Effectiveness of endoscopic septoplasty in different types of nasal septal deformities: our experience with NOSE evaluation.

Autori:Dell'Aversana Orabona G, Romano A, Abbate V, Salzano G, Piombino P, Farina F, Pansini A, Iaconetta G, Califano L.
Pubblicato su:Acta Otorhinolaryngol Ital. 2018 Aug;38(4):323-330.

Presentazione

Neurochirurghi, Chirurghi Maxillo-Facciali e Otorinolaringoitari napoletani e di Salerno valutano l'efficacia della settoplastica endoscopica per la correzione dei 7 tipi di deformità del setto secondo la classificazione Mladina in una serie retrospettiva di 59 pazienti consecutivi. Questo studio mostra che il potere correttivo della settoplastica endoscopica è diverso a seconda del tipo di deviazione. Anche se la settoplastica endoscopica può ora essere considerata un'alternativa affidabile alla tecnica classica, è essenziale identificare la giusta deformità preoperatoria al fine di fornire la scelta terapeutica corretta.

Abstract

Septal deviations are the most frequent cause of nasal obstruction, and represent a common complaint in rhinologic practice. Since the first description of Lanza et al. in 1991, the use of the endoscope for the correction of septal deformities is increasingly more frequent. The purpose of this study is to evaluate the effectivenes of the endoscopic septoplasty for the correction of each of the 7 types of septal deformities according to the Mladina's classification. A retrospective chart review was performed in 59 consecutive patients presenting to our Department for Endoscopic Septoplasty from February 2012 to August 2014. For each deviation, descriptive statistics (mean and standard deviation, significant increase/decrease) was used to asses the corrective capacity and time-dependent effects at follow-up. This study shows that the corrective power of endoscopic septoplasty is different according to the type of deviation. To our knowledge this is the first study that evaluates the corrective capacity of this technique for each deviation by analysing pre- and postoperative objective outcomes as well as subjective outcomes gathered from the validated NOSE questionnaire. Even if endoscopic septoplasty may now be considered a reliable alternative to the classic technique, it is essential to identify the right deformity preoperatively in order to provide the correct therapeutic choice.

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