry, and Quality of Life of the Patients With Nasal Septal Deviation

2019 ◽  
Vol 30 (4) ◽  
pp. 1221-1227 ◽  
Author(s):  
Hatice Güzelküçük Akay ◽  
Nuray Bayar Muluk ◽  
Mikail Inal ◽  
Gökçe Şimşek ◽  
Rahmi Kiliç
Keyword(s):  
Quality Of Life ◽  
Septal Deviation ◽  
Acoustic Rhinometry ◽  
Nasal Septal Deviation ◽  
Olfactory Sensation

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

2019 ◽  
Vol 40 (5) ◽  
pp. 747-754 ◽  
Author(s):  
Konstantinos Valsamidis ◽  
Athanasia Printza ◽  
Konstantinos Titelis ◽  
Jannis Constantinidis ◽  
Stefanos Triaridis
Keyword(s):  
Quality Of Life ◽  
Septal Deviation ◽  
Nasal Septal Deviation

scholarly journals Endoscopic Septoplasty: Prospective Study in 50 Cases of DNS

2013 ◽  
Vol 6 (2) ◽  
pp. 92-95 ◽  
Author(s):  
Baldev Singh ◽  
Kanu Singla ◽  
Sanjeev Bhagat ◽  
BS Verma
Keyword(s):  
Prospective Study ◽  
Nasal Obstruction ◽  
Objective Assessment ◽  
Septal Deviation ◽  
Invasive Technique ◽  
Nasal Discharge ◽  
Deviated Nasal Septum ◽  
Nasal Septal Deviation ◽  
Endoscopic Septoplasty ◽  
Postnasal Drip

ABSTRACT Recently endoscopic septoplasty has emerged as an effective alternative to traditional ‘headlight’ approaches to septoplasty. Endoscopic septoplasty as a minimal invasive technique can limit the dissection and minimize trauma to nasal septal flap under excellent visualization. The present prospective study was conducted at the Department of ENT at Government Medical College, Rajindra Hospital, Patiala. Fifty cases of either sex in age group of 18 to 50 years suffering from deviated nasal septum were included in the study from May 2010 to November 2012. Among the prevalence of type of nasal septal deviation (Mladina classification), the most common type of nasal septal deviation was type 5 (46%) followed by type 6 (16%), type 2 (10%), type 4 (10%), type 3 (8%), type 7 (8%) and type 1 (2%). Among chief complaints most common was nasal obstruction in 38 (76%) followed by nasal discharge in 10 (20%), headache in 10 (20%), bleeding in 6 (12%) and postnasal discharge in 4 (8%) patients. There was improvement in nasal obstruction in 78%, nasal discharge in 60% and postnasal drip in 75% patients. On objective assessment at last follow-up (3 months), persistent inferior turbinate hypertrophy in 14%, and persistent deviation was seen in 4% of cases. Synechiae formation was seen in 4% of cases. How to cite this article Singla K, Singh B, Bhagat S, Verma BS. Endoscopic Septoplasty: Prospective Study in 50 Cases of DNS. Clin Rhinol An Int J 2013;6(2):92-95.

scholarly journals Endoscopic versus conventional septoplasty in the treatment of obstructive nasal septal deviation

2020 ◽  
Vol 10 (40) ◽  
pp. 123-131
Author(s):  
Salah Nassrallah ◽  
Mircea Cristian Neagos ◽  
Gheorghe Muhlfay ◽  
Adriana Neagos
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Upper Airway ◽  
Subjective Assessment ◽  
Septal Deviation ◽  
Nasal Breathing ◽  
Deviated Nasal Septum ◽  
Nasal Septal Deviation ◽  
Endoscopic Septoplasty ◽  
Group I

AbstractBACKGROUND. Nasal septum deviations are disorders in which the nasal septum has an abnormal conformation that affects nasal breathing. Surgical correction of the deviated nasal septum, performed by various techniques, is one of the methods of repermeabilization of the upper airway. The aim of the present study was to evaluate the efficacy of endoscopic surgical treatment of the nasal septum deviation on the nasal obstruction, as well as to evaluate the frequency of postoperative complications compared to classical septoplasty.MATERIAL AND METHODS. A retrospective longitudinal study was performed on a group of 92 patients diagnosed with nasal septal deviation, between 2014-2018. 32 patients were excluded from the study after the exclusion criteria were applied. Two groups of 30 patients each were formed: Group I, endoscopic septoplasty was performed; Group II, the conventional septoplasty was used. An objective endoscopic and rhinomanometric evaluation, as well as a subjective assessment of symptoms (nasal obstruction, headache, posterior rhinorrhea, sneezing), was performed preoperatively and at 3 months postoperatively.RESULTS. The study showed better results (p<0.05) and fewer complications in endoscopic septoplasty compared to the traditional one, the endoscopic septoplasty providing better lighting and improved access, allowing a limited incision.CONCLUSION. Endoscopic septoplasty can be considered a reliable alternative to traditional techniques. It is essential to correctly identify the type of preoperative deformity in order to select the appropriate surgical strategy.

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