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A prospective study of an effect of septorhinoplasty /rhinoplasty on deviated external nasal pyramid in Kashmiri population


Int J Med Res Health Sci. |

Authors: Nazir A khan, Ayaz Rehman, Mushtaq Sangoo, Sajad Hamid
Int J Med Res Health Sci. 2013;2(4):874- 882 |  | DOI:10.5958/j.2319-5886.2.4.140


Most studies show that objective measures to quantify and determine surgical success in the treatment of External nasal deformity with /without nasal obstruction do not correlate with subjective improvement as reported by patients. Aim: To evaluate the subjective& objective improvement in patients undergoing septorhinoplasty or rhinoplasty Materials and Methods: It is a prospective study in which we evaluate 100 patients who had to undergone septorhinoplasty /rhinoplasty; various angles of nose & face were evaluated both preoperatively & postoperatively. In cases selected for Septorhinoplasty, the patients answered a questionnaire preoperatively and 2 months after surgery with questions about the main symptoms of nasal obstruction (nasal obstruction, coryza, pruritus, sneezing, facial pain, snoring, sleep disorders, daytime drowsiness), and a score of each. The intensity of symptoms was scored from 1 to 4, as follows: 1 – absence of symptoms; 2 – mild symptoms; 3 – moderate symptoms; 4 – severe symptoms. Results:  An improvement of all symptoms was observed after surgery, where there was nasal obstruction associated with external nasal deformity i.e; NOSE (Nasal obstructive symptom evaluation were 45.0±10.2 (preoperatively)  &10. 0±4.23 (post-operatively) with p- value < 0.005  whereas NASE (Nasal appearance surgical evaluation)  were 41.8±11.25 (pre-operatively) &7. 8±5.29 (post-operatively) with p-value <   0.005 Conclusions: The external nasal appearance as well as symptoms of nasal obstruction (in c/o =septorhinoplasty)  improved.

Keywords: nasal septum, External nasal deformity, NOSE score, NASE

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