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Prognostic factors for outcome after septoplasty in 888 patients from the Swedish National Septoplasty Register

Journal article
Authors Lars Pedersen
Linus Schiöler
S. Finjan
A. Davidsson
O. Sunnergren
Kenneth Holmberg
C. A. Emanuelsson
Johan Hellgren
Published in European Archives of Oto-Rhino-Laryngology
Volume 276
Issue 8
Pages 2223-2228
ISSN 0937-4477
Publication year 2019
Published at Institute of Medicine, Department of Public Health and Community Medicine
Institute of Clinical Sciences, Department of Otorhinolaryngology
Pages 2223-2228
Language en
Links dx.doi.org/10.1007/s00405-019-05440...
Keywords Nasal breathing, Nasal obstruction, Outcome, Register study, Septoplasty, septal surgery, Otorhinolaryngology
Subject categories Otorhinolaryngology

Abstract

BackgroundThe aim of this study was to identify predictors of outcome after septoplasty in 888 patients from the Swedish National Septoplasty Register.MethodologyThis is an observational register study analysing data from patients undergoing septoplasty in Sweden between 2015 and 2016. The patients reported severity of nasal obstruction (mild, moderate, severe) pre- and again 12months postoperatively (none, mild, moderate, severe), unplanned visits within 30days after surgery. The examining doctor reported co-morbidities such as allergic rhinitis and snoring. The primary end-point was one level improvement of the nasal obstruction 12months after surgery.ResultsNasal obstruction had improved in 63% 12months after surgery. Twelve months after surgery, 81% with severe nasal obstruction and 31% with mild nasal obstruction before surgery had improved. Only 56% reported that the results of the surgery were as they had expected. Higher patient age at surgery, no unplanned visits within 1month of surgery and activity limitation before surgery were associated with improvements in nasal breathing in the logistic regression model.ConclusionSeptoplasty should be offered to patients with severe nasal obstruction and surgery should be avoided in mild nasal obstruction confirmed by both an improvement in nasal obstruction and patient expectations in this study.

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