REVIEW ARTICLE

You have free access to this content

Objective evidence for the efficacy of surgical management of the deviated septum as a treatment for chronic nasal obstruction: a systematic review

  1. M. Moore,
  2. R. Eccles

Article first published online: 25 APR 2011

DOI: 10.1111/j.1749-4486.2011.02279.x

Issue

Clinical Otolaryngology

Clinical Otolaryngology

Volume 36, Issue 2, pages 106–113, April 2011

Additional Information

How to Cite

Moore, M. and Eccles, R. (2011), Objective evidence for the efficacy of surgical management of the deviated septum as a treatment for chronic nasal obstruction: a systematic review. Clinical Otolaryngology, 36: 106–113. doi: 10.1111/j.1749-4486.2011.02279.x

Author Information

  1. Common Cold Centre, Cardiff University, Cardiff, UK

*M. Moore, ENT Research Fellow, Common Cold Centre, Cardiff University, Cardiff CF10 3AX, UK. Fax: +44 0 29 20 874093; e-mail: MooreM6@cardiff.ac.uk

Publication History

  1. Issue published online: 25 APR 2011
  2. Article first published online: 25 APR 2011
  3. Accepted manuscript online: 17 FEB 2011 09:40AM EST
  4. Accepted for publication 8 February 2011

SEARCH

SEARCH BY CITATION

ARTICLE TOOLS

View Full Article (HTML) Get PDF (137K)

