Indications and Functional Results of Septoplasty –⁠ Resultsof a Prospective Study

Overview

S u m m a r y:
Irregularity of nasal septum occurs in 80% of population, but not all of them re offunctional significance. The paper presents the results of a prospective study aimed at evaluationof correct indication for septoplasty,which should differentiate,whether nasal obstruction is causedby is caused by irregular nasal septum or mucosal changes in nasal cavity, to determine significanceof individual types of septum deformities in nasal obstruction with the use of rhinomanometrycompared with subjective evaluation and to measure functional effect of seroplasty. The groupincluded 63 examined patients (48men, 15women at the average age of 32 years),whowere indicatedfor septoplasty by common methods of examination (anterior rhinoscopy, case history). Fortypatients showed up for the measurement after the surgery. The objective examination of nasalpatency was tested by the rhinomanometric device ATHMOS 300. The mean value of nasal resistance(R) before the operation on the examined patients was 0.7 before the anamization and 0.4 afterthe anemization. This value is almost three-fold higher than normal values.However, normal valuesof nasal resistance R up to 0.25 were observed in 12 patients (20%). A subjective improvement ofnasal patency after the operation was reported by 36 patients (90%), remaining unchanged in theremaining four subjects. The resulting value of nasal resistance of the whole group after theoperation was 0.33 before anemization and 0.28 afterwards. It did not reach physiological values,but came close to them. The mean values of nasal resistance of the whole group improved by 55%.In the 40 surgically treated patients, normal values of R

Key words:
septoplasty, nasal septum, rhinomanometry, nasal resistance.