A one Year Observational study of Outcome of Septoplasty by Using Nose and Snot-22 Questionnaire in KLE’S Dr. PRABHAKAR Kore Hospital, Belagavi

Abstract

BACKGROUND- The nose is the most prominent and important organ of the body which carries great emotional and social significance. The integrity of the septum is an important factor for the nasal function and shape. A nasal septal deformity can significantly alter one’s facial appearances and has been categorized as “Functional or Cosmetic”. A Functional deformity of nose may result in nasal blockage, noisy breathing, altered perception of smell/taste, nose bleeds and sinusitis. . Septoplasty should be considered for both functional correction of deviated nasal septal deformity for improving quality of life of the patient. There are various factors like patient’s psychosocial and subjective satisfaction that will be influenced by the outcome of septoplasty Quality of life (QOL) instrument should be advocated in order to evaluate the outcome of septoplasty in the patients with deviated nasal septal deformity. OBJECTIVE- To evaluate the outcome of Septoplasty in Deviated Nasal Septum in relieving nasal symptoms using Nasal Obstructive Symptoms Evaluation (NOSE) scale and Sinonasal Outcome Test(SNOT-22). MATERIALS AND METHODS- This observational study was conducted in the department of Otorhinolaryngology and Head and Neck Surgery of KAHER, Jawaharlal Nehru Medical College and KLES Dr.Prabhakar Kore Hospital and Medical Research Center, Belagavi from January 2018 to December 2018. 30 patients were evaluated and comparisons were made for NOSE score and SNOT-22 questionnaire preoperatively and postoperatively. Most common population affected as per the age distribution, sex distribution, type of deviated nasal septum among the patients were evaluated. Comparison of decrease in NOSE score and SNOT-22 questionnaire was done and correlation was done. The statistical significance (p value) was calculated using Kolmogorov Smirnov test, Wilcoxon matched pair test and parametric dependent t test. RESULT- Out of 30 patients, 22 were male and 8 were female. The commonest age of presentation was 21-30yrs. NOSE score preoperatively and postoperatively was statistically significant with p= 0.0001. SNOT -22 questionnaire showed statistically significant preoperative and postoperative values with p= 0.0001. As such correlation between the nasal sypmtoms of SNOT-22 questionnaire and total NOSE score was done but no comparable difference between the two scoring systems could be found , both having p=0.0001. CONCLUSION- The outcome of septoplasty has been validated using NOSE score and SNOT-22 questionnaire and has been proven to be effective in improving the nasal symptoms and quality of life of the patients post surgery. The quality of life measure is a useful tool to evaluate the subjective relief and success of surgery in patients undergoing septoplasty.