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[Palatal sensory impairment after setoplasty]

G Rettinger1, S Engelbrecht-Schnür

  • 1HNO-Klinik, Universität Erlangen.

Laryngo- Rhino- Otologie
|May 1, 1995
PubMed
Summary

Septal surgery can cause palatine numbness due to nasopalatine nerve injury. While objective tests showed no significant nerve damage, 32% of patients reported subjective sensory disturbances like numbness or soreness after septoplasty.

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Area of Science:

  • Otorhinolaryngology
  • Neurosurgery
  • Anatomy

Context:

  • Septal surgery, specifically septoplasty, is a common procedure to correct nasal septum deviations.
  • Patients undergoing septoplasty may experience sensory disturbances in the palatine mucosa, attributed to potential injury of the nasopalatine nerve.

Purpose:

  • To investigate the sequelae of nasopalatine nerve lesions following septoplasty.
  • To objectively assess nerve function and subjectively evaluate patient-reported sensory changes in the palatine mucosa post-surgery.

Summary:

  • A prospective study involving 31 patients undergoing septoplasty evaluated nasopalatine nerve function using electrical stimulation and subjective sensory testing.
  • Neither unilateral nor bilateral subperiosteal tunnels of the nasal floor resulted in significant objective changes in nerve sensitivity 8 days post-surgery.
  • However, 32% of patients reported subjective symptoms such as numbness or soreness, with 16% experiencing persistent discomfort at 3-5 months post-operation.

Impact:

  • Highlights the discrepancy between objective nerve function tests and subjective patient experiences after septoplasty.
  • Suggests that nasopalatine nerve injury during septoplasty can lead to persistent sensory disturbances, impacting patient quality of life.
  • Informs surgical techniques and patient counseling regarding potential sensory deficits following septal surgery.

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