• Sao Paulo Med J · Jan 2022

    Allergic rhinitis improvement after septorhinoplasty in a sample of allergic rhinitis patients with septal deviation: a quasi-experimental study.

    • Vanesa García-Paz, Cintia Micaela Chamorro-Petronacci, Roi Painceira-Villar, Ricardo Becerro-de-Bengoa-Vallejo, Marta Elena Losa-Iglesias, Mario Pérez-Sayáns, Adolfo Sarandeses-Garcia, and Daniel López-López.
    • MD. Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, A Coruña, Spain; Area Specialist Physician, Department of Allergology, Complejo Hospitalario Universitario de A Coruña (CHUAC), A Coruña, Spain.
    • Sao Paulo Med J. 2022 Jan 1; 140 (1): 17-23.

    BackgroundAllergic rhinitis (AR) is a chronic inflammatory disease that affects almost 30% of the adult population.ObjectiveTo describe and compare the evolution of symptoms in patients diagnosed with AR and septal deviation prior to and following septoplasty (STP).Design And SettingQuasi-experimental study developed in A Coruña University Hospital.MethodsPatients aged 18-65 years who had been diagnosed with AR and septal deviation were recruited. Obstruction airflow was evaluated before and after surgery, by means of anterior rhinomanometry (RNM). Severity symptoms and quality of life were assessed using a visual analogue scale (VAS) and the ESPRINT questionnaire, respectively.ResultsA total of 50 subjects underwent STP and 42 were included in this study. Their mean age at the time of surgery was 34.16 ± 9.74 years (range 18-64). Significant reductions in mean VAS and ESPRINT were observed after surgery (P < 0.01). These outcomes were considered to represent an overall improvement in quality of life. The RNM results also improved significantly, from mean values of 478.07 ± 165.4 cm3/s before STP to 826.4 ± 175.5 cm3/s afterwards (P < 0.01).ConclusionsThe negative correlations of VAS and ESPRINT with RNM, from before and to after STP, demonstrate the efficacy of scales and questionnaires as objective methods for determining obstruction in the absence of rhinomanometry. Patients with allergic rhinitis and septal deviation showed improvements in obstruction severity and medication use after STP.

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