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Improvement in nasal obstruction and quality of life after septorhinoplasty and turbinate surgery
Author(s) -
Yamasaki Alisa,
Levesque Patricia A.,
Bleier Benjamin S.,
Busaba Nicolas Y.,
Gray Stacey T.,
Holbrook Eric H.,
Sedaghat Ahmad R.,
Lindsay Robin W.
Publication year - 2019
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.27859
Subject(s) - medicine , visual analogue scale , quality of life (healthcare) , nose , eq 5d , prospective cohort study , demographics , surgery , nasal septum , referral , health related quality of life , disease , demography , nursing , family medicine , sociology
Objectives To evaluate the long‐term impact of functional septorhinoplasty (SRP) with and without inferior turbinate reduction (ITR) on disease‐specific symptom severity and general health‐related quality of life (QOL). Study Design Prospective cohort study at a tertiary referral center. Methods Patients undergoing functional SRP with and without ITR were administered the Nasal Obstruction Symptom Evaluation (NOSE) scale to assess severity of nasal obstruction and the EuroQol‐5 Dimension Questionnaire Visual Analog Scale (EQ‐5D VAS) to assess general health‐related QOL preoperatively and at 2, 4, 6, 12, 24, and 36 months postoperatively. Patient demographics, surgical technique, symptom severity, and QOL outcomes were analyzed. Results A total of 567 patients were included, with 391 patients undergoing functional SRP alone (54.0% female; mean age 36.0 years [standard deviation (SD):16.2]) and 176 patients undergoing functional SRP with ITR (50.0% female; mean age 35.6 years [SD:13.6]). There was a significant decrease in NOSE and increase in EQ‐5D VAS scores in both groups through at least 24 months postoperatively. Change in NOSE scores was negatively correlated with change in EQ‐5D VAS ( r = −0.38, P < 0.01). Compared to patients undergoing SRP, patients also undergoing ITR had a statistically but nonclinically significant improvement in NOSE, with similar trends for EQ‐5D VAS that were not significant. Conclusion SRP results in a sustained, long‐term improvement in nasal obstruction based on disease‐specific and general health‐related QOL measures, with incremental improvement in outcomes with addition of ITR. This study provides the foundation for defining health outcomes and the health utility value of surgical interventions that address nasal obstruction. Level of Evidence 2c Laryngoscope , 129:1554–1560, 2019