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

Luke Rudmik, Jess MacE, Berrylin J. Ferguson, Timothy L. Smith

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)2679-2683
Number of pages5
JournalLaryngoscope
Volume121
Issue number12
DOIs
StatePublished - Dec 1 2011

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Keywords

  • Septoplasty
  • chronic rhinosinusitis
  • endoscopic
  • quality of life
  • sinusitis
  • surgery

ASJC Scopus subject areas

  • Otorhinolaryngology

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