Department of Surgery, Ears Nose and Throat Unit, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah.
Department of Otolaryngology Head and Neck Surgery, College of Medicine, Qassim University, Qassim.
J Craniofac Surg. 2023 May 1;34(3):922-925. doi: 10.1097/SCS.0000000000009115. Epub 2022 Nov 3.
Nasal septal deviation is a common health issue that can significantly impact the quality of life. Although nasal septoplasty is commonly performed in Otolaryngology practice, its effectiveness has been questioned. This was the first study to assess disease-specific quality of life in patients undergoing nasal septoplasty with or without turbinoplasty in Saudi Arabia.
This was a prospective observational study of patients undergoing nasal septoplasty with or without turbinoplasty for nasal obstruction due to septal deviation with or without inferior turbinate hypertrophy. Nasal Obstruction Symptom Evaluation (NOSE) scores were collected preoperatively and 3 months postoperatively and were compared with controls.
This study involved 200 subjects, including 40 patients in the case group and 160 individuals in the control group. The mean preoperative and 3-month postoperative NOSE scores of the case group were (58.4±23.7 and 15.0±18.6, P <0.001), respectively. However, the postoperatively NOSE score did not reach NOSE score in control group (13.28±8.13, P =0.377). All nasal symptoms statistically and clinically improved postoperatively. There were no significant differences in NOSE score changes among cases preoperatively and postoperatively according to age, sex, or the presence of allergic rhinitis or asthma.
Nasal septoplasty with or without turbinoplasty leads to improvements in disease-specific quality of life as assessed by NOSE scores and significantly improved nasal symptoms 3 months after surgery.
鼻中隔偏曲是一种常见的健康问题，会显著影响生活质量。尽管鼻中隔成形术在耳鼻喉科实践中经常进行，但它的效果一直受到质疑。这是第一项评估沙特阿拉伯鼻中隔成形术患者生活质量的研究，无论是否同时进行鼻甲成形术。
这是一项前瞻性观察研究，纳入了因鼻中隔偏曲导致鼻塞并伴或不伴下鼻甲肥大而接受鼻中隔成形术或鼻甲成形术的患者。术前和术后 3 个月收集鼻腔阻塞症状评估（NOSE）评分，并与对照组进行比较。
本研究共纳入 200 例患者，其中病例组 40 例，对照组 160 例。病例组术前和术后 3 个月的平均 NOSE 评分分别为（58.4±23.7 和 15.0±18.6，P<0.001）。然而，术后 NOSE 评分并未达到对照组的水平（13.28±8.13，P=0.377）。所有鼻部症状术后均有统计学和临床改善。根据年龄、性别、变应性鼻炎或哮喘的存在，病例组术前和术后的 NOSE 评分变化无显著差异。
鼻中隔成形术或鼻甲成形术可改善由 NOSE 评分评估的特定疾病的生活质量，并在术后 3 个月显著改善鼻部症状。
