Modified extracorporeal septoplasty: prospective study
Objectives: This study aimed to evaluate quality-of-life and satisfaction outcomes in patients undergoing the MES using the Portuguese version of the Nasal Obstruction Symptom Evaluation (NOSE-p) and Rhinoplasty Outcome Evaluation (ROE), and also to evaluate the frequency of possible complications o...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-05-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869424000132 |
| _version_ | 1797287636933541888 |
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| author | Raphaella de Oliveira Migliavacca Michelle Lavinsky Olívia Egger de Souza Eduardo Priesnitz Friedrich Otávio Augusto Gonçalves Dias Cionek Leonardo Ferreira Subda Bárbara Luiza Bernardi |
| author_facet | Raphaella de Oliveira Migliavacca Michelle Lavinsky Olívia Egger de Souza Eduardo Priesnitz Friedrich Otávio Augusto Gonçalves Dias Cionek Leonardo Ferreira Subda Bárbara Luiza Bernardi |
| author_sort | Raphaella de Oliveira Migliavacca |
| collection | DOAJ |
| description | Objectives: This study aimed to evaluate quality-of-life and satisfaction outcomes in patients undergoing the MES using the Portuguese version of the Nasal Obstruction Symptom Evaluation (NOSE-p) and Rhinoplasty Outcome Evaluation (ROE), and also to evaluate the frequency of possible complications of this technique. Methods: We conducted a single-center prospective study with patients who had the indication for MES, from May 2016 to September 2020 at the Facial Plastic Surgery Clinic of Otolaryngology Department of the Hospital de Clinicas de Porto Alegre. The primary outcome was the relative postoperative change in NOSE-p. Secondary outcome was the variation in ROE, a validated quality-of-life questionnaire for rhinoplasty patients. Results: Of the 31 patients submitted to extracorporeal septorhinoplasty who were evaluated, twenty-seven patients were included. Preoperative and postoperative NOSE-p scale scores were 65.2 ± 29.9 and 23.5 ± 26.7, respectively (mean differences of 42.04; [95% CI 27.35–56.73]; p < 0.0001). Pre and postoperative ROE scores were 38.3 ± 24.3 vs. 67.29 ± 29.7, respectively (mean differences of −29.02; [95% CI −40.5 to −17.5]; p = 0.0001). Residual septal deviation was verified in 2 patients (7.4%). Conclusion: Most of the patients submitted to modified extracorporeal septoplasty had a significant improvement in quality of life scores of nasal obstruction, with good aesthetical outcomes and low indices of postoperative complications. Level of evidence: Level 3. |
| first_indexed | 2024-03-07T18:36:14Z |
| format | Article |
| id | doaj.art-71a5c18aab2847bfa8535281f97bba61 |
| institution | Directory Open Access Journal |
| issn | 1808-8694 |
| language | English |
| last_indexed | 2024-03-07T18:36:14Z |
| publishDate | 2024-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj.art-71a5c18aab2847bfa8535281f97bba612024-03-02T04:53:52ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942024-05-01903101398Modified extracorporeal septoplasty: prospective studyRaphaella de Oliveira Migliavacca0Michelle Lavinsky1Olívia Egger de Souza2Eduardo Priesnitz Friedrich3Otávio Augusto Gonçalves Dias Cionek4Leonardo Ferreira Subda5Bárbara Luiza Bernardi6Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Otorrinolaringologia, Programa de Pós-Graduação em Ciências Médicas: Otorrinolaringologia, Porto Alegre, RS, Brazil; Programa de Pós-Graduação em Ciências Pneumológicas, Porto Alegre, RS, BrazilHospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Otorrinolaringologia, Programa de Pós-Graduação em Ciências Médicas: Otorrinolaringologia, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Otorrinolaringologia, Programa de Pós-Graduação em Ciências Médicas: Otorrinolaringologia, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Otorrinolaringologia, Programa de Pós-Graduação em Ciências Médicas: Otorrinolaringologia, Porto Alegre, RS, Brazil; Corresponding author.Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Otorrinolaringologia, Programa de Pós-Graduação em Ciências Médicas: Otorrinolaringologia, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Otorrinolaringologia, Programa de Pós-Graduação em Ciências Médicas: Otorrinolaringologia, Porto Alegre, RS, BrazilUniversidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Otorrinolaringologia, Programa de Pós-Graduação em Ciências Médicas: Otorrinolaringologia, Porto Alegre, RS, BrazilObjectives: This study aimed to evaluate quality-of-life and satisfaction outcomes in patients undergoing the MES using the Portuguese version of the Nasal Obstruction Symptom Evaluation (NOSE-p) and Rhinoplasty Outcome Evaluation (ROE), and also to evaluate the frequency of possible complications of this technique. Methods: We conducted a single-center prospective study with patients who had the indication for MES, from May 2016 to September 2020 at the Facial Plastic Surgery Clinic of Otolaryngology Department of the Hospital de Clinicas de Porto Alegre. The primary outcome was the relative postoperative change in NOSE-p. Secondary outcome was the variation in ROE, a validated quality-of-life questionnaire for rhinoplasty patients. Results: Of the 31 patients submitted to extracorporeal septorhinoplasty who were evaluated, twenty-seven patients were included. Preoperative and postoperative NOSE-p scale scores were 65.2 ± 29.9 and 23.5 ± 26.7, respectively (mean differences of 42.04; [95% CI 27.35–56.73]; p < 0.0001). Pre and postoperative ROE scores were 38.3 ± 24.3 vs. 67.29 ± 29.7, respectively (mean differences of −29.02; [95% CI −40.5 to −17.5]; p = 0.0001). Residual septal deviation was verified in 2 patients (7.4%). Conclusion: Most of the patients submitted to modified extracorporeal septoplasty had a significant improvement in quality of life scores of nasal obstruction, with good aesthetical outcomes and low indices of postoperative complications. Level of evidence: Level 3.http://www.sciencedirect.com/science/article/pii/S1808869424000132Modified extracorporeal septoplastyKeystone areaNasal obstructionNOSEROE |
| spellingShingle | Raphaella de Oliveira Migliavacca Michelle Lavinsky Olívia Egger de Souza Eduardo Priesnitz Friedrich Otávio Augusto Gonçalves Dias Cionek Leonardo Ferreira Subda Bárbara Luiza Bernardi Modified extracorporeal septoplasty: prospective study Brazilian Journal of Otorhinolaryngology Modified extracorporeal septoplasty Keystone area Nasal obstruction NOSE ROE |
| title | Modified extracorporeal septoplasty: prospective study |
| title_full | Modified extracorporeal septoplasty: prospective study |
| title_fullStr | Modified extracorporeal septoplasty: prospective study |
| title_full_unstemmed | Modified extracorporeal septoplasty: prospective study |
| title_short | Modified extracorporeal septoplasty: prospective study |
| title_sort | modified extracorporeal septoplasty prospective study |
| topic | Modified extracorporeal septoplasty Keystone area Nasal obstruction NOSE ROE |
| url | http://www.sciencedirect.com/science/article/pii/S1808869424000132 |
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