title: The effects of disclosure of sequential rhinomanometry scores on post-septoplasty subjective scores of nasal obstruction: a randomised controlled trial.
abstract: OBJECTIVE
  We sought to evaluate the effects of awareness of rhinomanometric results on subjective sensation of nasal breathing in patients after septoplasty.
  
  
  METHODS
  Prospective randomised study.
  
  
  METHODS
  Clinical Hospital Rijeka.
  
  
  METHODS
  A study of 60 patients (45 M, 15 F) who underwent septoplasty was performed at the ENT Clinic, Clinical Hospital Rijeka. The patients were randomised into two groups; group A was shown their rhinomanometry scores at 3 months postoperatively, while group B remained unaware of their rhinomanometry results.
  
  
  METHODS
  The assumption is that in the same settings patients aware of their rhinomanometric results have better performances of their Nasal Obstruction Symptom Evaluation (NOSE) scale and thereby a better quality of life (QOL) after septoplasty.
  
  
  RESULTS
  The differences in rhinomanometric results and NOSE scale prior and after septoplasty were statistically significant (P < 0.001), all patients achieving better results after the operation. There was no statistically significant difference in resistance (F = 0.004; P = 0.948) and improvement of rhinomanometry results in postoperative measurements (F = 0.110; P = 0.896) between groups A and B. The symptoms measured by the NOSE scale were the same in both groups preoperatively and 1 month after septoplasty (F = 2.906; P = 0.094). Three months postoperatively in group A, the NOSE scale score was lower (M = 11.67; sd = 12.34) than in group B (M = 27.50; sd = 18.04).
  
  
  CONCLUSIONS
  The results suggest that disclosing information to patients about their post-septoplasty rhinomanometry results may improve subjective nasal breathing, and thus improve their QOL.
authors.affiliation: Clinic of Otorhinolaryngology, Head and Neck Surgery             Clinic of Ophthalmology             Clinic of Pulmology, University Hospital Rijeka, Rijeka, Croatia.
authors.forename: D
authors.initials: D
authors.lastname: Manestar
authors.forename: T
authors.initials: T
authors.lastname: Braut
authors.forename: M
authors.initials: M
authors.lastname: Kujundžić
authors.forename: G
authors.initials: G
authors.lastname: Malvić
authors.forename: M
authors.initials: M
authors.lastname: Velepič
authors.forename: I
authors.initials: I
authors.lastname: Donadić Manestar
authors.forename: D
authors.initials: D
authors.lastname: Matanić Lender
authors.forename: R
authors.initials: R
authors.lastname: Starčević
mesh_terms: D000293:Adolescent; D000328:Adult; D000403:Airway Resistance; D000704:Analysis of Variance; D030881:Disclosure; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015508:Nasal Obstruction / Q000601:surgery*; D009300:Nasal Septum / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D025363:Rhinomanometry; D016896:Treatment Outcome