Document Detail


Quality of life following nasal surgery.
MedLine Citation:
PMID:  20213799     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES/HYPOTHESIS: This prospective study aimed to investigate changes in quality of life (QOL) after nasal surgery. STUDY DESIGN: Prospective study. METHODS: A total of 788 patients (492 men and 296 women; age range, 9-81 years; mean age, 41 years) were included in this prospective study. Three hundred thirty-six patients received sinus surgery, 358 received septum surgery, and 94 additional patients received sinus surgery involving the septum. QOL was assessed with a standardized questionnaire for general health and well-being (36-Item Short Form Health Survey [SF-36]). Additionally, subjective sinonasal impairment was collected using the Rhinosinusitis Disability Index (RSBI). QOL and subjective sinonasal impairment were retested 4 months after surgery (63-339 days after surgery; mean, 128 days) in 361 patients. RESULTS: In the RSBI severity scale, 29.5% of the patients rated their sinonasal problems presurgery to be of high severity, 61.2% rated them as medium, and 9.3% as minor. Postsurgery, 2.8% of the patients rated the severity of their sinonasal problems high, 35% medium, and 62.2% minor. Subjective improvement of symptoms was found in more than 80% of the patients. Presurgery, general QOL (SF-36) was impaired in sinus patients and improved significantly after surgery. For most septum patients we found relatively little impact of sinonasal disease on general QOL (SF-36) compared to the German normative sample. CONCLUSIONS: Functional endoscopic surgery seems to be a good technique for reducing sinonasal symptomatology in the majority of patients. It appears to enhance QOL in those patients who were severely affected beforehand. Long-term investigations are currently underway to further explore the patients' subjective QOL following nasal surgery.
Authors:
Ilona Croy; Thomas Hummel; Angelika Pade; J?rgen Pade
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  120     ISSN:  1531-4995     ISO Abbreviation:  Laryngoscope     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-29     Completed Date:  2010-05-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  826-31     Citation Subset:  IM    
Affiliation:
Smell and Taste Clinic, Department of Otorhinolaryngology, University of Dresden Medical School (Technische Universit?t Dresden), Dresden, Germany. ilona.croy@mailbox.tu-dresden.de
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Female
Germany
Humans
Male
Middle Aged
Nose Diseases / psychology,  surgery*
Otorhinolaryngologic Surgical Procedures / rehabilitation*
Postoperative Period
Preoperative Period
Prospective Studies
Quality of Life*
Questionnaires
Risk Factors
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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