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Predictive factors of patients’ general quality of life after nasal septoplasty

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

Although septoplasty is considered to be the definitive treatment of septal deviation and is associated with an increase of nasal patency, patients are not always satisfied with the surgical outcome as assessed by its effect on their general Quality of Life (QOL).The aim of this study was to identify the predictive factors that influence the patients’ QOL after surgery.

Methods

60 patients with nasal obstruction and septal deviation were enrolled in this prospective study, and they all completed the follow-up survey of 6 postoperative months. Symptom severity (Nasal Obstruction Symptom Evaluation—NOSE, Sino nasal outcome test 22—SNOT-22), sleep quality (Epworth Sleepiness Scale—ESS), olfactory function (Threshold Discrimination Identification—TDI score), voice quality (Nasalance score and Voice Handicap Index—VHI), stress (SQ test) and emotional status (Beck Depression Index—BDI) were evaluated as predictive factors of patients’ QOL (Glasgow Benefit Inventory—GBI) postoperatively. We also analyzed age, gender, smoking, socioeconomic status, type of septal deviation and changes of nasal patency (with the use of rhinomanometry, acoustic rhinometry, and peak nasal inspiratory flow).

Results

From all the analyzed parameters, the nasal obstruction symptom severity, the sleep quality, and stress levels were only significantly associated with patients’ overall QOL (p < 0.05; univariate analysis). However, on multiple regression, positive changes in NOSE score (OR 15.09, 95% CI 1.47–22.64, p < 0.05) and SQ test (OR 4, 95% CI 1.12–14.3, p < 0.05) were only related with higher likelihood of participants’ QOL improvement after surgery.

Conclusions

Thorough preoperative evaluation of the symptom severity and stress levels is critical as these two factors are predictive of patient’s satisfaction after septoplasty.

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Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Georgios Gennimatas General Hospital, Ethinikis Amynis 41 str, 54635, Thessaloniki, Greece

    Konstantinos Valsamidis & Konstantinos Titelis

  2. 1st University Department of Otorhinolaryngology, AHEPA University Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 str, 54621, Thessaloniki, Greece

    Petros Karkos, Jiannis Constantinidis & Stefanos Triaridis

  3. 2nd University Department of Otorhinolaryngology, Papageorgiou General Hospital, Agiou Pavlou 76 str, Pavlos Melas, 56429, Thessaloniki, Greece

    Konstantinos Markou

Authors
  1. Konstantinos Valsamidis
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  2. Konstantinos Titelis
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  3. Petros Karkos
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  4. Konstantinos Markou
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  5. Jiannis Constantinidis
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Correspondence to Konstantinos Valsamidis.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Valsamidis, K., Titelis, K., Karkos, P. et al. Predictive factors of patients’ general quality of life after nasal septoplasty. Eur Arch Otorhinolaryngol 276, 429–438 (2019). https://doi.org/10.1007/s00405-018-5229-4

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  • DOI: https://doi.org/10.1007/s00405-018-5229-4

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