Quality of life assessment septoplasty in patients with nasal obstruction.
Nasal obstruction is a common complaint in the population. When caused by a deviated nasal septum, septoplasty is the procedure of choice for treating these patients. NOSE is a tool for assessing the disease-specific quality of life related to nasal obstruction.


OBJECTIVE
To assess the impact of septoplasty on patients with nasal obstruction secondary to deviated nasal septum based on the disease-specific quality-of-life questionnaire.


METHODS
Prospective.


METHODS
Patients undergoing septoplasty with/without turbinectomy after no clinical improvement with medical treatment were assessed by the NOSE questionnaire before and 3 months after surgery. We evaluated the surgical improvement based on total score, the magnitude of the surgery in the disease-specific quality of life and the correlation between the preoperative score and postoperatively improvement.


RESULTS
Fourty-six patients were included in the study. There was a statistically significant improvement in the preoperative NOSE score (md = 75, IQR = 26) and after three months (md = 10, IQR = 20) (p < 0.001.T-Wilcoxon). The standardized response mean was 3.07. We found a strong correlation between the preoperative score in the NOSE questionnaire and improvements in the postoperative period (r = -0.789, p < 0.001, Spearman). No difference was found in improvement scores by gender. (p = 0.668, U-Mann-Whitney).


CONCLUSIONS
Septoplasty resulted in a statistically significant improvement in the disease-specific QOL questionnaire.
Faculdade de Medicina, University of São Paulo Medical School, SP, Brazil.
Thiago Freire Pinto
TF
Bezerra
Michael G
MG
Stewart
Marco Aurelio
MA
Fornazieri
Renata Ribeiro de Mendonca
RR
Pilan
Fabio de Rezende
Fde R
Pinna
Francini Grecco de Melo
FG
Padua
Richard Louis
RL
Voegels
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D015508:Nasal Obstruction / Q000601:surgery*; D009300:Nasal Septum / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome