Cargando…

Treatment success after rhinosurgery: an evaluation of subjective and objective parameters

PURPOSE: Septal deviation and nose deformities are widely prevalent. As a consequence, patients may complain about difficulties in nasal breathing leading to a perception of diminished disease-specific quality of life. In a prospective randomized trial, we aimed to analyse the outcome of septoplasty...

Descripción completa

Detalles Bibliográficos
Autores principales: Martin, M. M., Hauck, K., von Witzleben, A., Lindemann, J., Scheithauer, M. O., Hoffmann, T. K., Sommer, F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8738622/
https://www.ncbi.nlm.nih.gov/pubmed/33813628
http://dx.doi.org/10.1007/s00405-021-06787-5
_version_ 1784628955700002816
author Martin, M. M.
Hauck, K.
von Witzleben, A.
Lindemann, J.
Scheithauer, M. O.
Hoffmann, T. K.
Sommer, F.
author_facet Martin, M. M.
Hauck, K.
von Witzleben, A.
Lindemann, J.
Scheithauer, M. O.
Hoffmann, T. K.
Sommer, F.
author_sort Martin, M. M.
collection PubMed
description PURPOSE: Septal deviation and nose deformities are widely prevalent. As a consequence, patients may complain about difficulties in nasal breathing leading to a perception of diminished disease-specific quality of life. In a prospective randomized trial, we aimed to analyse the outcome of septoplasty (SPL) and septorhinoplasty (SRP) on patient satisfaction. METHODS: Patients with functional indication for SPL (n = 19) or SRP (n = 54) were included and randomized for additional turbinoplasty. Preoperative clinical symptoms were collected with SNOT-20 GAV (Sinu-nasal outcome test-20—German adapted version) and NOSE(©) (nasal obstruction symptom evaluation) questionnaires. The final evaluation of treatment success was performed 9 months after surgery with SNOT-20 GAV, NOSE(©) and a self-established feedback questionnaire. Nasal breathing and obstruction were objectively measured with rhinomanometry and acoustic rhinometry [minimum cross-sectional area 2 (MCA2)]. RESULTS: Minimum cross-sectional area 2 was statistically improved compared to the pre-treatment value in SPL (p = 0.0004) and SRP (p = 0.0001). Regarding MCA2 values of matched patient groups, similar findings were detected (SPL: p = 0.0013, SRP: p < 0.0001). Sinu-nasal outcome test-20 GAV and NOSE(©) scores were significantly reduced after both surgical procedures (NOSE(©): SPL: p < 0.0001, SRP: p < 0.0001; SNOT-20 GAV: SPL: p = 0.0068, SRP: p < 0.0001). Evaluation of patient satisfaction in a self-established feedback questionnaire revealed a motivation of 81% of patients to redo the surgery (SPL 13/16, SRP 34/42) and a notably general satisfaction of 86% for SPL and 80% for SRP. CONCLUSION: Rhinosurgery leads to quantitative better nasal breathing and increased disease-specific satisfaction. However, this study implies the importance of the right selection of patients and the correct indication of the surgical technique.
format Online
Article
Text
id pubmed-8738622
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-87386222022-01-20 Treatment success after rhinosurgery: an evaluation of subjective and objective parameters Martin, M. M. Hauck, K. von Witzleben, A. Lindemann, J. Scheithauer, M. O. Hoffmann, T. K. Sommer, F. Eur Arch Otorhinolaryngol Rhinology PURPOSE: Septal deviation and nose deformities are widely prevalent. As a consequence, patients may complain about difficulties in nasal breathing leading to a perception of diminished disease-specific quality of life. In a prospective randomized trial, we aimed to analyse the outcome of septoplasty (SPL) and septorhinoplasty (SRP) on patient satisfaction. METHODS: Patients with functional indication for SPL (n = 19) or SRP (n = 54) were included and randomized for additional turbinoplasty. Preoperative clinical symptoms were collected with SNOT-20 GAV (Sinu-nasal outcome test-20—German adapted version) and NOSE(©) (nasal obstruction symptom evaluation) questionnaires. The final evaluation of treatment success was performed 9 months after surgery with SNOT-20 GAV, NOSE(©) and a self-established feedback questionnaire. Nasal breathing and obstruction were objectively measured with rhinomanometry and acoustic rhinometry [minimum cross-sectional area 2 (MCA2)]. RESULTS: Minimum cross-sectional area 2 was statistically improved compared to the pre-treatment value in SPL (p = 0.0004) and SRP (p = 0.0001). Regarding MCA2 values of matched patient groups, similar findings were detected (SPL: p = 0.0013, SRP: p < 0.0001). Sinu-nasal outcome test-20 GAV and NOSE(©) scores were significantly reduced after both surgical procedures (NOSE(©): SPL: p < 0.0001, SRP: p < 0.0001; SNOT-20 GAV: SPL: p = 0.0068, SRP: p < 0.0001). Evaluation of patient satisfaction in a self-established feedback questionnaire revealed a motivation of 81% of patients to redo the surgery (SPL 13/16, SRP 34/42) and a notably general satisfaction of 86% for SPL and 80% for SRP. CONCLUSION: Rhinosurgery leads to quantitative better nasal breathing and increased disease-specific satisfaction. However, this study implies the importance of the right selection of patients and the correct indication of the surgical technique. Springer Berlin Heidelberg 2021-04-03 2022 /pmc/articles/PMC8738622/ /pubmed/33813628 http://dx.doi.org/10.1007/s00405-021-06787-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Rhinology
Martin, M. M.
Hauck, K.
von Witzleben, A.
Lindemann, J.
Scheithauer, M. O.
Hoffmann, T. K.
Sommer, F.
Treatment success after rhinosurgery: an evaluation of subjective and objective parameters
title Treatment success after rhinosurgery: an evaluation of subjective and objective parameters
title_full Treatment success after rhinosurgery: an evaluation of subjective and objective parameters
title_fullStr Treatment success after rhinosurgery: an evaluation of subjective and objective parameters
title_full_unstemmed Treatment success after rhinosurgery: an evaluation of subjective and objective parameters
title_short Treatment success after rhinosurgery: an evaluation of subjective and objective parameters
title_sort treatment success after rhinosurgery: an evaluation of subjective and objective parameters
topic Rhinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8738622/
https://www.ncbi.nlm.nih.gov/pubmed/33813628
http://dx.doi.org/10.1007/s00405-021-06787-5
work_keys_str_mv AT martinmm treatmentsuccessafterrhinosurgeryanevaluationofsubjectiveandobjectiveparameters
AT hauckk treatmentsuccessafterrhinosurgeryanevaluationofsubjectiveandobjectiveparameters
AT vonwitzlebena treatmentsuccessafterrhinosurgeryanevaluationofsubjectiveandobjectiveparameters
AT lindemannj treatmentsuccessafterrhinosurgeryanevaluationofsubjectiveandobjectiveparameters
AT scheithauermo treatmentsuccessafterrhinosurgeryanevaluationofsubjectiveandobjectiveparameters
AT hoffmanntk treatmentsuccessafterrhinosurgeryanevaluationofsubjectiveandobjectiveparameters
AT sommerf treatmentsuccessafterrhinosurgeryanevaluationofsubjectiveandobjectiveparameters