Evaluation of the Frequency of the Accompanying Nasal Symptoms in Rhinoseptoplasty Patients

Gabriela Kopacheva Barsova
2017 Journal of Otolaryngology-ENT Research  
The deviation of the nasal septum is one of the most frequent cause of nasal respiratory obstruction. Usually it appears parallel to a series of difficulties which additionally affect the patient's physical condition and disrupt their everyday activity and work. The patients with deviated nasal septum besides the chronic nasal obstruction as a dominant problem, state the following as the most frequent accompanying symptoms: rhinorrhea, nasal pain, headache, hyposmia, snoring, nasal speech and
more » ... istaxis. Aim: Researches on the subjective measurements of the nasal symptoms has been limited. In our study we have monitored the patients for a period of one year. We monitored their nasal symptoms using tables and graphs and we tried to show in the simplest way what the benefit of the performed septorhinoplasty was and how it affected the reduction of their symptoms. Matherial and methods: 140 patients-candidates for septorhinoplasty were admitted and operated at the University Clinic for Ear, Nose and Throat, University Campus "St. Mother Theresa" in Skopje in the period 2009-2016. Their nasal symptoms which appeared because of the deviation of nasal septum or possible changes in the nasal mucosa were observed. Before the operation, the nasal symptoms in all the patientscandidates for rhinoseptoplasty were observed: nasal obstruction, rhinorrhea, nasal pain, headache, hyposmia, snoring, nasal speech, epistaxis and other. They were recorded on the scale of nasal symptoms. Conclusion: Our clinical research presented differences in the results obtained from the patients, that is, their interpretation of the nasal symptoms in relation to the results obtained from objective rhinomanometry measurements, as well as the anatomic abnormalities of the nasal septum obtained from the performed CT on the nose and the paranasal sinuses and the objective intraoperative findings. The results showed that besides the septal deviation, certain factors can cause reduced resistance in the nasal passages: nasal hypersecretion, nasal concha hyperplasia, isthmus stenosis, inspiratory nasal valve collapse or other factors that lead to pathological nasal turbulence. We must not forget the psychological factor at any time. Therefore, without appropriate postoperative nasal functional diagnostics, rhinoseptoplasty will not always be successful. Graphic 1a: Distribution of the frequency of accompanying nasal symptoms in patents-candidates for septorhinoplasty before and after operation. Graphic 2: Distribution of the feeling of difficulty in breathing according to the rate of nasal obstruction. Graphic 3a: Distribution of nasal symptoms in patients-candidates for RSP according to the rate of severity of nasal symptomatology. Graphic 3b: Distribution of nasal symptoms in patients-candidates for RSP according to the rate of severity of nasal symptomatology. Evaluation of the Frequency of the Accompanying Nasal Symptoms in Rhinoseptoplasty Patients 4/8
doi:10.15406/joentr.2017.07.00197 fatcat:7xx6qln72fdnrmwcqyju7ptyli