Artículos de revistas
Quality of life assessment septoplasty in patients with nasal obstruction
Fecha
2013-08-02Registro en:
BRAZILIAN JOURNAL OF OTORHINOLARYNGOLOGY, SAO PAULO, v. 78, n. 3, supl. 18, Part 1-2, pp. 57-62, MAY-JUN, 2012
1808-8694
10.1590/S1808-86942012000300011
Autor
Pinto Bezerra, Thiago Freire
Stewart, Michael G.
Fornazieri, Marco Aurelio
de Mendonca Pilan, Renata Ribeiro
Pinna, Fabio de Rezende
de Melo Padua, Francini Grecco
Voegels, Richard Louis
Institución
Resumen
Naasal obstruction is a common complaint in the population. When caused by a deviated nasal septum, septoplasty is the procedure of choice for treating these patients. NOSE is a tool for assessing the disease-specific quality of life related to nasal obstruction. Aim: To assess the impact of septoplasty on patients with nasal obstruction secondary to deviated nasal septum based on the disease-specific quality-of-life questionnaire. Design: Prospective. Methods: Patients undergoing septoplasty with/without turbinectomy after no clinical improvement with medical treatment were assessed by the NOSE questionnaire before and 3 months after surgery. We evaluated the surgical improvement based on total score, the magnitude of the surgery in the disease-specific quality of life and the correlation between the preoperative score and postoperatively improvement. Results: Fourty-six patients were included in the study. There was a statistically significant improvement in the preoperative NOSE score (md = 75, IQR = 26) and after three months (md = 10, IQR = 20) (p < 0.001.T-Wilcoxon). The standardized response mean was 3.07. We found a strong correlation between the preoperative score in the NOSE questionnaire and improvements in the postoperative period (r = -0.789, p < 0.001, Spearman). No difference was found in improvement scores by gender. (p = 0.668, U-Mann-Whitney). Conclusion: Septoplasty resulted in a statistically significant improvement in the disease-specific QOL questionnaire.