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Surgery to relieve nasal obstruction : outcome for 366 patients operated on by one senior surgeon

Pedersen, Lars Aksel ; Dölvik, S. ; Holmberg, K. ; Emanuelsson, C. Ahlström LU ; Johansson, H. ; Schiöler, L. ; Hellgren, J. and Steinsvåg, S. (2021) In European Archives of Oto-Rhino-Laryngology 278(10). p.3867-3875
Abstract

Background: Studies of patient-rated outcome in septoplasty and turbinoplasty most frequently involve several surgeons with varying surgical skills, techniques and experience. The aim of the present study was to evaluate outcome based on one experienced surgeon. Methods: Three hundred and sixty-six consecutive patients referred for nasal obstruction were included. All the patients were examined with nasal endoscopy before and after decongestion, they filled out a nose VAS and rated their overall general health before and three to six months after surgery. The patients underwent septoplasty, septoplasty plus turbinoplasty or turbinoplasty. Results: The mean nose VAS for nasal obstruction (0–100) preoperatively was 64.7 for all patients.... (More)

Background: Studies of patient-rated outcome in septoplasty and turbinoplasty most frequently involve several surgeons with varying surgical skills, techniques and experience. The aim of the present study was to evaluate outcome based on one experienced surgeon. Methods: Three hundred and sixty-six consecutive patients referred for nasal obstruction were included. All the patients were examined with nasal endoscopy before and after decongestion, they filled out a nose VAS and rated their overall general health before and three to six months after surgery. The patients underwent septoplasty, septoplasty plus turbinoplasty or turbinoplasty. Results: The mean nose VAS for nasal obstruction (0–100) preoperatively was 64.7 for all patients. Patients undergoing septoplasty (n = 159) were younger than patients undergoing septoplasty + turbinoplasty (n = 79) or patients undergoing turbinoplasty alone (n = 128). The nose VAS for nasal obstruction improved significantly in all three groups and 25% had a normal nose VAS after surgery in the septoplasty and septoplasty + turbinoplasty groups compared to only 8% in the turbinoplasty alone group. There was no significant difference in the improvement in nasal obstruction between septoplasty and septoplasty + turbinoplasty, but the septoplasty + turbinoplasty group experienced a significantly greater improvement in general health. Conclusions: In 366 patients operated on by one experienced surgeon, septoplasty and septoplasty + turbinoplasty were more effective at relieving nasal obstruction than turbinoplasty alone. Septoplasty + turbinoplasty resulted in a greater improvement in general health than septoplasty alone, despite the same improvement in nasal obstruction, indicating a beneficial effect of additional turbinoplasty in septoplasty.

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author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
General health, Nose VAS, Septoplasty, Turbinoplasty
in
European Archives of Oto-Rhino-Laryngology
volume
278
issue
10
pages
3867 - 3875
publisher
Springer
external identifiers
  • pmid:33624151
  • scopus:85101392465
ISSN
0937-4477
DOI
10.1007/s00405-021-06696-7
language
English
LU publication?
yes
id
e54778f9-e96f-41ef-a12d-69d3ba1c5b27
date added to LUP
2021-03-11 09:54:30
date last changed
2024-03-21 03:19:49
@article{e54778f9-e96f-41ef-a12d-69d3ba1c5b27,
  abstract     = {{<p>Background: Studies of patient-rated outcome in septoplasty and turbinoplasty most frequently involve several surgeons with varying surgical skills, techniques and experience. The aim of the present study was to evaluate outcome based on one experienced surgeon. Methods: Three hundred and sixty-six consecutive patients referred for nasal obstruction were included. All the patients were examined with nasal endoscopy before and after decongestion, they filled out a nose VAS and rated their overall general health before and three to six months after surgery. The patients underwent septoplasty, septoplasty plus turbinoplasty or turbinoplasty. Results: The mean nose VAS for nasal obstruction (0–100) preoperatively was 64.7 for all patients. Patients undergoing septoplasty (n = 159) were younger than patients undergoing septoplasty + turbinoplasty (n = 79) or patients undergoing turbinoplasty alone (n = 128). The nose VAS for nasal obstruction improved significantly in all three groups and 25% had a normal nose VAS after surgery in the septoplasty and septoplasty + turbinoplasty groups compared to only 8% in the turbinoplasty alone group. There was no significant difference in the improvement in nasal obstruction between septoplasty and septoplasty + turbinoplasty, but the septoplasty + turbinoplasty group experienced a significantly greater improvement in general health. Conclusions: In 366 patients operated on by one experienced surgeon, septoplasty and septoplasty + turbinoplasty were more effective at relieving nasal obstruction than turbinoplasty alone. Septoplasty + turbinoplasty resulted in a greater improvement in general health than septoplasty alone, despite the same improvement in nasal obstruction, indicating a beneficial effect of additional turbinoplasty in septoplasty.</p>}},
  author       = {{Pedersen, Lars Aksel and Dölvik, S. and Holmberg, K. and Emanuelsson, C. Ahlström and Johansson, H. and Schiöler, L. and Hellgren, J. and Steinsvåg, S.}},
  issn         = {{0937-4477}},
  keywords     = {{General health; Nose VAS; Septoplasty; Turbinoplasty}},
  language     = {{eng}},
  month        = {{02}},
  number       = {{10}},
  pages        = {{3867--3875}},
  publisher    = {{Springer}},
  series       = {{European Archives of Oto-Rhino-Laryngology}},
  title        = {{Surgery to relieve nasal obstruction : outcome for 366 patients operated on by one senior surgeon}},
  url          = {{http://dx.doi.org/10.1007/s00405-021-06696-7}},
  doi          = {{10.1007/s00405-021-06696-7}},
  volume       = {{278}},
  year         = {{2021}},
}