A Prospective Study of Outcomes of Septoplasty with Turbinate Reductions in Patients with Allergic Rhinitis

Otolaryngol Head Neck Surg. 2019 Jun;160(6):1118-1123. doi: 10.1177/0194599819838761. Epub 2019 Mar 26.

Abstract

Objective: Examine outcomes of septoplasty with turbinate reductions in patients with allergic rhinitis as compared to patients without allergic rhinitis using validated outcome and quality-of-life (QOL) instruments.

Study design: Prospective observational cohort study.

Setting: Single surgeon, university hospital.

Subjects and methods: Consecutive study-eligible patients with a symptomatic nasal septal deviation, with (n = 30) or without (n = 30) documented allergic rhinitis, were enrolled from March 2014 to February 2017. All patients subsequently underwent nasal septoplasty and inferior turbinate reductions. Outcomes were studied using the Nasal Obstruction Symptom Evaluation (NOSE) scale, mini-Rhinoconjunctivitis Quality of Life Questionnaire (mini-RQLQ), and Ease-of-Breathing (EOB) Likert scores completed preoperatively and, together with a patient satisfaction Likert, at 3 and 6 months postoperatively.

Results: NOSE scores, EOB scores, and mini-RQLQ scores improved significantly in both groups at 3 and 6 months postoperatively. Results were sustained from 3 to 6 months. Although mini-RQLQ scores in allergic patients were higher at all intervals, the magnitude of change in scores in both groups was comparable.

Conclusion: Although patients with allergic rhinitis report greater allergy-related QOL impairment (mini-RQLQ) on a day-to-day basis than nonallergic patients, this does not appear to attenuate the benefit they might experience from septoplasty and turbinate reductions when indicated for nasal obstruction. Furthermore, the symptomatic relief of their structural nasal obstruction appears to significantly improve their overall allergy-related quality of life. If appropriate expectations are set pre-operatively, allergic rhinitis is neither a contraindication nor a deterrent to septoplasty and turbinate reductions and these patients can reasonably expect a high degree of satisfaction post-operatively.

Keywords: NOSE; allergic rhinitis; inferior turbinate reduction; mini-RQLQ; outcomes; septoplasty.

Publication types

  • Observational Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nasal Septum / abnormalities*
  • Nasal Septum / surgery*
  • Patient Satisfaction
  • Prospective Studies
  • Quality of Life
  • Rhinitis, Allergic / complications
  • Rhinitis, Allergic / surgery*
  • Rhinoplasty*
  • Symptom Assessment
  • Treatment Outcome
  • Turbinates / surgery*
  • Young Adult