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J Craniofac Surg ; 30(2): 433-436, 2019.
Article in English | MEDLINE | ID: mdl-30615000

ABSTRACT

OBJECTIVE: To assess the nasal functions, nasal resistance, olfactory function, and quality of life in different surgical techniques for nasal septum deviation STUDY DESIGN:: Randomized controlled trial. METHODS: This prospective controlled study was carried out on patients who underwent septoplasty. Patients participating in the study were divided into 2 groups; group 1: classic septoplasty (n: 25) and group 2: extracorporeal septoplasty (n: 14). The sinonasal outcome test-22 (SNOT-22), peak nasal flowmetry, and Connecticut Chemosensory Clinical Research Center test were applied to all patients before and 8 weeks after surgery. Surgical outcomes also assessed to evaluate complications 6 months after surgery. RESULT: In total, 39 (27 males, 12 females) patients diagnosed with nasal septum deviation were included in this study. A septoplasty was performed in all patients: 25 of them (18 males, 7 females; mean age = 29.4 [range, 23-50] years) underwent classic septoplasties and 14 (9 males, 5 females; mean age = 31.3 [range, 23-50] years) underwent extracorporeal septoplasties. Airway openness was achieved in all patients. As a result, the SNOT-22 scores, peak nasal inspiratory flowmeter results, and smell function scores showed significant improvements (P < 0.001). CONCLUSION: All corrective surgical methods for a septum deviation have positive effects on nasal airflow, quality of life, and olfaction. The rates of complications were not significantly different between 2 treatment groups.


Subject(s)
Nasal Septum , Nose Deformities, Acquired/surgery , Olfaction Disorders , Postoperative Complications , Quality of Life , Rhinoplasty , Smell , Adult , Comparative Effectiveness Research , Female , Humans , Male , Middle Aged , Nasal Septum/physiopathology , Nasal Septum/surgery , Olfaction Disorders/diagnosis , Olfaction Disorders/etiology , Olfaction Disorders/prevention & control , Olfaction Disorders/psychology , Postoperative Complications/diagnosis , Postoperative Complications/etiology , Postoperative Complications/prevention & control , Postoperative Complications/psychology , Prospective Studies , Rhinoplasty/adverse effects , Rhinoplasty/methods , Turkey
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