Assessment of nasal obstruction with rhinomanometry and subjective scales and outcomes of surgical and medical treatment.

Autor: Lara-Sánchez H; Servicio de Otorrinolaringología, Hospital Universitario Río Hortega, Valladolid, España. Electronic address: hugo_lara_s@hotmail.com., Álvarez Nuño C; Servicio de Otorrinolaringología, Hospital Universitario Río Hortega, Valladolid, España., Gil-Carcedo Sañudo E; Servicio de Otorrinolaringología, Hospital Universitario Río Hortega, Valladolid, España., Mayo Iscar A; Departamento de Estadística e Investigación Operativa, Universidad de Valladolid, Valladolid, España., Vallejo Valdezate LÁ; Servicio de Otorrinolaringología, Hospital Universitario Río Hortega, Valladolid, España.
Jazyk: English; Spanish; Castilian
Zdroj: Acta otorrinolaringologica espanola [Acta Otorrinolaringol Esp (Engl Ed)] 2017 May - Jun; Vol. 68 (3), pp. 145-150. Date of Electronic Publication: 2016 Oct 23.
DOI: 10.1016/j.otorri.2016.06.007
Abstrakt: Introduction: Prospective study of patients with nasal obstruction (NO) in order to measure therapeutic success by anterior active rhinomanometry (AAR), Nasal Obstruction Symptom Evaluation (NOSE) scale and Visual Analogue Scale (VAS) and to establish the correlation between these tests.
Methods: Patients with NO, on whom we performed an AAR, NOSE and VAS scales at baseline and after medical treatment (topical nasal steroid) or surgery (septoplasty, turbinoplasty or septoplasty and turbinoplasty). The nasal flow obtained by the AAR and the score of both subjective scales (NOSE and VAS) were compared and analyzed.
Results: A total of 102 patients were included in the study. Surgical treatment resulted in statistically significant differences with the AAR and the subjective scales. While in patients with medical treatment there was an increase in the AAR nasal flow but without statistical significance (P=.1363). The correlation between the AAR, the NOSE and VAS scales was measured finding a strong correlation between the NOSE and VAS scales only (r=.83327).
Conclusions: The patients with NO treated surgically have better results when these are evaluated by AAR or with subjective scales. There is no significant correlation between AAR, NOSE and VAS scales, this is considered to be because the AAR and subjective scales are complementary and measure different aspects of NO. The AAR and subjective scales are useful tools to be used together for the follow up of patients with NO.
(Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello. All rights reserved.)
Databáze: MEDLINE
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