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Influence des facteurs épidémio-cliniques dans le résultat fonctionnel de la septoplastie: étude de 250 cas / Epidemiological and clinical predictive factors of success in septoplasty: Study of 250 patients
Masmoudi, M; Chebil, E; Bhar, S; Hasnaoui, M; Mighr, K.
Affiliation
  • Masmoudi, M; Service ORL et chirurgie cervico faciale, CHU Taher Sfar, Mahdia. Tunis. TN
  • Chebil, E; Service ORL et chirurgie cervico faciale, CHU Taher Sfar, Mahdia. Tunis. TN
  • Bhar, S; Service ORL et chirurgie cervico faciale, CHU Taher Sfar, Mahdia. Tunis. TN
  • Hasnaoui, M; Service ORL et chirurgie cervico faciale, CHU Taher Sfar, Mahdia. Tunis. TN
  • Mighr, K; Service ORL et chirurgie cervico faciale, CHU Taher Sfar, Mahdia. Tunis. TN
j.tunis.ORL chir. cerv.-fac ; 49: 19-24, 2023. figures, tables
Article in Fr | AIM | ID: biblio-1428026
Responsible library: CG1.1
to describe the epidemiological and clinical aspects, to evaluate the surgical result and to identify the prognostic factors for the success of septoplasty.

Methods:

It was a retrospective study including 250 patients operated on for a septoplasty collected over a 6-yearperiod. The evaluation of our results was made using 2 tools NOSE scale and the visual satisfaction scale.

Results:

In our series, there was a male predominance with a sex ratio of 1.4. The mean age of the patients was 32.7 years. The medical history was dominated by allergic rhinitis in 38.4% of cases. Nasal trauma was noted in 45.2% of cases. A subjective quantification of respiratory discomfort by the NOSE score made it possible to divide them into 3 groupsGroup 1 Severe ON 65.2% of cases; Group 2 Moderate ON 31.6% of cases; Group 3 Mild ON 3.2% of cases. Our analytical study of the epidemiological and clinical factors that may influence the functional results showed that Severe or moderate overall discomfort, severe ON (NOSE scale> 50) or moderate (NOSE scale between 26 and 50), DS classified zone I, II, III according to the Cottle classification, a quasi-obstructive deviation were considered as a predictor of the success of septoplasty.

Conclusion:

Several factors can influence the results of a septoplasty that must be considered before any surgical indication.
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