Quality of Life Changes Following Concurrent Septoplasty and/or Inferior Turbinoplasty during Endoscopic Pituitary Surgery
| Autor: | Maria Peris-Celda, Anna Butrymowicz, Daniel D. Lee, Tyler J. Kenning, Carlos D. Pinheiro-Neto |
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| Rok vydání: | 2017 |
| Předmět: |
Adenoma
Adult Male Gerontology medicine.medical_specialty Sphenoid Sinus medicine.medical_treatment Pituitary neoplasm Cohort Studies 03 medical and health sciences 0302 clinical medicine Quality of life Nasal septum Humans Medicine Pituitary Neoplasms Prospective Studies 030223 otorhinolaryngology Prospective cohort study Aged Nasal Septum Retrospective Studies Aged 80 and over Transsphenoidal surgery Retrospective review business.industry Significant difference Retrospective cohort study Middle Aged Rhinoplasty Surgery Septoplasty medicine.anatomical_structure Treatment Outcome Anesthesia Neuroendoscopy Cohort Quality of Life Female Neurology (clinical) Nasal Cavity Pituitary surgery business 030217 neurology & neurosurgery Cohort study Follow-Up Studies |
| Zdroj: | Journal of Neurological Surgery Part B: Skull Base. 78:S1-S156 |
| ISSN: | 2193-634X 2193-6331 |
| DOI: | 10.1055/s-0037-1600595 |
| Popis: | Objective Endoscopic endonasal transsphenoidal surgery (EETS) is a widely accepted technique for sellar tumors. Common findings during preoperative assessment include septal deviations and turbinate hypertrophy. This study evaluated quality of life changes after concurrent septoplasty and/or inferior turbinoplasty during EETS. Methods A retrospective review was performed of a prospectively collected database including all patients undergoing EETS at our institution during a 10-month period between 2015 and 2016. Patients were divided into a septoplasty/inferior turbinoplasty group and a no septoplasty/inferior turbinoplasty group. The Sino-Nasal Outcome Test (SNOT-22) was used to evaluate quality of life. Mean preoperative scores were compared with 1- and 3-month postoperative scores within each cohort. The SNOT-22 was also reorganized into 5 distinct subdomains. Average subdomain scores were calculated, and preoperative and 1- and 3-month postoperative subdomain scores were compared within each cohort. A paired Student t test was used. P values Results All 24 patients met inclusion criteria by completing preoperative and postoperative SNOT-22 surveys. In the septoplasty/inferior turbinoplasty group, preoperative and 3-month postoperative scores showed a clinically significant difference ( P = 0.047). The septoplasty/inferior turbinoplasty group specifically showed a significant difference in the psychiatric and sleep SNOT-22 subdomains when comparing preoperative with 3-month postoperative scores ( P = 0.03, P = 0.01). Conclusions Patients who underwent concurrent septoplasty and/or turbinoplasty with EETS had a significantly improved quality of life compared with preoperative assessment, specifically regarding psychological and sleep symptoms. |
| Databáze: | OpenAIRE |
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