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European Archives of Oto-Rhino-Laryngology
Published in: European Archives of Oto-Rhino-Laryngology 2/2019

01-02-2019 | Rhinology

Predictive factors of patients’ general quality of life after nasal septoplasty

Authors: Konstantinos Valsamidis, Konstantinos Titelis, Petros Karkos, Konstantinos Markou, Jiannis Constantinidis, Stefanos Triaridis

Published in: European Archives of Oto-Rhino-Laryngology | Issue 2/2019

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Abstract

Purpose

Although septoplasty is considered to be the definitive treatment of septal deviation and is associated with an increase of nasal patency, patients are not always satisfied with the surgical outcome as assessed by its effect on their general Quality of Life (QOL).The aim of this study was to identify the predictive factors that influence the patients’ QOL after surgery.

Methods

60 patients with nasal obstruction and septal deviation were enrolled in this prospective study, and they all completed the follow-up survey of 6 postoperative months. Symptom severity (Nasal Obstruction Symptom Evaluation—NOSE, Sino nasal outcome test 22—SNOT-22), sleep quality (Epworth Sleepiness Scale—ESS), olfactory function (Threshold Discrimination Identification—TDI score), voice quality (Nasalance score and Voice Handicap Index—VHI), stress (SQ test) and emotional status (Beck Depression Index—BDI) were evaluated as predictive factors of patients’ QOL (Glasgow Benefit Inventory—GBI) postoperatively. We also analyzed age, gender, smoking, socioeconomic status, type of septal deviation and changes of nasal patency (with the use of rhinomanometry, acoustic rhinometry, and peak nasal inspiratory flow).

Results

From all the analyzed parameters, the nasal obstruction symptom severity, the sleep quality, and stress levels were only significantly associated with patients’ overall QOL (p < 0.05; univariate analysis). However, on multiple regression, positive changes in NOSE score (OR 15.09, 95% CI 1.47–22.64, p < 0.05) and SQ test (OR 4, 95% CI 1.12–14.3, p < 0.05) were only related with higher likelihood of participants’ QOL improvement after surgery.

Conclusions

Thorough preoperative evaluation of the symptom severity and stress levels is critical as these two factors are predictive of patient’s satisfaction after septoplasty.
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Metadata
Title
Predictive factors of patients’ general quality of life after nasal septoplasty
Authors
Konstantinos Valsamidis
Konstantinos Titelis
Petros Karkos
Konstantinos Markou
Jiannis Constantinidis
Stefanos Triaridis
Publication date
01-02-2019
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 2/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-018-5229-4

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