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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
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Extracorporeal Septoplasty: Assessing Functional Outcomes Using the Validated Nasal Obstruction Symptom Evaluation
Steven Ross Mobley1, Jennifer Long
1Salt Lake City, Utah From Mobley MD Facial Plastic & Reconstructive Surgery, PLLC.
Plastic and Reconstructive Surgery
|December 29, 2015
Summary
Extracorporeal septoplasty significantly improves nasal obstruction symptoms in patients with severe septal deviation. This surgical technique offers a valuable solution for complex cases, enhancing patient quality of life.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Rhinology
Background:
- Standard septoplasty may be insufficient for severe septal deformities.
- Extracorporeal septoplasty presents an alternative for complex cases.
- Evaluating functional outcomes is crucial for severe septal deviation treatment.
Purpose of the Study:
- To investigate the functional outcomes of extracorporeal septoplasty.
- To assess symptom improvement using the Nasal Obstruction Symptom Evaluation (NOSE) score.
- To validate the NOSE score for severe septal deviation treatment.
Main Methods:
- Retrospective data collection of 55 patients undergoing extracorporeal septoplasty (Jan 2010 - May 2013).
- Analysis of demographic information, surgical history, and complications.
- Comparison of pre- and post-operative Nasal Obstruction Symptom Evaluation scores.
Main Results:
- Median preoperative NOSE score was 14.5, decreasing to 3.0 postoperatively.
- A statistically significant median decrease of 9.0 in NOSE scores was observed (p < 0.0001).
- The Wilcoxon signed rank test confirmed the significant improvement.
Conclusions:
- Extracorporeal septoplasty is a key surgical option for severe septal deviation.
- The procedure leads to significant functional improvements.
- The validated NOSE score effectively demonstrates positive outcomes after extracorporeal septoplasty.

