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Assessment of septoplasty effectiveness using acoustic rhinometry and rhinomanometry

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Author(s): Mohammad Hossein Dadgarnia | Mohammad Hossein Baradaranfar | Mona Mazidi | Mohammad Reza Azimi meibodi

Journal: Iranian Journal of Otorhinolaryngology
ISSN 2251-7251

Volume: 25;
Issue: 71;
Start page: 71;
Date: 2013;
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Keywords: Acoustic rhinometry | Nasal airway obstruction | Nasal septum | Rhinomanometry

ABSTRACT
Introduction: Septal deviation is the chief cause of chronic nasal obstruction. In order to treat such cases, nasal septoplasty surgery is usually performed based on patient complaints and a surgeon's examination, both of which are subjective. This study aims at using the objective parameters of acoustic rhinometry and rhinomanometry to evaluate the effectiveness of septoplasty surgery.   Materials and Methods: A prospective study was performed in 30 candidate patients for septoplasty surgery. Acoustic rhinometry and rhinomanometry tests were performed on all patients both before and 3 months after the operation. The symptom recovery rate was recorded according to the patient's statements and anterior rhinoscopic examinations 3 months after surgery. Data were analyzed using a t-test and chi-square tests in a SPSS package.   Results: A total of 26 of 30 patients returned for a post–procedure follow-up examination after 3 months. Patients were aged from 18 to 32 years (average, 25 years). In total 69.2% (18 patients) were satisfied with the results of the procedure. In addition, rhinomanometry resulted in a decrease in general nasal resistance if patients used decongestants (P=0.03). However, the decrease was not significant before the use of decongestants (P=0.12). Furthermore, according to the results from acoustic rhinomanometry, there was an increase in the nasal cross-sectional area on both the narrow and wide sides after the operation (P
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