Hostname: page-component-76d6cb85b7-pn7tm Total loading time: 0 Render date: 2026-07-16T02:00:14.682Z Has data issue: false hasContentIssue false
  • English
  • Français

Is septoplasty required whenever anterior septal deviation is present?

Published online by Cambridge University Press:  22 June 2022

N Susaman Open the ORCID record for N Susaman [Opens in a new window]  and
H Çetiner
N Susaman*
Affiliation:
Department of Otolaryngology, Elazığ Fethi Sekin City Hospital, Elazığ, Turkey
H Çetiner
Affiliation:
Department of Otolaryngology, Elazığ Fethi Sekin City Hospital, Elazığ, Turkey
*
Author for correspondence: Dr. Nihat Susaman, Department of Otolaryngology, Elazığ Fethi Sekin City Hospital, 23040 Elazığ, Turkey E-mail: nihatsusaman@hotmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

Post-operative success and patient satisfaction were assessed following septoplasty for mild to severe anterior septal deviation.

Methods

The study included patients with an anterior nasal septal deviation in the form of a ‘C’ shape and close to the nasal valve in the anterior septal area. Deviation severity was classified as severe (group 1), moderate (group 2) or mild (group 3). Open or closed septoplasty procedures were performed. All patients were surveyed twice using the Nasal Obstruction Symptom Evaluation scale and the 36-Item Short Form Health Survey.

Results

The mean Nasal Obstruction Symptom Evaluation score for group 1 was 15.58 ± 2.34 prior to surgery and 6.61 ± 3.29 following surgery. The corresponding pre- and post-surgery scores in group 2 were 11.9 ± 2.82 and 6.3 ± 3.03, respectively. In group 3, these values were 8.28 ± 2.63 and 7.12 ± 3.18, respectively. The mean 36-Item Short Form Health Survey physical function value for groups 1 and 2 increased after surgery; in group 3, this value decreased after surgery, but the result was not statistically significant.

Conclusion

Septoplasty is very successful for treating moderate or advanced deviations, but great care should be taken when employing septoplasty for mild deviations.

Keywords

Nasal ObstructionHealth SurveysBreathingNasal Surgical ProceduresOtorhinolaryngology

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 4 , April 2023 , pp. 404 - 407
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

Dr. Nihat Susaman takes responsibility for the integrity of the content of the paper

References

Bateman, ND, Woolford, TJ. Informed consent for septal surgery: the evidence-base. J Laryngol Otol 2003;117:186–9CrossRefGoogle ScholarPubMed
Hytonen, ML, Lilja, M, Makitie, AA, Sintonen, H, Roine, RP. Does septoplasty enhance the quality of life in patients? Eur Arch Otorhinolaryngol 2012;269:2497–503CrossRefGoogle ScholarPubMed
Stewart, MG, Smith, TL, Weaver, EM, Witsell, DL, Yueh, B, Hannley, MT et al. Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Otolaryngol Head Neck Surg 2004;130:283–90CrossRefGoogle ScholarPubMed
Holmstrom, M. The use of objective measures in selecting patients for septal surgery. Rhinology 2010;48:387–93CrossRefGoogle ScholarPubMed
Garcia, GJM, Rhee, JS, Senior, BA. Septal deviation and nasal resistance: an investigation using virtual surgery and computational fluid dynamics. Am J Rhinol Allergy 2010;24:46–53CrossRefGoogle ScholarPubMed
Mladina, R, Skitarelic, N, Poje, G. Clinical implications of nasal septal deformities. Balkan Med J 2015;32:137–46CrossRefGoogle ScholarPubMed
Camacho, M, Zaghi, S, Certal, V, Abdullatif, J, Means, C, Acevedo, J et al. Inferior turbinate classification system, grades 1 to 4: development and validation study. Laryngoscope 2015;125:296–302CrossRefGoogle ScholarPubMed
Stewart, MG, Witsell, DL, Smith, TL, Weaver, EM, Yueh, B, Hannley, MT. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg 2004;130:157–63CrossRefGoogle ScholarPubMed
Gray, LP. Deviated nasal septum. Incidence and etiology. Ann Otol Rhinol Laryngol 1978;87:3–20CrossRefGoogle ScholarPubMed
Baumann, I, Baumann, H. A new classification of septal deviations. Rhinology 2007;45:220–3Google ScholarPubMed
Samad, I, Stevens, HE, Maloney, A. The efficacy of nasal septal surgery. J Otolaryngol 1992;21:88–91Google ScholarPubMed
Sundh, C, Sunnergren, O. Long-term symptom relief after septoplasty. Eur Arch Otorhinolaryngol 2015;272:2871–5CrossRefGoogle ScholarPubMed
Kahveci, OK, Miman, MC, Yucel, A, Yucedag, F, Okur, E, Altuntas, A et al. The efficiency of Nose Obstruction Symptom Evaluation (NOSE) scale on patients with nasal septal deviation. Auris Nasus Larynx 2012;39:275–9CrossRefGoogle ScholarPubMed
Singh, A, Patel, N, Kenyon, G, Donaldson, G. Is there objective evidence that septal surgery improves nasal airflow? J Laryngol Otol 2006;120:916–20CrossRefGoogle ScholarPubMed
Pirilä, T, Tikanto, J. Unilateral and bilateral effects of nasal septum surgery demonstrated with acoustic rhinometry, rhinomanometry, and subjective assessment. Am J Rhinol 2001;15:127–33CrossRefGoogle ScholarPubMed
Mamikoglu, B, Houser, S, Akbar, I, Ng, B, Corey, JP. Acoustic rhinometry and computed tomography scans for the diagnosis of nasal septal deviation, with clinical correlation. Otolaryngol Head Neck Surg 2000;123:61–8CrossRefGoogle ScholarPubMed
Kobayashi, R, Miyazaki, S, Karaki, M, Kobayashi, E, Karaki, R, Kosuke, A et al. Measurement of nasal resistance by rhinomanometry in 892 Japanese elementary school children. Auris Nasus Larynx 2011;38:73–6CrossRefGoogle ScholarPubMed
Naito, K, Cole, P, Chaban, R, Oprysk, D. Nasal resistance, sensation of obstruction and rhinoscopic findings compared. Am J Rhinol 1988;2:65–910.2500/105065888781693177CrossRefGoogle Scholar