Are too many septal deviations operated on? A retrospective patient`s satisfaction questionnaire with 11 years follow-up.

Abstract:

BACKGROUND:Not much is known about long-term satisfaction of septoplasty. The goal of this study was to assess disease specific quality of life outcomes as well as satisfaction at more than 10 years follow-up after septoplasty. METHODOLOGY/PRINCIPAL:The study was conducted as a retrospective questionnaire study (based on the NOSE scale) in which a questionnaire was sent to every patient and followed up by a telephone interview conducted in a tertiary otorhinolaryngologic clinic. RESULTS:238 out of 369 patients who underwent septoplasty accepted to participate of which 222 were eligible. We found a significant reduction in NOSE score from 56.9 before surgery to 31.9 at follow-up. 68.0% experienced improved nasal breathing and 55.9% were satisfied with the overall outcome. Predictive analysis showed that only severity of symptoms before surgery was predictive of all final outcome parameters. CONCLUSIONS:Long-term outcome of septoplasty appears to be in line with shorter follow-up. Surprisingly a sizable difference was noted between rate of satisfaction and improvement in nasal breathing. It is important that the surgeon and patient have the same expectations to septoplasty as to avoid any inappropriate disappointment, which is more likely to occur if symptoms are not severe.

journal_name

Rhinology

journal_title

Rhinology

authors

Toyserkani NM,Frisch T

doi

10.4193/Rhino11.218

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

185-90

issue

2

eissn

0300-0729

issn

1996-8604

pii

1055

journal_volume

50

pub_type

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