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KMID : 0311120230640010042
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Yonsei Medical Journal
2023 Volume.64 No. 1 p.42 ~ p.47
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Changes in Subjective Outcomes during the Early Period after Septoturbinoplasty
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Shin Geun-Cheol
Kang Ju-Wan
Park Ju-Ha
Lee Han-Cheol
Kim Kyung-Su
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Abstract
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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.
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KEYWORD
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Nasal obstruction, Sino-nasal Outcome Test, nasal septum
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