SNOT-22 in the evaluation of septoplasty + turbinoplasty short-term results: A prospective study
DOI:
https://doi.org/10.34631/sporl.889Keywords:
nasal obstruction, septoplasty, SNOT-22Abstract
Objective: Analise the short-term results of septoplasty associated with inferior turbinoplasty using the SNOT-22 questionnaire
Materials and Methods: Prospective study which included 50 patients who answered SNOT-22 pre and post-operatively (6 months). Patients also were asked to classify their health improvement on a 1-5 scale (1- much better; 5- much worse). Demographic and clinically relevant variables were retrieved.
Results: 50 included patients with an average pre-surgical SNOT-22 score of 45,6 (+/-22.7) and post-surgical of 24,5 (+/- 16.4) (mean variation of 21.3 (+/-23.6). The symptom with the greatest improvement was nasal obstruction (variation of 1.9 points). Every item on the questionnaire changed significantly with the procedure. 72% of patients noted improvement in their health after surgery. These patients showed a significative lower post-surgical (p=0.02) and greater score variation (p=0.03). The mean important difference was 4 points. Post-surgical variation was greater in patients without OSAS (p=0.002).
Conclusions: Although every item changed significantly in our sample, the greatest variation occurred in “nasal obstruction”. Total score variation was also statistically significant and greater than other similar published studies.
References
Gray LP. Deviated Nasal Septum. Incidence and Etiology. Ann Otol Rhinol Laryngol Suppl. 1978 May-Jun;87(3 Pt 3 Suppl 50):3-20. doi: 10.1177/00034894780873s201.
Hatipoglu HG, Cetin MA, Yuksel E. Nasal septal deviation and concha bullosa coexistence: CT evaluation. B-ENT. 2008;4(4):227-32.
van Egmond MMHT, Rovers MM, Hannink G, Hendriks CTM. et al. Septoplasty with or without concurrent turbinate surgery versus non-surgical management for nasal obstruction in adults with a deviated septum: a pragmatic, randomised controlled trial. Lancet. 2019 Jul 27;394(10195):314-321. doi: 10.1016/S0140-6736(19)30354-X.
Stewart MG, Smith TL, Weaver EM, Witsell DL et al. Outcomes after nasal septoplasty: results from the nasal obstruction Septoplasty effectiveness (NOSE) study. Otolaryngol Head Neck Surg. 2004;130(3):283-90. doi: 10.1016/j.otohns.2003.12.004.
Valsamidis K, Titelis K, Rachovitsas D, Konstantinidis I, Markou K, Triaridis S. Long-Term Evaluation of Nasal Septoplasty Followed by Inferior Turbinate Cauterization for the Treatment of Nasal Obstruction using Objective and Subjective Methods. Int Arch Otorhinolaryngol. 2018 Jul;22(3):284-290. doi: 10.1055/s-0037-1613688
Dinis PB, Haider H. Septoplasty: long term evaluation of results. Am J Otolaryngol. Mar-Apr 2002;23(2):85-90. doi: 10.1053/ajot.2002.30987.
Gillman GS, Egloff AM, Rivera-Serrano CM. Revision septoplasty: a prospective disease-specific outcome study. Laryngoscope. 2014 Jun;124(6):1290-5. doi: 10.1002/lary.24356.
Wotman M, Kacker A. What are the indications for the use of computed tomography before septoplasty? Laryngoscope. 2016 Jun;126(6):1268-70. doi: 10.1002/lary.25815
Jun BC, Kim SW, Kim SW, Cho JH, Park YJ, Yoon HR. Is turbinate surgery necessary when performing a septoplasty? Eur Arch Otorhinolaryngol. 2009 Jul;266(7):975-80. doi: 10.1007/s00405-008-0855-x.
Dinesh Kumar R, Rajashekar M. Comparative Study of Improvement of Nasal Symptoms Following Septoplasty with Partial Inferior Turbinectomy Versus Septoplasty Alone in Adults by NOSE Scale: A Prospective Study. Indian J Otolaryngol Head Neck Surg. 2016 Sep;68(3):275-84. doi: 10.1007/s12070-015-0928-2.
Bhandarkar ND, Smith TL. Outcomes of surgery for inferior turbinate hypertrophy. Curr Opin Otolaryngol Head Neck Surg. 2010 Feb;18(1):49-53. doi: 10.1097/MOO.0b013e328334d974.
de Vilhena D, Duarte D, Lopes G. Sino-Nasal Outcome Test-22: translation, cultural adaptation and validation in Portugal. Clin Otolaryngol. 2016 Feb;41(1):21-4. doi: 10.1111/coa.12465.
Buckland JR, Thomas S, Harries PG. Can the Sinonasal outcome test (SNOT-22) be used as a reliable outcome measure for successful septal surgery? Clin Otolaryngol Allied Sci. 2003 Feb;28(1):43-7. doi: 10.1046/j.1365-2273.2003.00663.x.
Gillett S, Hopkins C, Slack R, Browne JP. A pilot study of the SNOT-22 score in adults with no sinonasal disease. Clin Otolaryngol. 2009 Oct;34(5):467-9. doi: 10.1111/j.1749-4486.2009.01975.x.
Siegel NS, Gliklich RE, Taghizadeh F, Chang Y. Outcomes of septoplasty. Otolaryngol Head Neck Surg. 2000 Feb;122(2):228-32. doi: 10.1016/S0194-5998(00)70244-0.
Hytönen ML, Lilja M, Mäkitie AA, Sintonen H, Roine RP. Does septoplasty enhance the quality of life in patients? Eur Arch Otorhinolaryngol. 2012 Dec;269(12):2497-503. doi: 10.1007/s00405-012-1931-9.
Dizdar D, Bozan A, Dizdar SK, Göde S et al. Evaluation of nasal symptoms in septoplasty patients using SNOT-22. Acta Otorhinolaryngol Ital. 2019 Apr;39(2):98-102. doi: 10.14639/0392-100X-2061.
Ertugay CK, Toros SZ, Karaca CT, Kulekci S. et al. Is septoplasty effective on habitual snoring in patients with nasal obstruction? Eur Arch Otorhinolaryngol. 2015 Jul;272(7):1687-91. doi: 10.1007/s00405-014-3260-7.
Thorstensen WM, Bugten V, Sue-Chu M, Fossland NP, Romundstad PR, Steinsvåg SK. Sino-Nasal Characteristics in Asthmatic Patients. Otolaryngol Head Neck Surg. 2012 Nov;147(5):950-7. doi: 10.1177/0194599812451408.
Bugten V, Nilsen AH, Thorstensen WM, Moxness MH. et al. Quality of life and symptoms before and after nasal septoplasty compared with healthy. BMC Ear Nose Throat Disord. 2016 Oct 28;16:13. doi: 10.1186/s12901-016-0031-7.
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