Improvement of Nasal Obstruction Symptoms after Septoplasty with or without Turbinoplasty

Authors

  • Shafaq Zaman Department of ENT, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Saleem Asif Niazi Department of ENT, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Shahzad Maqbool Department of ENT, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Ayesha Khalid Department of ENT, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Yousra Riaz Department of ENT, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Muhammad Sulman Department of Medicine, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i6.10505

Keywords:

Nasal obstruction, Septoplasty, Turbinoplasty

Abstract

Objective: To assess the improvement of nasal obstruction symptoms after septoplasty with or without turbinoplasty.

Study Design: Prospective comparative study.

Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, Pakistan, from Jan to Dec 2021.

Methodology: Two hundred patients having nasal obstruction due to unilateral deviated nasal septum with contralateral
hypertrophied inferior turbinate were included. By convenient sampling, patients were assigned septoplasty with
turbinoplasty in Group-A or Group-B. Follow-up was done after 3 and 6 months. NOSE Score was used to evaluate the postoperative effectiveness of the procedures.

Results: At three months follow-up, out of 103(51.5%) patients in Group-A, 14(13.59%) were minimally satisfied, 29(28.16%)
were moderately satisfied, and 60(58.25%) were totally satisfied with the surgery outcome. Out of 97(48.5%) patients in GroupB, 37(40.66%) were minimally satisfied, 26(26.80%) were moderately satisfied, and 34(35.05%) were totally satisfied. At six months follow-up, in Group A, 9 (8.74 %) were minimally satisfied, 24(23.3%) were moderately satisfied, and 70(67.96%) were totally satisfied with the results. While in group B, 41(42.26%) were minimally satisfied, 21(21.65%) were moderately satisfied and 35(36.08%) were totally satisfied.

Conclusion: Patients who underwent septoplasty with inferior turbinoplasty had much higher satisfaction levels than those in Septoplasty alone.

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References

Gamerra M, Cantone E, Sorrentino G, De Luca R, Russo MB, De

Corso E, Bossa F, et al. Ie. Mathematical model for preoperative

identification of obstructed nasal subsites. Acta Otorhinolaryngol

Ital 2017; 37(5): 410-415.

https://doi.org/10.14639/0392-100X-1385.

Watters C, Brar S, Yapa S. Septoplasty. In: StatPearls. Treasure

Island (FL): StatPearls Publishing; 2022.

Cantone E, Ricciardiello F, Oliva F, De Corso E, Iengo M.

Septoplasty: is it possible to identify potential “predictors” of

surgical success?. Acta Otorhinolaryngol Ital 2018; 38(6): 528-535.

https://doi.org/10.14639/0392-100X-2072.

Sharma A, Jain S, Sen K, Gupta A. Clinical outcome following

septoplasty with or without inferior turbinate reduction. Int J

Otorhinolaryngol Head Neck Surg 2020; 6(9): 1651.

https://doi.org/10.18203/issn.2454-5929.ijohns20203567.

Seden N, Araz Server E, Yigit O. Does turbinate reduction combined with septoplasty have better outcomes than septoplastyalone? A randomised, controlled study. J Laryngol Otol 2022;

(1): 55-59. https://doi.org/10.1017/S0022215121003340.

Bin Lajdam G, Alaryani K, Ghaddaf AA, Aljabri A, Halawani A,

Alshareef M, et al. Septoplasty versus septoplasty with turbinate

reduction for nasal obstruction due to deviated nasal septum: a

systematic review and meta-analysis. Rhinology 2022; 60(6): 411-

https://doi.org/10.4193/Rhin22.157.

Bergmark RW, Gray ST. Surgical Management of Turbinate

Hypertrophy. Otolaryngol Clin North Am 2018; 51(5): 919-928.

https://doi.org/10.1016/j.otc.2018.05.008.

Chhabra N, Houser SM. Surgery for allergic rhinitis. Int Forum

Allergy Rhinol 2014; 4 Suppl 2: S79-83.

https://doi.org/10.1002/alr.21387.

Abdullah B, Singh S. Surgical Interventions for Inferior Turbinate

Hypertrophy: A Comprehensive Review of Current Techniques

and Technologies. Int J Environ Res Public Health 2021; 18(7):

https://doi.org/10.3390/ijerph18073441.

Alghamdi FS, Albogami D, Alsurayhi AS, Alshibely AY, Alkaabi

TH, Alqurashi LM, et al. Nasal Septal Deviation: A

Comprehensive Narrative Review. Cureus. 2022; 14(11): e31317.

https://doi.org/10.7759/cureus.31317.

Karamatzanis I, Kosmidou P, Ntarladima V, Catalli B, Kosmidou

A, Filippou D, et al. Inferior Turbinate Hypertrophy: A

Comparison of Surgical Techniques. Cureus. 2022; 14(12): e32579.

https://doi.org/10.7759/cureus.32579.

Ye T, Zhou B. Update on surgical management of adult inferior

turbinate hypertrophy. Curr Opin Otolaryngol Head Neck Surg

; 23(1): 29-33.

https://doi.org/10.1097/MOO.0000000000000130.

Kim DH, Kim SW, Hwang SH. Efficacy and safety of endoscopic

septoplasty for treating nasal septal deviations compared with

conventional septoplasty: A systematic review and metaanalysis. Clin Otolaryngol 2023; 48(2): 108-121.

https://doi.org/10.1111/coa.14021.

Samarei R, Mabarian S. A randomised trial comparing the

subjective outcomes following septoplasty with or without

inferior turbinoplasty. Eur Ann Otorhinolaryngol Head Neck Dis

; 137(4): 277-283.

https://doi.org/10.1016/j.anorl.2020.01.024.

Shamanna K, Godse A. Comparative study on outcome of

septoplasty with or without turbinoplasty based on NOSE score.

Res Otolaryngol 2018; 7(3): 55-59.

Ahmad N, ud Din I, Gul I. Why Nasal Septal Surgery Alone is

not Sufficient to Relieve Nasal Obstruction in Case of Deviated

Nasal Septum?. J Med Sci 2017; 25(1 Suppleme): 115-118.

Assanasen P, Choochurn P, Banhiran W, Bunnag C. Radiofrequency inferior turbinate reduction improves smell ability of

patients with chronic rhinitis and inferior turbinate hypertrophy.

Allergy Rhinol (Providence) 2014; 5(1): 12-16.

https://doi.org/10.2500/ar.2014.5.0077.

Han JK, Stringer SP, Rosenfeld RM, Archer SM, Baker DP.

Clinical Consensus Statement: Septoplasty with or without

Inferior Turbinate Reduction. Otolaryngol Head Neck Surg 2015;

(5): 708-720. https://doi.org/10.1177/0194599815606435.

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Published

28-12-2023

How to Cite

Shafaq Zaman, Saleem Asif Niazi, Shahzad Maqbool, Ayesha Khalid, Yousra Riaz, & Muhammad Sulman. (2023). Improvement of Nasal Obstruction Symptoms after Septoplasty with or without Turbinoplasty. Pakistan Armed Forces Medical Journal, 73(6), 1804–1807. https://doi.org/10.51253/pafmj.v73i6.10505

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Original Articles