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The effects of disclosure of sequential rhinomanometry scores on post‐septoplasty subjective scores of nasal obstruction: a randomised controlled trial
Author(s) -
Manestar D.,
Braut T.,
Kujundžić M.,
Malvić G.,
Velepič M.,
Donadić Manestar I.,
Matanić Lender D.,
Starčević R.
Publication year - 2012
Publication title -
clinical otolaryngology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.914
H-Index - 68
eISSN - 1749-4486
pISSN - 1749-4478
DOI - 10.1111/j.1749-4486.2012.02490.x
Subject(s) - rhinomanometry , septoplasty , medicine , nose , anesthesia , randomized controlled trial , surgery
Clin. Otolaryngol. 2012, 37 , 176–180 Objective: We sought to evaluate the effects of awareness of rhinomanometric results on subjective sensation of nasal breathing in patients after septoplasty. Design: Prospective randomised study. Setting: Clinical Hospital Rijeka. Participants: A study of 60 patients (45 M, 15 F) who underwent septoplasty was performed at the ENT Clinic, Clinical Hospital Rijeka. The patients were randomised into two groups; group A was shown their rhinomanometry scores at 3 months postoperatively, while group B remained unaware of their rhinomanometry results. Main outcome measure: The assumption is that in the same settings patients aware of their rhinomanometric results have better performances of their Nasal Obstruction Symptom Evaluation (NOSE) scale and thereby a better quality of life (QOL) after septoplasty. Results: The differences in rhinomanometric results and NOSE scale prior and after septoplasty were statistically significant ( P < 0.001), all patients achieving better results after the operation. There was no statistically significant difference in resistance ( F = 0.004; P = 0.948) and improvement of rhinomanometry results in postoperative measurements ( F = 0.110; P = 0.896) between groups A and B. The symptoms measured by the NOSE scale were the same in both groups preoperatively and 1 month after septoplasty ( F = 2.906; P = 0.094). Three months postoperatively in group A, the NOSE scale score was lower ( M = 11.67; sd = 12.34) than in group B ( M = 27.50; sd = 18.04). Conclusions: The results suggest that disclosing information to patients about their post‐septoplasty rhinomanometry results may improve subjective nasal breathing, and thus improve their QOL.