A COMPARISON OF QUALITY OF LIFE AND OUTCOMES OF ENDOSCOPIC AND CONVENTIONAL SEPTOPLASTY
1Sağlık Bilimleri Üniversitesi İzmir Bozyaka Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Kliniği, İzmir, Turkey2Manisa Celal Bayar Üniversitesi, Kulak Burun Boğaz Hastalıkları Anabilim Dalı, Manisa, Turkey Objective: Endoscopic septoplasty (ES) is a minimally invasive surgical technique for the nasal septal deviation. The purpose of this study was to compare the quality of life and outcomes of patients who underwent conventional septoplasty (CS) and ES without additional nasal surgeries.
Methods: A total of 36 patients were selected among patients who underwent CS, and 35 sex- and age-matched patients who underwent ES were enrolled in the study. Visual Analogue Scale (VAS) and Nasal Obstruction Symptom Evaluation (NOSE) scores were used to collect the patient's quality of life at the time of diagnosis and 3 months after CS and ES. The complication rates, duration of surgery and hospital stay were comparatively analyzed.
Results: Preoperative VAS and NOSE scores were not statistically different in both groups (p=0.731, p=0.899; respectively). The VAS and NOSE scores were significantly improved postoperatively (pCS-VAS<0.001, pES-VAS<0.001; pCS-NOSE<0.001, pES-NOSE<0.001; respectively); however, no significant difference was observed when the improvements of VAS and NOSE scores compared between CS and ES groups (p=0.307, p=0.461; respectively). Intraoperative flap laceration and intra/postoperative hemorrhage were in the favor of patients who underwent ES (p=0.031, p=0.035; respectively). However, duration of surgery and hospital stay were lower in ES group compared to CS group (p<0.001, p=0.004; respectively).
Conclusion: In selected cases, ES is a useful surgical technique in terms of complication rates, duration of surgery and hospital stay. Nevertheless, improvement of the quality of life was similar in patients underwent CS and ES.
Keywords : Endoscopic, conventional, septoplasty, quality of life, outcome