- Original article
- Open access
- Published:
Role of surgical septal correction in subjective improvement of chronic rhinosinusitis
The Egyptian Journal of Otolaryngology volume 30, pages 196–200 (2014)
En
Abstract
Aim
The purpose of this study was to reveal the role of septoplasty in improving the subjective outcome of chronic rhinosinusitis (CRS) in patients with significant septal deviation.
Methods
This prospective study involved 24 patients with CRS and septal deviation. The patients were randomly divided into two groups according to the applied surgical proceures. In the first and second groups, septoplasty and septoplasty plus endoscopic sinus surgery were applied, respectively. Subjective questionnaire of success rates were used to analyze the results.
Results
At 6 months follow-up period, the subjective score in group 1 dropped significantly from 57.6 to 23.1 (P <0.05). In group 2 the score also dropped significantly from 64.1 to 28.4 (P <0.05), with no significant difference between the 2 groups regarding the improvement of their scores.
Conclusion
We suggest that septoplasty alone can be adequate for the treatment of CRS with septal deviation.
References
Ganjian E, Gannon PJ, Fliegelman LJ, Lawson W. Nasal obstruction: an alternative to ostiomeatal complex dysfunction in sinus disease. Laryngoscope 1999; 109: 1848–1851.
Dursun E, Korkmaz H, Eryýlmaz A, Bayiz U, Sertkaya D, Samim E, et al. Clinical predictors of long-term success after endoscopic sinus surgery. Otolaryngol Head Neck Surg 2003; 129: 526–531.
Ginzel A, Illum P. Nasal mucociliary clearance in patients with septal deviation. Rhinology 1980; 18: 177–181.
Passali D, Ferri R, Becchini G, Passali GC, Bellussi L. Alterations of nasal mucociliary transport in patients with hypertrophy of the inferior turbinates, deviations of the nasal septum and chronic sinusitis. Eur Arch Otorhinolaryngol 1999; 256: 335–337.
Mladina R, Heinzel B, Bellusi L, Passali D. Staging in rhinosinusitis: septal deformities. Riv ORL Aud Fon 1995; 15: 7–16.
Lanza DC, Kennedy DW. Adult rhinosinusitis defined. Otolaryngol Head Neck Surg 1997; 117: S1–S7.
Becker SS, Dobratz EJ, Stowell N, Baker D, Park SS. Revision septoplasty: review of sources of persistent nasal obstruction. Am J Rhinol 2008; 22: 440–444.
Ammet P, Souyns F, Klesry F, Payrot C. The value of Cottle’s technique for esthetic and functional correction of the nose. Ann Chir Plast Esthet 1989; 34: 38–41.
Piccirillo J, Merritt M Jr, Richards M. Psychometric and clinimetric validity of the 20-Item Sino-Nasal Outcome Test (SNOT-20). Otolaryngol Head Neck Surg 2002; 126:41–47.
Danese M, Duvoisin B, Agrifoglio A, Cherpillod J, Krayenbuhl M. Influence of nasosinusal anatomic variants on recurrent, persistent or chronic sinusitis. X-ray computed tomographic evaluation in 112 patients. J Radiol 1997; 78:651–657.
Sun Z, Wang R, Yang W. CT study of the ostiomeatal complex in patients with deviated nasal septum. Zhonghua Er Bi Yan Hou Ke Za Zhi 1996; 31: 294–296.
Elahi MM, Frenkiel S, Fageeh N. Paraseptal structural changes and chronic sinus disease in relation to the deviated septum. J Otolaryngol 1997; 26: 236–240.
Gnoy AR, Gannon PJ, Ganjian E, Fliegelman L, Farber D, Silvers A, et al. A potential role for nasal obstruction in development of acute sinusitis: an infection study in rabbits. Am J Rhinol 1998; 12: 399–404.
Jang Y, Myong N, Park K, Koo TW, Kim HG et al. Mucociliary transport and histologic characteristics of the mucosa of deviated nasal septum. Arch Otolaryngol Head Neck Surg 2002; 128: 421–424.
Bayiz U, Dursun E, Islam A, korkmaz H, Arslan N, Ceylan K, et al. Is septoplasty alone adequate for the treatment of chronic rhinosinusitis with septal deviation?. Am J Rhinol 2005; 19: 612–616.
Pokorny A. Tataryn R. Clinical and radiologic findings in a case series of maxillary sinusitis of dental origin. Int Forum Allergy Rhinol 2013; 3: 973–979.
Giger R, Landis BN, Zheng C, et al. Objective and subjective evaluation of endoscopic nasal surgery outcomes. Amj Rhinol 2003; 17: 327–333.
Author information
Authors and Affiliations
Corresponding author
Additional information
Conflicts of interest
There are no conflicts of interest.
Rights and permissions
This 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/.
About this article
Cite this article
Abdel-Naby Awad, O.G., Abd El-Karim, A.ER.A. & Hamad, M.S. Role of surgical septal correction in subjective improvement of chronic rhinosinusitis. Egypt J Otolaryngol 30, 196–200 (2014). https://doi.org/10.4103/1012-5574.138465
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.4103/1012-5574.138465