Deviated Nasal Septum, Nasal Obstruction Septal Deviation Compensatory Inferior Turbinate Hypertrophy
Conditions
Keywords
septoplasty, deviated nasal septum, nasal obstruction, inferior turbinate hypertrophy, nose score, peak nasal inspiratory flowmeter (PNIF), endoscopic assessment
Brief summary
This prospective comparative study aims to evaluate the outcomes of septoplasty with or without inferior turbinate reduction in patients with symptomatic deviated nasal septum. Subjective and objective outcomes will be assessed using the NOSE score, Peak Nasal Inspiratory Flow (PNIF), and nasal endoscopic examination before and after surgery.
Detailed description
This prospective comparative study will be conducted at the Department of Otolaryngology, Sohag University Hospital. The study aims to compare the outcomes of septoplasty alone versus septoplasty combined with inferior turbinate reduction in adult patients with symptomatic deviated nasal septum and persistent nasal obstruction. Forty patients will be enrolled and allocated into two groups. Clinical outcomes will be evaluated preoperatively and at 1 month and 3 months postoperatively using the Nasal Obstruction Symptom Evaluation (NOSE) score, Peak Nasal Inspiratory Flow (PNIF), and diagnostic nasal endoscopy. The primary outcome is improvement in nasal obstruction symptoms, while secondary outcomes include changes in NOSE score, PNIF measurements, and endoscopic findings.
Interventions
PROCEDUREseptoplasty
Surgical correction of deviated nasal septum to relieve nasal obstruction.
PROCEDUREseptoplasty with inferior turbinate reduction.
Surgical correction of deviated nasal septum combined with inferior turbinate reduction to improve nasal airflow and relieve obstruction.
Sponsors
Sohag University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Masking description
No masking will be applied. Both participants and investigators will be aware of the surgical intervention performed.
Intervention model description
Participants will be assigned into two parallel groups: Group A will undergo septoplasty alone, and Group B will undergo septoplasty with inferior turbinate reduction. Postoperative outcomes will be compared between the two groups.
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Patients with symptomatic deviated nasal septum causing persistent nasal obstruction, aged 18-50 years, who failed medical treatment for at least 3 months, will be included in the study.
Exclusion criteria
* Patients with previous nasal surgery, nasal polyposis, chronic rhinosinusitis, alar collapse, uncontrolled allergic rhinitis, nasal tumors, or external nasal deformity requiring rhinoplasty will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Improvement in nasal obstruction symptoms | Baseline (preoperative), 1 month postoperative, and 3 months postoperative | Assessment of improvement in nasal obstruction symptoms after surgery using the Nasal Obstruction Symptom Evaluation (NOSE) score. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in NOSE score | Baseline, 1 month postoperative, and 3 months postoperative | Comparison of NOSE score changes between patients undergoing septoplasty alone and those undergoing septoplasty with inferior turbinate reduction. |
| Change in Peak Nasal Inspiratory Flow (PNIF) | Baseline, 1 month postoperative, and 3 months postoperative | Objective assessment of nasal airflow improvement using Peak Nasal Inspiratory Flow measurement. |
| Endoscopic nasal examination findings | Baseline, 1 month postoperative, and 3 months postoperative | Assessment of postoperative nasal cavity findings by diagnostic nasal endoscopy. |
Contacts
CONTACTMena Mikhael, M.B.B.Ch
PRINCIPAL_INVESTIGATOROsama Mohammed Rashad, professor
Department of otolaryngology, faculty of medicine, sohag university
PRINCIPAL_INVESTIGATORkhaled Gamal Dahy, assistant professor
Department of otolaryngology, faculty of medicine, sohag university
Outcome results
None listed