European Archives of Oto-Rhino-Laryngology

, Volume 272, Issue 10, pp 2871–2875 | Cite as

Long-term symptom relief after septoplasty

  • Carolina Sundh
  • Ola Sunnergren


The results for long-term symptom relief after septoplasty are contradictory in reviewed publications but the findings suggest that results are unsatisfactory. In this study, we analyzed and compared short- and long-term symptom relief after septoplasty and factors possibly associated with symptom relief. 111 patients that underwent septoplasty between 2008 and 2010 were included in the study. Medical charts were reviewed for preoperative characteristics and assessments. Data on short-term symptom relief (6 months) were retrieved from the Swedish National Quality Registry for Septoplasty; data on long-term symptom relief (34–70 months) were collected through a questionnaire. Upon the 34–70 month follow-up, 53 % of the patients reported that symptoms either remained or had worsened and 83 % reported nasal obstruction. Degree of symptom relief was significantly higher among patients not reporting nasal obstruction than among patients reporting nasal obstruction at long-term follow-up. The proportion of patients that reported “my symptoms are gone” declined from 53 % after 6 months to 18 % after 34–70 months. None of the factors taken into consideration, age at surgery, gender, follow-up time, primary operation/reoperation, history of nasal trauma, self-reported allergy, rhinometric obstruction, or same sided rhinometric, clinical and subjective nasal obstruction were associated with symptom relief. The long-term results after septoplasty are unsatisfactory. A majority of patients report that their symptoms remain after septoplasty.


Nasal surgical procedures Nasal obstruction Rhinomanometry Septoplasty 


Conflict of interest

No conflict of interest exists for either Carolina Sundh or Ola Sunnergren.


  1. 1.
    Ho WK, Yuen AP, Tang KC, Wei WI, Lam PK (2004) Time course in the relief of nasal blockage after septal and turbinate surgery. Arch Otolaryngol Head Neck Surg 130:324–328CrossRefPubMedGoogle Scholar
  2. 2.
    Jessen M, Ivarsson A, Malm L (1989) Nasal airway resistance and symptoms after functional septoplasty: comparison of findings at 9 months and 9 years. Clin Otolaryngol Allied Sci 14:231–234CrossRefPubMedGoogle Scholar
  3. 3.
    Bohlin L, Dahlqvist A (1994) Nasal airway resistance and complications following functional septoplasty: a ten-year follow-up study. Rhinology 32:195–197PubMedGoogle Scholar
  4. 4.
    Dinis PB, Haider H (2002) Septoplasty: long-term evaluation of results. Am J Otolaryngol 23:85–90CrossRefPubMedGoogle Scholar
  5. 5.
    Konstantinidis I, Triaridis S, Triaridis A, Karagiannidis K, Kontzoglou G (2005) Long term results following nasal septal surgery. Focus on patients’ satisfaction. Auris Nasus Larynx 32:369–374CrossRefPubMedGoogle Scholar
  6. 6.
    Pirilä T, Tikanto J (2009) Acoustic rhinometry and rhinomanometry in the preoperative screening of septal surgery patients. Am J Rhinol Allergy 23:605–609CrossRefPubMedGoogle Scholar
  7. 7.
    Toyserkani NM, Frisch T (2012) Are too many septal deviations operated on? A retrospective patient’s satisfaction questionnaire with 11 years follow-up. Rhinology 50:185–190PubMedGoogle Scholar
  8. 8.
    Haavisto LE, Sipilä JI (2013) Acoustic rhinometry, rhinomanometry and visual analogue scale before and after septal surgery: a prospective 10-year follow-up. Clin Otolaryngol 38:23–29CrossRefPubMedGoogle Scholar
  9. 9.
    Holmström M, Kumlien J (1988) A clinical follow-up of septal surgery with special attention to the value of preoperative rhinomanometric examination in the decision concerning operation. Clin Otolaryngol Allied Sci 13:115–120CrossRefPubMedGoogle Scholar
  10. 10.
    Holmström M (2010) The use of objective measures in selecting patients for septal surgery. Rhinology 48:387–393PubMedGoogle Scholar
  11. 11.
    Öppna jämförelser av hälso- och sjukvårdens kvalitet och effektivitet (2011) Jämförelser mellan landsting 2010. Sveriges Kommuner och Landsting. ISBN 978-91-7164-742-9 (Swedish)
  12. 12.
    Magnusson A, Bjerklin K, Nilsson P, Jönsson F, Marcusson A (2011) Nasal cavity size, airway resistance, and subjective sensation after surgically assisted rapid maxillary expansion: a prospective longitudinal study. Am J Orthod Dentofacial Orthop. 140:641–651CrossRefPubMedGoogle Scholar
  13. 13.
    Thulesius HL, Thulesius HO, Jessen M (2009) What happens to patients with nasal stuffiness and pathological rhinomanometry left without surgery? Rhinology 47:24–27PubMedGoogle Scholar
  14. 14.
    Jessen M, Malm L (1984) The importance of nasal airway resistance and nasal symptoms in the selection of patients for septoplasty. Rhinology 22:157–164PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.ENT ClinicCounty Hospital RyhovJönköpingSweden
  2. 2.Futurum-Academy for Health and CareJönköping County CouncilJönköpingSweden

Personalised recommendations