Nasal Septum Deviation
Conditions
Keywords
Nasal septum deviation, Septoplasty, Open surgery
Brief summary
The objective of this study is to determine which of the two techniques (disarticulation septoplasty versus open surgery) offers the best functional results for correcting symptomatic deviations of the nasal septum. More specifically it's about: * Compare the improvement in respiratory symptoms between the two techniques * Analyze and compare complication rates between the two techniques * Evaluate patient satisfaction with aesthetic results (including columella deviation)
Detailed description
Nowadays, disarticulation septoplasty is recognized as an effective technique for correcting complex septal deviations. It allows better exposure of the nasal septum, which facilitates the correction of severe deformities and reduces post-operative complications. This method is often compared to open surgery, which remains a classic approach but perhaps less suited to cases of severe or complex deviations. This technique makes it possible to correct aesthetic deviations while improving the functional aspect avoiding an open path. There are several questionnaires, particularly in the field of rhinology, to evaluate the results of this technique on nasal obstruction in an objective and subjective manner, therefore its impact on quality of life as well as its effectiveness on chronic nasal dysfunction caused by deviation of the nasal septum. In this study, in addition to nasal symptoms before and after surgery and postoperative complications, we chose to work with two scores; NOSE score as a valid, reliable and responsive self-report instrument to quantify subjective dysfunction related to nasal obstruction. The other score is NAFEQ score which makes it possible to evaluate the aesthetic and functional outcome after nasal reconstruction.
Interventions
OTHERComparison of functional improvement in nasal breathing between the two techniques using questionnaires administered to patients by their practitioners in routine practice
Comparison of functional improvement in nasal breathing between the two techniques using questionnaires administered to patients by their practitioners in routine practice
Sponsors
Hôpital NOVO
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient aged 18 and over * Patient undergoing a new disarticulation septoplasty, or an open approach for nasal obstruction due to a deviated nasal septum, confirmed by endoscopy * Patient operated between 01/01/2023 and 31/12/2025
Exclusion criteria
Patient undergoing surgery but with the following medical history (on the day of surgery): * Patient with septal perforations * Patient with previous nasal septum surgery or cosmetic rhinoplasty * Patient with allergic rhinitis * Patient with chronic sinusitis * Patient with concha bullosa * Refusal to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To determine which of the two techniques (disarticulation septoplasty versus open surgery) offers the best functional results to correct symptomatic nasal septum deviations | Before and at least 3 months after the operation | Comparison of functional improvement in nasal breathing between the two techniques (disarticulation septoplasty versus classic septoplasty), using the standardized NOSE score routinely completed by patients pre-operatively and then 3 months post-operation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Compare the functional improvement between the two techniques, using a different tool | Before and at least 3 months after the operation | The functional improvement in nasal breathing between the two techniques will also be assessed using the NAFEQ score, which is also routinely completed pre-operatively and then 3 months after the operation |
| Compare the improvement in respiratory symptoms between the two techniques | Before and at least 3 months after the operation | The improvement in patients' symptoms will be compared between the two techniques using the responses to the NOSE questionnaire and responses 1-6 of the NAFEQ questionnaire. |
| Analyze and compare the complication rates between the two techniques | At day 15 and 3 months after the operation | The number of the following complications will be compared between the two techniques: bleeding up to day 15, infections up to day 15, and septal perforations up to M3. These data will be available in the patient's medical record. |
| Assess patient satisfaction with aesthetic results (including columellar deviation) | Before and at least 3 months after the operation | Patient satisfaction with aesthetics will be measured using questions 8 to 14 of the NAFEQ questionnaire and then compared between the two techniques preoperatively and 3 months postoperatively. |
Countries
France
Contacts
CONTACTMathilde WLODARCZYK
PRINCIPAL_INVESTIGATORKhaled AL TABAA
Hôpital NOVO
PRINCIPAL_INVESTIGATOREsthelle MINKA
Hôpital NOVO
Outcome results
None listed