Vural Sükran, Taş Ebru, Gürsel A Okan
Department of Otolaryngology, Bakirköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2008 May-Jun;18(3):166-70.
We evaluated disease-specific health status prior to and after septoplasty in patients with nasal septal deviation (NSD), and sought correlation between diagnosis and laboratory findings (anterior rhinomanometry and computed tomography).
The study included 39 patients (8 females, 31 males; mean age 41 years; range 18 to 59 years) with a diagnosis of NSD. Prior to septoplasty, all patients were evaluated by coronal paranasal sinus computed tomography (CT), anterior rhinomanometry and the Nasal Obstruction Symptom Evaluation (NOSE) scale. Rhinomanometry and the NOSE scale were repeated three months after septoplasty.
Compared to the preoperative values, the patients exhibited a significant decrease in NOSE scores, and in rhinomanometry, significantly increased nasal airflow and decreased total nasal airway resistance (p<0.05). No relationship was found between pre-and postoperative NOSE scores and total nasal airway resistance, and between preoperative NOSE scores and the severity of NSD assessed by CT (p>0.05).
The NOSE scale is a reliable tool to assess health status of patients with nasal obstruction symptoms. The diagnosis of NSD does not require rhinomanometry or computed tomography.
我们评估了鼻中隔偏曲（NSD）患者鼻中隔成形术前和术后的疾病特异性健康状况，并探寻诊断与实验室检查结果（前鼻测压法和计算机断层扫描）之间的相关性。
该研究纳入了39例诊断为NSD的患者（8名女性，31名男性；平均年龄41岁；范围18至59岁）。在鼻中隔成形术前，所有患者均接受了冠状位鼻窦计算机断层扫描（CT）、前鼻测压法以及鼻阻塞症状评估（NOSE）量表的评估。鼻中隔成形术后三个月重复进行前鼻测压法和NOSE量表评估。
与术前值相比，患者的NOSE评分显著降低，在前鼻测压法中，鼻气流显著增加，总鼻气道阻力降低（p<0.05）。术前和术后的NOSE评分与总鼻气道阻力之间，以及术前NOSE评分与通过CT评估的NSD严重程度之间均未发现相关性（p>0.05）。
NOSE量表是评估有鼻阻塞症状患者健康状况的可靠工具。NSD的诊断不需要前鼻测压法或计算机断层扫描。
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