Is the relationship between SNOT-22 and NOSE and mucociliary clearance time an appropriate assessment method for functional outcomes of septorhinoplasty?
Kasım Durmuş1, Adem Bora2, Merve Çiftçi3, Sümeyye Gencer2, Emine Elif Altuntaş2
1Özel Sivas Medicana Hastanesi Kulak Burun Boğaz Kliniği, Sivas, Türkiye
2Sivas Cumhuriyet Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Anabilim Dalı, Sivas, Türkiye
3Erbaa Devlet Hastanesi Kulak Burun Boğaz Kliniği, Tokat, Türkiye
Keywords: NOSE, saccharin clearance time, septorhinoplasti, SNOT-22.
Abstract
OBJECTIVE: The study aimed to evaluate subjective and objective results after septorhinoplasty and to investigate the correlations between NOSE and SNOT-22 scales and saccharin clearance test (SCT) results.
METHODS: One hundred patients (37 males, 63 females; mean age: 26.4±8.4 years; range, 18 to 56 years) with nasal septal surgery indication were included in the study between January 2017 and January 2019. A SCT was applied to all cases preoperatively and in the first postoperative month, and SNOT-22 and NOSE questionnaires were filled.
RESULTS: No relationship was detected when the relationship between preoperative SCT and NOSE and SNOT-22 scores was evaluated. However, there was a statistically significant correlation between preoperative SNOT-22 scores and postoperative SCT values in 26% of the cases (r=0.260). Similarly, if the preoperative NOSE and SNOT-22 scores of the cases are low, it should be expected that the SCT value measured at the first postoperative month will be low, with a probability of 28% and 26%, respectively. As the preoperative NOSE value of the patients increased, the SNOT-22 value increased by 57.9% and 27.6%, respectively. Similarly, as the postoperative NOSE values increased, the postoperative SNOT-22 values increased by 51.8%. A positive relationship was found in all these bilateral correlations. According to the results obtained, the NOSE and SNOT-22 scores were 93% accurate and 98% acceptable.
CONCLUSION: Although the statistically significant relationship between SCT results in the postoperative period and SNOT-22 and NOSE is a remarkable finding, there is a need for future studies that also evaluate long-term results to make more precise comments on this issue.