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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2023; 27(02): e266-e273
DOI: 10.1055/s-0042-1743462
Original Research

Improvement in Nasal Obstruction and Quality of Life after Nasal Septoplasty with Turbinoplasty: A Pre- and Post-study

María A. García-Chabur 
1   Department of Otorhinolaryngology, Fundación Universitaria de Ciencias de la Salud, Hospital de San José, Bogotá, Colombia
4   Otolaryngology Research group, UNIMEQ-ORL, Bogotá, Colombia
,
Juliana Castellanos 
1   Department of Otorhinolaryngology, Fundación Universitaria de Ciencias de la Salud, Hospital de San José, Bogotá, Colombia
,
Gloria Corredor-Rojas 
2   School of Medicine, Universidad de Los Andes, Bogotá, Colombia
,
Mariana Salgar 
1   Department of Otorhinolaryngology, Fundación Universitaria de Ciencias de la Salud, Hospital de San José, Bogotá, Colombia
,
Sergio Moreno 
2   School of Medicine, Universidad de Los Andes, Bogotá, Colombia
4   Otolaryngology Research group, UNIMEQ-ORL, Bogotá, Colombia
,
Martín Pinzón 
1   Department of Otorhinolaryngology, Fundación Universitaria de Ciencias de la Salud, Hospital de San José, Bogotá, Colombia
3   Department of Otolaryngology, Fundación Santa Fe de Bogotá, Bogotá, Colombia
4   Otolaryngology Research group, UNIMEQ-ORL, Bogotá, Colombia
,
Augusto Peñaranda 
2   School of Medicine, Universidad de Los Andes, Bogotá, Colombia
3   Department of Otolaryngology, Fundación Santa Fe de Bogotá, Bogotá, Colombia
4   Otolaryngology Research group, UNIMEQ-ORL, Bogotá, Colombia
› Institutsangaben Funding The present research did not receive any specific grant from funding agencies.
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Abstract

Introduction Septoplasty and turbinoplasty are common surgical interventions used to relieve nasal obstructive symptoms. Since it is difficult to measure the degree of nasal blockage, current literature wonders about the frequent performance of these procedures.

Objective To evaluate the perceived change in the nasal obstruction and the quality of life (QoL) of patients that underwent a septoplasty along with a turbinoplasty by applying subjective scales, to describe the correlation between those scales, and to study the impact of clinical factors in the postoperative outcomes.

Methods Prospective observational study. The Nasal Obstruction Symptom Evaluation (NOSE), the Visual Analog Scale (VAS), and the Glasgow Benefit Inventory (GBI) were assessed. The paired sample Wilcoxon test was used to evaluate the difference between the pre- and postoperative surveys. The correlation coefficient between the subjective scales was calculated. A quantile regression was performed to evaluate the effect of surgery on the results adjusted for clinical and demographic variables.

Results A total of 115 patients were interviewed. Postoperative NOSE scores were 45 points lower (95% confidence interval [CI]: - 53.53–- 35.46; p < 0.001) in comparison with the NOSE preoperative scores. Obesity was the only statistically significant factor associated with worse outcomes. Additionally, we found a high correlation between the NOSE and VAS scores and a negative correlation between the GBI and postoperative VAS scores.

Conclusion Nasal septoplasty, when paired with a turbinoplasty, decreases nasal obstruction and improves QoL. Obesity was associated with worse results. There was a strong correlation between the NOSE and the VAS results and between the GBI and postoperative VAS results.

Keywords

nasal obstruction - nasal septum - nasal surgical procedures - quality of life - visual analogue scale

Ethics approval and consent to participate

Ethical Committee approval (CCEI-8616–2017).


Availability of data and materials

Part of the data generated or analyzed during the present study is included in the present published article. Full datasets generated during and/or analyzed during the present study are available from the corresponding author on reasonable request.


Contributions of the authors

García-Chabur MA, the first author of the study, contributed to the data collection, database construction, and manuscript writing.


Castellanos J., Salgar M., and Corredor-Rojas G. performed part of the data collection and contributed to the English translation of the article.


Moreno S. performed the statistical analysis and supported and guided the statistical data interpretation.


Pinzón M. and Peñaranda A. provided support on part of the data collection. García-Chabur MA, Corredor-Rojas G, and Peñaranda A. were involved in the drafting of the manuscript. Peñaranda A revised the manuscript critically for intellectual content. All authors read and approved the final manuscript for publication.


Supplementary Material



Publikationsverlauf

Eingereicht: 09. September 2020

Angenommen: 16. November 2021

Artikel online veröffentlicht:
14. Februar 2023

© 2023. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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