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KMID : 0361020210640020086
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Korean Journal of Otolaryngology - Head and Neck Surgery
2021 Volume.64 No. 2 p.86 ~ p.92
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Clinical Outcome Study after External Approach Septoplasty
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Jeong Do-Yoon
Park Yoon-Sik
Choi Ji-Yun
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Abstract
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Background and Objectives : This study aims to investigate the indications of external approachseptoplasty and improvement in subjective symptoms and objective parameters in patientswho underwent external approach septoplasty to correct septal deviation with varioustypes of deformities.
Subjects and Method : Thirty-one patients who underwent external approach septoplastyfrom October 2014 to January 2019 were classified by direction, location, and degree of nasalseptal deviation, septal shape and surgical techniques. Through acoustic rhinometry, the minimumcross-sectional area and nasal volume were measured before and after surgery. To evaluatethe improvement in symptoms, the Nasal Obstruction Symptom Evaluation (NOSE) surveyand nasal congestion visual analogue scale (VAS) were also measured.
Results : We found significant correlations between: the direction and degree of nasal septaldeviation; the location and degree of nasal septal deviation; septal shape and location of the nasalseptal deviation; septal shape and surgical techniques; and the degree of nasal septal deviationand presence of spreader grafts. The NOSE scale following external approach septoplastyimproved from 14.7±4.4 to 3.1±3.2 (p<0.001), while the VAS score improved from 7.2±2.3to 1.2±1.4 (p<0.001). Also, acoustic rhinometry showed that the minimum cross-sectionalarea and nasal volume at the convex side of nasal cavity significantly increased after surgery.
Conclusion : The external approach septoplasty is a surgical technique that is effective notonly in improving subjective symptoms, but also in improving objective parameters. Externalapproach septoplasty could be used in case of caudal and/or dorsal nasal septal deviation.
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KEYWORD
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Nasal obstruction, Nasal septum, Rhinometry, acoustic, Rhinoplasty
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