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Patient-Reported Outcome Measures Including Nasal Breathing Improvement After Functional Rhinoplasty Using Endonasal

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Patients reported significant improvements in nasal breathing and sleep quality after endonasal rhinoplasty with a septal extension graft (SEG). This study highlights the effectiveness of SEG in improving patient-reported outcomes for nasal obstruction.

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Area of Science:

  • Otolaryngology
  • Plastic Surgery
  • Rhinology

Background:

  • Nasal obstruction significantly impacts quality of life.
  • Septal extension grafts (SEG) are utilized in rhinoplasty to address structural nasal issues.
  • Patient-reported outcome measures (PROMs) are crucial for evaluating surgical success.

Purpose of the Study:

  • To evaluate patient-perceived changes in nasal breathing and sleep quality following endonasal rhinoplasty using a septal extension graft (SEG).
  • To assess the efficacy of SEG in conjunction with septoplasty and turbinoplasty for improving nasal obstruction symptoms.

Main Methods:

  • Retrospective review of 34 patients undergoing endonasal rhinoplasty with SEG, septoplasty, and turbinoplasty.
  • Utilized PROMs including NOSE, SNOT-22, SCHNOS, and ESS to measure outcomes.
  • Analyzed changes in scores pre- and post-operatively, with an average follow-up of 126.6 days.

Main Results:

  • Significant improvements were observed across all PROMs, including Nose Obstruction Symptom Evaluation (NOSE), Sinonasal Outcome Test (SNOT)-22, Epworth Sleepiness Scale (ESS), and Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) (p < 0.001).
  • Average reduction in NOSE score was 49.4 and SNOT-22 score was 24.2.
  • No complications were reported during the study period.

Conclusions:

  • Endonasal rhinoplasty utilizing a septal extension graft (SEG) leads to significant improvements in patient-reported nasal breathing and overall nasal function.
  • The combination of SEG with septoplasty and turbinoplasty appears effective in managing nasal obstruction.
  • PROMs are valuable tools for quantifying the functional and aesthetic benefits of SEG in rhinoplasty.