Functional Outcome Evaluation of Septorhinoplasty for Nasal Obstruction
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A prospective single blinded interventional study was held in Otorhinolaryngology Clinic, Universiti Kebangsaan Malaysia Medical Centre in August 2010 until November 2012 to evaluate the functional outcome of septorhinoplasty objectively and subjectively. Objective assessment was done using rhinomanometry and subjective assessment using Nasal Obstruction Symptoms Evaluation (NOSE) scale and Health-Related Quality of Life Questionnaires (HRQOL) in Rhino Surgery. All measurements were taken preoperatively and 3 months postoperatively. A total of 29 patients were enrolled and completed the study. Septorhinoplasty was commonly performed in Malays and Indians and rare amongst Chinese, with age ranged from 18 to 54 years. Majority had no history of trauma. Twisted nose was the most common external nose abnormality followed by crooked and saddle nose. All patients had internal valve insufficiency. There were significant improvement of the total and of all the parameters in the NOSE scale post septorhinoplasty (p < 0.05). Furthermore, there were significant improvement in total and in all parameters in HRQOL score post septorhinoplasty (p < 0.05). There were improvements in the rhinomanometry data bilaterally during inspiration and expiration, but were not statistically significant (p > 0.05). Significant correlations were noted in the improvement between the two subjective assessments (NOSE scale and HRQOL score). However, there was no significant correlation in the improvement between the subjective (NOSE scale and HRQOL score) with objective (rhinomanometry score) assessments. Septorhinoplasty improves the nasal airflow and quality of life of patients with nasal obstruction.
KeywordsNasal obstruction Rhinoplasty Quality of life Rhinomanometry
This study was funded by Medical Research and Innovation Secretariat, UKM Medical Centre. Grant Number: FF-101-2011.
Compliance with Ethical Standard
Conflict of interest
Dr. Farah Dayana Zahedi, Associate Professor Dr. Salina Husain and Professor Dato’ Dr. Balwant Singh Gendeh declare that they have no conflict of interest.
All procedures performed in this study were in accordance with the ethical standards of Research Ethic Committee Universiti Kebangsaan Malaysia (RECUKM) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Formal consent obtained from each of the individuals in this study.
Informed consent together with formal consent were obtained from all individual participants for whom indentifying information is included in this article.
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