Assessment of symptom improvement following nasal septoplasty with or without turbinectomy.
Most studies show that objective measures to quantify and determine surgical success in the treatment of nasal obstruction do not correlate with subjective improvement as reported by patients.


OBJECTIVE
To evaluate the subjective improvement of nasal symptoms in patients undergoing septoplasty with or without turbinectomy.


METHODS
A prospective study. We evaluated 72 septoplasty patients with or without partial inferior turbinectomy; the patients answered a questionnaire preoperatively and on the 60th day after surgery.


RESULTS
Septoplasty was done associated with bilateral partial inferior turbinectomy in 83.3% of patients; it was unilateral in 9.7%; there was no need for turbinate reduction in 6.9%. An improvement of all symptoms was observed after surgery. Nasal obstruction had improved in 68 patients (94.4%) by the 60th postoperative day. The average nasal obstruction score in patients with and without allergic symptoms was similar before surgery and on the 60th postoperative day. Older patients had milder preoperative allergic symptoms.


CONCLUSIONS
Nasal symptoms in patients undergoing septoplasty, with or without turbinectomy, improved. Patients with and without allergic symptoms showed a similar improvement of nasal obstruction on the 60th postoperative day.
Otorhinolaryngology Unit, HSPM.
Leandro Castro
LC
Velasco
Lisandra Megumi
LM
Arima
Romualdo Suzano Louzeiro
RS
Tiago
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015508:Nasal Obstruction / Q000601:surgery*; D009300:Nasal Septum / Q000601:surgery*; D059747:Nasal Surgical Procedures / Q000379:methods; D011184:Postoperative Period; D011446:Prospective Studies; D016896:Treatment Outcome; D014420:Turbinates / Q000601:surgery*; D055815:Young Adult