Selection with and without Rhinomanometry of Patients for Septoplasty

Author:

Jessen Max1,Köpman Ari2,Malm Lars3

Affiliation:

1. Department of Otorhinolaryngology, University of Lund, Malmö General Hospital, Lund, Sweden

2. Department of Otorhinolaryngology, Boden Central Hospital, Boden, Sweden

3. Department of Otorhinolaryngology, University Hospital, Lund, Sweden

Abstract

One hundred and fifty-two patients were selected for septoplasty on the basis of symptoms and clinical examination, but without the aid of rhinomanometry. The patients were reexamined at a mean of 3.5 years later when rhinomanometry was included. On the second occasion, in 30% of the patients nasal airway resistance (NAR) of the narrower cavity after decongestion was lower than the upper 95% prediction limit of NAR of individuals with no nasal complaints, and in 18% NAR was lower than the mean NAR + 1 SD for the same individuals. At reexamination of the patients who had not yet undergone operations, about a quarter of those with a “normal” NAR no longer had any subjective obstruction. It is concluded that rhinomanometry is of value in selecting patients for septoplasty.

Publisher

SAGE Publications

Subject

Otorhinolaryngology

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