References

  • 1
    Fettman N., Sanford T. & Sindwani R. (2009) Surgical management of the deviated septum: techniques in septoplasty. Otolaryngol. Clin. North Am. 42, 241–252, viii
  • 2
    Hospital Episode Statistics – The Health and Social Care Information Centre. (2009) Primary diagnosis: 4 character 2008–09. URL http://www.hesonline.nhs.uk [accessed on 29 October 2010]
  • 3
    Patient Episode Database for Wales – Health Solutions Wales. (2009) Principal diagnosis (4 character detail), Welsh Trusts, 2008/09. URL http://www.infoandstats.wales.nhs.uk/page.cfm?pid=41010&orgid=869 [accessed on 1 November 2010]
  • 4
    Hospital Episode Statistics – The Health and Social Care Information Centre. (2009) Main procedures and interventions: 4 character 2008–09. URL http://www.hesonline.nhs.uk [accessed on 29 October 2010]
  • 5
    Patient Episode Database for Wales – Health Solutions Wales. (2009) Main operation (4 character detail), Welsh Trusts, 2008/09. URL http://www.infoandstats.wales.nhs.uk/page.cfm?pid=41010&orgid=869 [accessed on 1 November 2010]
  • 6
    Roblin D.G. & Eccles R. (2002) What, if any, is the value of septal surgery? Clin. Otolaryngol. 27, 77–80
    Direct Link:
  • 7
    ENTUK. (2010) Nasal septal surgery: position paper
  • 8
    Bohlin L. & Dahlqvist A. (1994) Nasal airway resistance and complications following functional septoplasty: a ten-year follow-up study. Rhinology 32, 195–197
  • 9
    Pirilä T. (2010) Personal communication (email) – Confirmation of units of airflow. Eccles R. (ed).
  • 10
    Pirilä T. & Tikanto J. (2009) Acoustic rhinometry and rhinomanometry in the preoperative screening of septal surgery patients. Am. J. Rhinol. Allergy 23, 605–609
  • 11
    Wang T., Han D., Zhang L. et al. (2010) A modified septoplasty with three high tension lines resection. Acta Otolaryngol. 130, 593–599
  • 12
    Broms P., Jonson B. & Malm L. (1982) Rhinomanometry. IV. A pre- and postoperative evaluation in functional septoplasty. Acta Otolaryngol. 94, 523–529
  • 13
    Broms P. (1982) Rhinomanometry. III. Procedures and criteria for distinction between skeletal stenosis and mucosal swelling. Acta Otolaryngol. 94, 361–370
  • 14
    Masing H. (1968) [Nasal reconstruction and the respiratory function]. Z. Laryngol. Rhinol. Otol. 47, 277–288
  • 15
    Jessen M. & Malm L. (1984) The importance of nasal airway resistance and nasal symptoms in the selection of patients for septoplasty. Rhinology 22, 157–164
  • 16
    Jessen M., Ivarsson A. & Malm L. (1989) Nasal airway resistance and symptoms after functional septoplasty: comparison of findings at 9 months and 9 years. Clin. Otolaryngol. Allied Sci. 14, 231–234
    Direct Link:
  • 17
    Sipilä J.I., Suonpää J.T., Kortekangas A.E. et al. (1992) Rhinomanometry before Septoplasty – an approach to clinical material with diverse nasal symptoms. Am. J. Rhinol. 6, 17–22
  • 18
    Cottle M.H., Loring R.M., Fischer G.G. et al. (1958) The maxilla-premaxilla approach to extensive nasal septum surgery. AMA Arch. Otolaryngol. 68, 301–313
  • 19
    Nigro C.E., Nigro J.F., Mion O. et al. (2009) Nasal valve: anatomy and physiology. Braz. J. Otorhinolaryngol. 75, 305–310
  • 20
    Marais J., Murray J.A., Marshall I. et al. (1994) Minimal cross-sectional areas, nasal peak flow and patients’ satisfaction in septoplasty and inferior turbinectomy. Rhinology 32, 145–147
  • 21
    Skouras A., Noussios G., Chouridis P. et al. (2009) Acoustic rhinometry to evaluate plastic surgery results of the nasal septum. B-ENT 5, 19–23
  • 22
    Reber M., Rahm F. & Monnier P. (1998) The role of acoustic rhinometry in the pre- and postoperative evaluation of surgery for nasal obstruction. Rhinology 36, 184–187
  • 23
    Kemker B., Liu X., Gungor A. et al. (1999) Effect of nasal surgery on the nasal cavity as determined by acoustic rhinometry. Otolaryngol. Head Neck Surg. 121, 567–571
  • 24
    Low W.K. (1994) Can snoring relief after nasal septal surgery be predicted? Clin. Otolaryngol. Allied Sci. 19, 142–144
    Direct Link:
  • 25
    Singh A., Patel N., Kenyon G. et al. (2006) Is there objective evidence that septal surgery improves nasal airflow? J. Laryngol. Otol. 120, 916–920
  • 26
    Nofal F. & Thomas M. (1990) Rhinomanometry evaluation of the effects of pre- and post-operative SMR on exercise. J. Laryngol. Otol. 104, 126–128
  • 27
    Pirilä T. & Tikanto J. (2001) Unilateral and bilateral effects of nasal septum surgery demonstrated with acoustic rhinometry, rhinomanometry, and subjective assessment. Am. J. Rhinol. 15, 127–133
  • 28
    Ricci E., Palonta F., Preti G. et al. (2001) Role of nasal valve in the surgically corrected nasal respiratory obstruction: evaluation through rhinomanometry. Am. J. Rhinol. 15, 307–310
  • 29
    André R.F., Vuyk H.D., Ahmed A. et al. (2009) Correlation between subjective and objective evaluation of the nasal airway. A systematic review of the highest level of evidence. Clin. Otolaryngol. 34, 518–525
    Direct Link:
  • 30
    Schwentner I., Dejakum K., Schmutzhard J. et al. (2006) Does nasal septal surgery improve quality of life? Acta Otolaryngol. 126, 752–757
  • 31
    Prescribing Support Unit – The NHS Information Centre. (2010) Prescription cost analysis: England 2009. URL http://www.ic.nhs.uk/webfiles/publications/prescostanalysis2009/PCA_2009.pdf [accessed on 24 November 2010]
  • 32
    Prescribing Services – NHS Wales Informatics Service. (2010) Prescription cost analysis: Wales 2009. URL http://www.wales.nhs.uk/sites3/page.cfm?orgid=428&pid=13533 [accessed on 24 November 2010]
View Full Article (HTML) Get PDF (137K)