A Study of Clinical Profile of Deviated Nasal Septum and to Determine the Efficacy of Surgery
Authors/Creators
- 1. Senior Resident, Department of ENT, Katihar Medical College, Katihar
- 2. Professor, Department of ENT, Katihar Medical College, Katihar
- 3. Professor& Head, Department of ENT, Katihar Medical College, Katihar
Description
Introduction: Nasal blockage, dryness, crusting, bleeding, itching, rhinorrhea, anosmia, headache, cosmetic complaints are the symptoms and signs that accompany septal pathology. Septoplasty, one of the most common surgical procedure sin the otorhinolaryngology, is performed for correction of the septal deviation. Outcomes of Septoplasty can be divided into objective or subjective patient reported outcome measurements. Thus there is a need for the formation of standard protocol to assess the efficacy of Septoplasty. Materials and Methods: A prospective study, which included 60 patients diagnosed with DNS, was conducted in the Department of Otorhinolaryngology, Katihar Medical College, between June 2018 to January 2019. NOSE Scale which is brief, valid, reliable, and responsive survey was used in the present study to assess the outcome of septal surgery. Results: On analysing the NOSE score it was observed that, at the end of 6 months of follow up period patients had significant improvement with respect to Nasal obstruction, headache, Nasal discharge, facial pain, and hyposmia. Conclusion: Surgical correction of the obvious anatomic deviation can significantly improve clinical outcomes including nasal obstruction, headache, facial pain and nasal discharge.
Abstract (English)
Introduction: Nasal blockage, dryness, crusting, bleeding, itching, rhinorrhea, anosmia, headache, cosmetic complaints are the symptoms and signs that accompany septal pathology. Septoplasty, one of the most common surgical procedure sin the otorhinolaryngology, is performed for correction of the septal deviation. Outcomes of Septoplasty can be divided into objective or subjective patient reported outcome measurements. Thus there is a need for the formation of standard protocol to assess the efficacy of Septoplasty. Materials and Methods: A prospective study, which included 60 patients diagnosed with DNS, was conducted in the Department of Otorhinolaryngology, Katihar Medical College, between June 2018 to January 2019. NOSE Scale which is brief, valid, reliable, and responsive survey was used in the present study to assess the outcome of septal surgery. Results: On analysing the NOSE score it was observed that, at the end of 6 months of follow up period patients had significant improvement with respect to Nasal obstruction, headache, Nasal discharge, facial pain, and hyposmia. Conclusion: Surgical correction of the obvious anatomic deviation can significantly improve clinical outcomes including nasal obstruction, headache, facial pain and nasal discharge.
Files
IJPCR,Vol16,Issue7,Article196.pdf
Files
(314.2 kB)
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Additional details
Dates
- Accepted
-
2024-06-25
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue7,Article196.pdf
- Development Status
- Active
References
- 1. Vainio- Mattila. correlations of nasal symptoms and signs in random sampling study. Actaotolaryngol. 1971; Suppl 318:1-48. 2. Bhattacharyya N. Ambulatory sinus and nasal surgery in the United States: demographics and perioperative outcomes. Laryn goscope. 2010; 120(3):635-638 3. Flint P, Cummings C. Cummings otolaryngology. 6th ed. Philadelphia, Pa: Elsevier, Saunders; 2015. 4. Waguespack R Mucociliary clearance patternsfollowing endoscopic sinus surgery. Laryngoscope. 1995; 105:1-40. 5. Sisson JH, Yonkers Aj, Waldman RH. Effects of guaifenesin on nasal mucociliary clearance and ciliarybeat frequency in healthy volunteers. Chest. 1995; 107(3): 747-51. 6. Gandom IB, Bayat A, Kazemei T. Outcomes of Septoplasty in young adults: the nasal 7. Obstruction Septoplasty effectiveness study. Am Jotolaryngol. 2010;31(3): 189-92. 8. Illum P. Septoplasty and compensatory in ferior turbinate hypertrophy: long-term results after randomized turbinoplasty. Eur Arch Otorhinolaryngol. 1997; 254(Suppl. 1):89–92. 9. Berger G, Hammel I, Berger R, Avraham S, Ophir D. Histopathology of the inferior turbinate with compensatory hypertrophy in patients with deviated nasal septum. Laryngoscope. 2000;110:2100–5. 10. Berger G, Gass S, Ophir D. The histopathology of the hypertrophic inferior turbinate. Arch Otolaryngol Head Neck Surg. 2006; 132:588– 94. 11. Kang JW, Yoo JB, Kim CH, Lee JG. Structural changes of inferior turbinate in patients with septal deviation: surgical implication. J Rhinol. 2004; 11:40–3. 12. Inagi K. Histological study of mucous membranes in thehuman nasal septum. Nippon Jibiinkoka Gakkai Kaiho.1992;95:1174–89. 13. Jang YJ, Myong NH, Park KH, Koo TW, Kim HG. Mucociliary transport and histologic characteristics of the mucosa of deviated nasal septum. Arch Otolaryngol Head Neck Surg. 2002; 128:421–4. 14. Kamani T, Yilmaz T, Surucu S, Bajin MD, Gunaydin RO, Kuscu O. Histopathological changes in nasal mucosa with nasal septum deviation. Eur Arch Otorhinolaryngol. 2014;27 1:2969–74. 15. Cole P, Chavan R, Naito K, Oprysk D. The obstructive nasal septum: effect of stimulated deviations on nasalair flow. Arch Otolaryngol Head Neck Surg. 1988; 114:410–2.