Karataş M, Koparal M, Yılmazer C, Kelles M
Department of Otolaryngology, Faculty of Medicine, Adiyaman University, Turkey.
Department of Otolaryngology, Faculty of Medicine, Turgut Özal University, Malatya, Turkey.
J Laryngol Otol. 2023 Apr;137(4):413-418. doi: 10.1017/S002221512200127X. Epub 2022 May 24.
This study assessed correlations between pre- and post-operative objective and subjective nasal patency test results in patients undergoing septoplasty to treat nasal septum deviation.
Eighty nasal septum deviation patients who underwent septoplasty were prospectively enrolled. Nasal Obstruction Symptom Evaluation questionnaire scores, anterior rhinomanometry and acoustic rhinometry data were compared pre-operatively and three months after surgery. The left, right and total volume and left, right and total minimum cross-sectional area acoustic rhinometry values were compared.
The left volume, total volume, left minimum cross-sectional area and total minimum cross-sectional area differed significantly between the two time-points (all 0.05). The total resistance, inspiratory total airflow, expiratory total resistance and expiratory total airflow rhinomanometric data did not differ between the two timepoints (all > 0.05).
This study suggested that subjective tests such as the Nasal Obstruction Symptom Evaluation questionnaire are optimal to identify complaints and assess post-operative satisfaction.
本研究评估了鼻中隔偏曲患者在鼻中隔成形术前、后的客观和主观鼻通畅测试结果之间的相关性。
前瞻性纳入80例行鼻中隔成形术的鼻中隔偏曲患者。比较术前及术后三个月的鼻阻塞症状评估问卷评分、前鼻测压和鼻声反射数据。比较鼻声反射的左、右及总体积以及左、右及总最小横截面积值。
两个时间点之间的左鼻腔容积、总鼻腔容积、左最小横截面积和总最小横截面积存在显著差异（均P<0.05）。两个时间点之间的总阻力、吸气总气流、呼气总阻力和呼气总气流鼻测压数据无差异（均P>0.05）。
本研究表明，诸如鼻阻塞症状评估问卷等主观测试对于识别患者诉求和评估术后满意度最为理想。
