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Computed tomography evaluation of internal nasal valve angle and area and its correlation with NOSE scale for symptomatic improvement in rhinoplasty / Avaliação do ângulo e da área da válvula nasal interna por tomografia computadorizada e sua correlação com a escala NOSE na melhora sintomática pós rinoplastia
Shafik, Amr G; Alkady, Hussam Adel; Tawfik, Gehad Mohamed; Mohamed, Ahmed Mostafa; Rabie, Tahany Mohamed; Huy, Nguyen Tien.
  • Shafik, Amr G; Ain Shams University. Faculty of Medicine. Department of Otorhinolaryngology. Cairo. EG
  • Alkady, Hussam Adel; Ain Shams University. Faculty of Medicine. Department of Otorhinolaryngology. Cairo. EG
  • Tawfik, Gehad Mohamed; Ain Shams University. Faculty of Medicine. Cairo. EG
  • Mohamed, Ahmed Mostafa; Ain Shams University. Faculty of Medicine. Department of Diagnostic Radiology. Cairo. EG
  • Rabie, Tahany Mohamed; Ain Shams University. Faculty of Medicine. Department of Otorhinolaryngology. Cairo. EG
  • Huy, Nguyen Tien; Duy Tan University. Institute of Research and Development. Da Nang. VN
Braz. j. otorhinolaryngol. (Impr.) ; 86(3): 343-350, May-June 2020. tab, graf
Article in English | LILACS | ID: biblio-1132596
ABSTRACT
Abstract

Introduction:

Nasal obstruction is one of the most frequent otolaryngologic complaints; and the collapse of the internal nasal valve is one the main causes of the nasal air flow obstruction.

Objective:

We aimed to evaluate internal nasal valve by using reformatted CT-scans pre- and post- rhinoplasty at 3 months and to assess its correlation to symptomatic improvement of nasal obstruction using the NOSE scale.

Methods:

A prospective observational study was conducted between March 2017-May 2018 in a tertiary care otorhinolaryngology center. We included patients suffering from nasal obstruction secondary to internal nasal angle collapse and nasal deformity. Patients with sinusitis, nasal polyposis, and nasal masses were excluded.

Results:

Twenty consecutive patients underwent rhinoplasty, with a mean age (22.2 ± 2.8), with majority of males (n = 14; 70%). There was no significant correlation between pre- and post- CT-scans of the internal nasal valve angle/area and NOSE scores. A high significant difference was detected between mean pre- and post- NOSE scores (p < 0.0001), which was absent in CT-scan results.

Conclusion:

Reformatted CT-scans measurements of internal nasal valve area and angle were not of value. NOSE scores pre- and post- rhinoplasty had a significant value to determine degree of obstructive symptom improvement.
RESUMO
Resumo

Introdução:

A obstrução nasal é uma das queixas otorrinolaringológicas mais comuns, e o colapso ou obstrução da válvula nasal interna é a principal causa da obstrução das vias aéreas nasais.

Objetivo:

Objetivamos avaliar a válvula nasal interna pré, e 3 meses pós-rinoplastia utilizandotomografias computadorizadas reformatadas e avaliar sua correlação com a melhora do sintoma obstrutivo utilizando a escala NOSE, do Inglês Nasal Obstruction Symptom Evaluation.

Método:

Um estudo observacional prospectivo foi realizado entre março de 2017 e maio de 2018 em um centro de otorrinolaringologia de atenção terciária. Foram incluídos pacientes que apresentavam obstrução nasal secundário a colapso da valva nasal interna e deformidade nasal. Pacientes com sinusite, polipose nasal e tumores nasais foram excluídos.

Resultados:

Vinte pacientes consecutivos, a maioria do sexo masculino (n = 14; 70%) com média de idade de 22,2 ± 2,8 anos, foram submetidos a rinoplastia eincluídos no estudo. Não houve correlação significante entre as avaliações tomográficas pré / pós cirúrgicas do ângulo/área da valva nasal interna e os escores NOSE. Foi detectada uma diferençã altamente significante entre os escores médios da escala NOSE entre o pré e pós-operatório (p < 0,0001), mas não nos resultados da avaliação por tomografia computadorizada.

Conclusão:

As medidas reformatadas de tomografias computadorizadas da área e ângulo da valva nasal interna pré e pós cirúrgicas não tiveram valor. Entretanto, os escores da escala NOSE pré e pós-rinoplastia mostraram uma diferença significante ao determinar o grau de melhora do sintoma obstrutivo.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Nasal Obstruction / Nasal Septum Type of study: Diagnostic study / Observational study Limits: Adult / Female / Humans / Male Language: English Journal: Braz. j. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2020 Type: Article Affiliation country: Egypt / Vietnam Institution/Affiliation country: Ain Shams University/EG / Duy Tan University/VN

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Full text: Available Index: LILACS (Americas) Main subject: Nasal Obstruction / Nasal Septum Type of study: Diagnostic study / Observational study Limits: Adult / Female / Humans / Male Language: English Journal: Braz. j. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2020 Type: Article Affiliation country: Egypt / Vietnam Institution/Affiliation country: Ain Shams University/EG / Duy Tan University/VN