Concurrent septoplasty during endoscopic sinus surgery for chronic rhinosinusitis: Does it confound outcomes assessment?

Objectives/Hypothesis: To determine if chronic rhinosinusitis (CRS)‐specific health‐related quality‐of‐life (HRQoL) outcomes are affected by concurrent septoplasty performed during endoscopic sinus surgery (ESS) for medically refractory CRS. Study Design: Prospective, multicenter cohort study. Metho...

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Bibliographic Details
Published in:The Laryngoscope 2011-12, Vol.121 (12), p.2679-2683
Main Authors: Rudmik, Luke, Mace, Jess, Ferguson, Berrylin J., Smith, Timothy L.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Chronic Disease
chronic rhinosinusitis
Cohort Studies
endoscopic
Endoscopy - methods
Female
Follow-Up Studies
Humans
Intraoperative Care - methods
Level of Evidence: 2c
Male
Medical sciences
Middle Aged
Nasal Septum - surgery
Non tumoral diseases
Otorhinolaryngology (head neck, general aspects and miscellaneous)
Otorhinolaryngology. Stomatology
Paranasal Sinus Diseases - diagnosis
Paranasal Sinus Diseases - surgery
Prospective Studies
Quality of Life
Rhinitis - diagnosis
Rhinitis - surgery
Risk Assessment
Septoplasty
sinusitis
Sinusitis - diagnosis
Sinusitis - surgery
surgery
Treatment Outcome
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
Young Adult
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Summary:Objectives/Hypothesis: To determine if chronic rhinosinusitis (CRS)‐specific health‐related quality‐of‐life (HRQoL) outcomes are affected by concurrent septoplasty performed during endoscopic sinus surgery (ESS) for medically refractory CRS. Study Design: Prospective, multicenter cohort study. Methods: A total of 221 patients with medically refractory CRS without nasal polyposis who elected primary ESS were included in this study. Patients were dichotomized into two cohorts: concurrent septoplasty (n = 108) or no septoplasty (n = 113) during ESS. The main outcomes of interest included two CRS‐specific HRQoL instruments: the Rhinosinusitis Disability Index (RSDI) and the Chronic Sinusitis Survey (CSS). Symptom presentation was assessed using eight sinonasal visual analog scale (VAS) symptom scores. Results: There were no differences in CRS‐specific HRQoL improvements on all RSDI and CSS measures following ESS between cohorts with or without septoplasty (all P > .05). In patients with medically refractory CRS, the presence of septal deviation did not result in a different CRS‐specific symptom presentation compared to patients without septal deviation (all baseline VAS symptom score comparisons P > .295). Conclusions: To optimize nasal patency and improve surgical access, septoplasty is commonly performed during ESS. Based on the results of this study, concurrent septoplasty does not appear to affect CRS‐specific HRQoL or symptom outcomes and does not function as a confounding factor in HRQoL improvement.
ISSN:0023-852X
1531-4995
DOI:10.1002/lary.22361