Yonsei Med J.  2023 Jan;64(1):42-47. 10.3349/ymj.2022.0405.

Changes in Subjective Outcomes during the Early Period after Septoturbinoplasty

• Shin GC
• Kang JW
• Park JH
• Lee HC
• Kim KS

• KMID: 2537193
• DOI: http://doi.org/10.3349/ymj.2022.0405

Abstract

Purpose
Septoturbinoplasty is frequently performed to correct nasal obstruction; however, there is still a lack of research on changes in nasal and nose-related symptoms early after septoturbinoplasty. Therefore, we aimed to investigate changes in subjective outcomes within 6 months after septoturbinoplasty.
Materials and Methods
The medical records of patients who underwent septoturbinoplasty at Gangnam Severance Hospital were retrospectively analyzed. Symptom scores were evaluated using the Sino-nasal Outcome Test (SNOT-22) and obstruction scores. The SNOT-22 and obstruction scores were investigated before surgery and at 1, 3, and 6 months after surgery.
Results
We noted significant decreases in both SNOT-22 and obstruction scores at 1 month after surgery, compared to those before surgery (p<0.001). However, there were no significant changes at 3 and 6 months after surgery, compared to scores at 1 month after surgery. Using multivariate logistic regression analysis, a larger difference between SNOT-22 scores preoperatively and 1 month after surgery was significantly associated with a significant improvement in symptoms at 3 or 6 months after septoturbinoplasty (p=0.029).
Conclusion
These results imply that subjective outcomes and degree of improvement in the first month after septoturbinoplasty can be used as a predictor of the results thereof and for counseling patients about its progress.

Keyword

Nasal obstruction; Sino-nasal Outcome Test; nasal septum