Randall Nicholas R, Barrett Dane M, Frank-Ito Dennis O, Ji Keven Seung Yong, Hoang Thien, Wang Tom D, Loyo Myriam
Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, MN, USA.
Department of Head and Neck Surgery & Communication Sciences, Duke University Health System, Durham, NC, USA.
Ann Otol Rhinol Laryngol. 2025 May;134(5):326-331. doi: 10.1177/00034894241309751. Epub 2024 Dec 27.
Functional septorhinoplasty is an effective treatment for nasal airway obstruction. Little distinction exists between bilaterally and unilaterally obstructed patients in literature. Our study evaluates outcomes in patients with unilateral nasal airway obstruction compared to those with bilateral nasal airway obstruction as measured by nasal obstruction symptom evaluation scores following functional septorhinoplasty.
A total of 227 patients underwent functional septorhinoplasty for nasal airway obstruction. Patients were grouped into unilateral (n = 64) and bilateral (n = 163) nasal obstruction cohorts based on patient report and physician assessment. Nasal obstruction symptom evaluation (NOSE) scores were obtained pre-operatively and post-operatively at least 3 months following surgery.
Patients with unilateral nasal obstruction had slightly less severe symptoms preoperatively than patients with bilateral obstruction. Average preoperative NOSE scores for patients with unilateral obstruction was 64 (SD = 19) and 72 (SD = 18) for patients with bilateral obstruction ( = .004). Postoperative NOSE scores following septorhinoplasty were significantly reduced for patients with both unilateral and bilateral nasal obstruction (postoperative NOSE scores unilateral: 17, SD = 16 ; bilateral: 23, SD = 21). There was no statistical significance in outcomes between patients with unilateral or bilateral nasal obstruction groups.
Symptoms in patients with unilateral obstruction are similar but slightly less severe than patients with bilateral obstruction. Patients with unilateral and bilateral nasal obstruction experienced a similar degree of improvement in symptom following functional septorhinoplasty.
功能性鼻中隔鼻成形术是治疗鼻气道阻塞的有效方法。文献中对双侧和单侧阻塞患者的区分很少。我们的研究通过功能性鼻中隔鼻成形术后的鼻阻塞症状评估评分，评估单侧鼻气道阻塞患者与双侧鼻气道阻塞患者的治疗效果。
共有227例患者因鼻气道阻塞接受了功能性鼻中隔鼻成形术。根据患者报告和医生评估，将患者分为单侧（n = 64）和双侧（n = 163）鼻阻塞队列。在术前和术后至少3个月时获得鼻阻塞症状评估（NOSE）评分。
单侧鼻阻塞患者术前症状的严重程度略低于双侧阻塞患者。单侧阻塞患者术前平均NOSE评分为64（标准差=19），双侧阻塞患者为72（标准差=18）（P =.004）。鼻中隔鼻成形术后，单侧和双侧鼻阻塞患者的术后NOSE评分均显著降低（单侧术后NOSE评分：17，标准差=16；双侧：23，标准差=21）。单侧或双侧鼻阻塞组患者的治疗效果无统计学差异。
单侧阻塞患者的症状与双侧阻塞患者相似，但严重程度略低。单侧和双侧鼻阻塞患者在功能性鼻中隔鼻成形术后症状改善程度相似。
