Presented at The Triological Society Combined Sections meeting, Scottsdale, AZ, U.S.A., January 24–26, 2013.
Revision septoplasty: A prospective disease-specific outcome study
Version of Record online: 19 SEP 2013
Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc.
Volume 124, Issue 6, pages 1290–1295, June 2014
How to Cite
Gillman, G. S., Egloff, A. M. and Rivera-Serrano, C. M. (2014), Revision septoplasty: A prospective disease-specific outcome study. The Laryngoscope, 124: 1290–1295. doi: 10.1002/lary.24356
The authors have no funding, financial relationships, or conflicts of interest to disclose.
- Issue online: 27 MAY 2014
- Version of Record online: 19 SEP 2013
- Accepted manuscript online: 14 AUG 2013 08:40AM EST
- Manuscript Accepted: 22 JUL 2013
- Manuscript Revised: 5 JUL 2013
1) Study outcomes of revision septoplasty using a validated disease-specific questionnaire and a patient satisfaction survey; 2) assess the effect of surgery on the use of medication to treat nasal congestion; and 3) report on sites of persistent septal deviation identified at revision septoplasty.
Prospective, single-center outcome study of patients with symptomatic nasal obstruction and persisting septal deviation despite prior septal surgery.
The Nasal Obstruction Symptom Evaluation (NOSE) scale was administered preoperatively and at 3 and 6 months following revision surgery. Patients were also questioned regarding ease of breathing and medication use preoperatively and postoperatively, as well as satisfaction with the surgical outcome. Anatomic site(s) of residual septal deviation were recorded intraoperatively.
Thirty-nine patients completed the study. Mean NOSE scores decreased significantly from 75.9 preoperatively to 14.9 3 months after revision surgery. Mean Ease-of-Breathing scores over this interval improved from 3/10 preoperatively to 8.5/10. Both results were sustained at 6 months (P <0.0001). Patient satisfaction was very high, and many patients required less medication to treat symptoms of nasal congestion postoperatively. Deviations persisting from prior surgery most commonly involved the dorsal or caudal septum.
In patients who experience ongoing nasal obstruction with a persistent septal deviation despite prior septoplasty, revision surgery significantly improves disease-specific quality of life, results in high patient satisfaction, and may diminish the need for nasal medications postoperatively. Caudal or dorsal deflections may be more difficult to correct, leading to the need for revision surgery.
Level of Evidence
2C Laryngoscope, 124:1290–1295, 2014