Abstract

Objective: The rates of patient dissatisfaction in terms of persistent nasal obstruction after septoplasty and inferior turbinate surgery are high. Although this is common in otorhinolaryngology practice, scarce data is available. In this study, we evaluated the causes of persistent nasal obstruction in patients after septoplasty and inferior turbinate surgery to identify the reasons for patient dissatisfaction and the etiologies that should be considered during surgical planning.

Material and Methods: The study population comprised 47 patients (26 females and 21 males) with chronic nasal obstruction who had previously undergone inferior turbinate surgery and septoplasty. We evaluated the patients history, detailed examination and endoscopy, imaging, and the Nasal Obstruction Symptoms Evaluation (NOSE) scale. Based on the study findings, we identified the etiologies that lead to the requirement of a revision surgery.

Results: The study included 26 female and 21 male patients. The mean obstruction level of the patients based on NOSE scale was 2.2±0.4. The most common etiologies identified in this study were nasal valve stenosis in 19 patients (40%), inferior turbinate hypertrophy in 12 (26%), and caudal septal deviation in 9 (19%).

Conclusion: We recommend careful evaluation of the nasal valve area in patients scheduled for septoplasty and inferior turbinate surgery due to nasal obstruction. Insufficient surgery is the main reason for revision surgery  and dissatisfaction of the patient.

Cite this article as: Mazlumoğlu MR, Özel Bingöl B. Evaluation of the Reasons for Dissatisfaction of the Patients and Indications for a Revision Surgery after Septoplasty and Inferior Turbinate Surgery. Eur J Rhinol Allergy 2018; 1: 9-11