Sunnergren Ola, Alexandersson Cecilia, Broström Anders, Eliasson Fredrik, Jangard Mattias, Lilja Ylva, Pakpour Amir, Sandelin Kristoffer, Ahlström-Emanuelsson Cecilia
Department of Otorhinolaryngology Sahlgrenska Academy, Gothenburg University Gothenburg Sweden.
Region Västra Götaland, Sahlgrenska University Hospital Department of Otorhinolaryngology Gothenburg Sweden.
Laryngoscope Investig Otolaryngol. 2025 Jul 21;10(4):e70199. doi: 10.1002/lio2.70199. eCollection 2025 Aug.
Although septoplasty is frequently performed in patients with nasal obstruction, studies on clinical practice and real-life outcomes are sparse. This study aimed to describe the clinical practice, characteristics of septoplasty patients, patient-reported outcomes and complications, as well as predictors for a successful outcome in a comprehensive national longitudinal database.
All patients, > 18 years of age, registered in the Swedish Quality Register for Septoplasty (SQRS) between 2014 and 2023 were included in the study ( = 11,714). A multivariate logistic regression analysis was used to search for predictors of a successful outcome (i.e., no or mild self-reported nasal obstruction).
Clinical practice was influenced by the surgical unit. A successful outcome was reported in 59.9% of the patients. Predictors for a successful outcome were higher age, more recent surgery, unilateral subjective nasal obstruction, no nighttime nasal obstruction, and no smoking. Almost one in four patients reported a chronic complication from surgery after 12 months.
There is an unwarranted diversity in Swedish septoplasty practice, which illustrates a lack of knowledge of best practices. The patient-reported outcome, where only six of 10 patients had no or mild nasal obstruction at follow-up, indicates room for improvement.
尽管鼻中隔成形术常用于治疗鼻塞患者，但关于临床实践和实际治疗效果的研究却很少。本研究旨在通过一个全面的全国纵向数据库，描述鼻中隔成形术的临床实践、患者特征、患者报告的治疗效果和并发症，以及手术成功的预测因素。
纳入2014年至2023年间在瑞典鼻中隔成形术质量登记处（SQRS）登记的所有18岁以上患者（n = 11714）。采用多因素逻辑回归分析寻找手术成功（即自我报告无或轻度鼻塞）的预测因素。
临床实践受手术科室的影响。59.9%的患者报告手术成功。手术成功的预测因素包括年龄较大、近期手术、单侧主观鼻塞、无夜间鼻塞和不吸烟。近四分之一的患者在术后12个月报告有手术相关的慢性并发症。
瑞典鼻中隔成形术的实践存在不必要的差异，这表明缺乏对最佳实践的了解。患者报告的治疗效果显示，随访时每10名患者中只有6名无或仅有轻度鼻塞，这表明仍有改进空间。
4级。
