Evaluation of the Reasons for Dissatisfaction of the Patients and Indications for a Revision Surgery after Septoplasty and Inferior Turbinate Surgery

Year 2018, Volume: 1 Issue: 1, 9 - 11, 01.04.2018

Muhammet Recai Mazlumoğlu Buket Özel Bingöl

Abstract

Objective: The rates of patient dissatisfaction in terms of persistent nasal obstruction after septoplasty and inferior turbinate surgery are high. Although this is common in otorhinolaryngology practice, scarce data is available. In this study, we evaluated the causes of persistent nasal obstruction in patients after septoplasty and inferior turbinate surgery to identify the reasons for patient dissatisfaction and the etiologies that should be considered during surgical planning.

Material and Methods: The study population comprised 47 patients (26 females and 21 males) with chronic nasal obstruction who had previously undergone inferior turbinate surgery and septoplasty. We evaluated the patients history, detailed examination and endoscopy, imaging, and the Nasal Obstruction Symptoms Evaluation (NOSE) scale. Based on the study findings, we identified the etiologies that lead to the requirement of a revision surgery.

Results: The study included 26 female and 21 male patients. The mean obstruction level of the patients based on NOSE scale was 2.2±0.4. The most common etiologies identified in this study were nasal valve stenosis in 19 patients (40%), inferior turbinate hypertrophy in 12 (26%), and caudal septal deviation in 9 (19%).

Conclusion: We recommend careful evaluation of the nasal valve area in patients scheduled for septoplasty and inferior turbinate surgery due to nasal obstruction. Insufficient surgery is the main reason for revision surgery and dissatisfaction of the patient.

Keywords

Septoplasty , inferior turbinate , revision surgery , nasal valve , patient dissatisfaction

References

• Matthias C. Surgery of the nasal septum turbinates. GMS Curr Top Otorhinolaryngol Head Neck Surg 2007; 6: 10.
• Teixeira J, Certal V, Chang ET, Camacho M. Nasal Septal Deviations: A Systematic Review of Classification Systems. Plast Surg Int 2016; 7089123.
• Kuduban O, Bingol F, Budak A, Kucur C. The Reason of Dissatisfaction of Patient after Septoplasty. Eurasian J Med 2015; 47: 190-3.
• Konstantinidis I, Triaridis S, Triaridis A, Karagianidis K, Kontzoglou G. Long-Term Results Following Nasal Septum Surgery: Focus on Patients’ Satisfaction. Auris Nasus Larynx 2005; 32: 369-74.
• Steward MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg 2004; 130: 157-63.
• Reitzen SD, Chung W, Shah AR. Nasal septum deviation in the pedi¬atric and adult populations. Ear Nose Throat J 2011; 90: 112-5.
• Bridger GP. Physiology of the Nasal Valve. Arch Otolaryngol 1970; 92: 543-53.
• Haight JS, Cole P. The site and function of the nasal valve. Laryngoscope 1983; 93: 49-55.
• Behrbohm H, TardyJr ME. Essentials of septorhinoplasty In: Behrbohm H (ed) The dual character of nasal surgery, first edition. Thieme: New York 2004; 1-33.