Related Experiment Video
Updated: May 18, 2026
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Subjective and objective improvement in breathing after rhinoplasty
Richard A Zoumalan1, Minas Constantinides
1Department of Otolaryngology–Head and Neck Surgery, Cedars Sinai Medical Center, 9401 Wilshire Blvd, Beverly Hills, CA 90212, USA. DrZ@BHfaceMD.com
Archives of Facial Plastic Surgery
|September 12, 2012
Summary
Septorhinoplasty significantly improves nasal breathing scores and objective nasal patency. Patients with severe preoperative obstruction experienced the most substantial improvements in nasal airflow.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Rhinology
Background:
- Nasal obstruction significantly impacts quality of life.
- Rhinoplasty techniques aim to improve both aesthetic and functional outcomes.
- Objective and subjective measures are crucial for evaluating surgical success.
Purpose of the Study:
- To evaluate the efficacy of septorhinoplasty in improving subjective and objective nasal patency.
- To assess changes in nasal volume, resistance, and minimal cross-sectional area (MCA) post-surgery.
Main Methods:
- Retrospective analysis of 31 patients undergoing septorhinoplasty with laser turbinate reduction.
- Collected subjective breathing scores and objective acoustic rhinometry data pre- and post-operatively.
- Utilized paired t-tests for statistical comparison of pre- and post-operative values.
Main Results:
- Significant improvement in subjective breathing scores (38% overall).
- Increased nasal volume and decreased resistance, particularly on the right side.
- MCA did not change significantly overall, but shifted anteriorly; patients with severe obstruction showed significant MCA improvement (55%).
Conclusions:
- Septorhinoplasty enhances nasal airflow by increasing volume, decreasing resistance, and advancing the MCA.
- Subjective improvements in nasal patency correlate with objective anatomical changes.
- Patients with severe preoperative obstruction achieve the best outcomes following septorhinoplasty.
Related Concept Videos
01:23Assessment of Respiration
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...
01:30Epistaxis
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
01:28Physical Assessment of the Respiratory Tract I: Health History
Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and key...
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and key...
01:19Respiratory Assessment: Purpose and Indications
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
01:29Suctioning the Nasopharyngeal Airway
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required