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Revision septoplasty: a prospective disease-specific outcome study.

Identifieur interne : 000223 ( Ncbi/Merge ); précédent : 000222; suivant : 000224

Revision septoplasty: a prospective disease-specific outcome study.

Auteurs : Grant S. Gillman [États-Unis] ; Ann M. Egloff ; Carlos M. Rivera-Serrano

Source :

RBID : pubmed:23945947

Descripteurs français

English descriptors

Abstract

1) Study outcomes of revision septoplasty using a validated disease-specific questionnaire and a patient satisfaction survey; 2) assess the effect of surgery on the use of medication to treat nasal congestion; and 3) report on sites of persistent septal deviation identified at revision septoplasty.

DOI: 10.1002/lary.24356
PubMed: 23945947

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pubmed:23945947

Le document en format XML

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<name sortKey="Gillman, Grant S" sort="Gillman, Grant S" uniqKey="Gillman G" first="Grant S" last="Gillman">Grant S. Gillman</name>
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<nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, U.S.A.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Rivera Serrano, Carlos M" sort="Rivera Serrano, Carlos M" uniqKey="Rivera Serrano C" first="Carlos M" last="Rivera-Serrano">Carlos M. Rivera-Serrano</name>
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<term>Nasal Obstruction (diagnosis)</term>
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<term>Recovery of Function</term>
<term>Reoperation (methods)</term>
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<term>Humains</term>
<term>Mâle</term>
<term>Obstruction nasale ()</term>
<term>Obstruction nasale (diagnostic)</term>
<term>Rhinoplastie ()</term>
<term>Rhinoplastie (effets indésirables)</term>
<term>Récupération fonctionnelle</term>
<term>Réintervention ()</term>
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<term>Septum nasal ()</term>
<term>Septum nasal (physiopathologie)</term>
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<term>Nasal Obstruction</term>
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<term>Obstruction nasale</term>
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<term>Rhinoplastie</term>
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<term>Reoperation</term>
<term>Rhinoplasty</term>
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<term>Septum nasal</term>
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<term>Nasal Septum</term>
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<term>Patient Satisfaction</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Nasal Obstruction</term>
<term>Nasal Septum</term>
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<term>Adult</term>
<term>Aged</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Outcome Assessment (Health Care)</term>
<term>Prospective Studies</term>
<term>Recovery of Function</term>
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<term>Treatment Failure</term>
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<term>Adulte d'âge moyen</term>
<term>Enquêtes et questionnaires</term>
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<term>Humains</term>
<term>Mâle</term>
<term>Obstruction nasale</term>
<term>Rhinoplastie</term>
<term>Récupération fonctionnelle</term>
<term>Réintervention</term>
<term>Satisfaction du patient</term>
<term>Septum nasal</term>
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<front>
<div type="abstract" xml:lang="en">1) Study outcomes of revision septoplasty using a validated disease-specific questionnaire and a patient satisfaction survey; 2) assess the effect of surgery on the use of medication to treat nasal congestion; and 3) report on sites of persistent septal deviation identified at revision septoplasty.</div>
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<DateCreated>
<Year>2014</Year>
<Month>05</Month>
<Day>28</Day>
</DateCreated>
<DateCompleted>
<Year>2014</Year>
<Month>07</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1531-4995</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>124</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2014</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>The Laryngoscope</Title>
<ISOAbbreviation>Laryngoscope</ISOAbbreviation>
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<ArticleTitle>Revision septoplasty: a prospective disease-specific outcome study.</ArticleTitle>
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<MedlinePgn>1290-5</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1002/lary.24356</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVES/HYPOTHESIS" NlmCategory="OBJECTIVE">1) Study outcomes of revision septoplasty using a validated disease-specific questionnaire and a patient satisfaction survey; 2) assess the effect of surgery on the use of medication to treat nasal congestion; and 3) report on sites of persistent septal deviation identified at revision septoplasty.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Prospective, single-center outcome study of patients with symptomatic nasal obstruction and persisting septal deviation despite prior septal surgery.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The Nasal Obstruction Symptom Evaluation (NOSE) scale was administered preoperatively and at 3 and 6 months following revision surgery. Patients were also questioned regarding ease of breathing and medication use preoperatively and postoperatively, as well as satisfaction with the surgical outcome. Anatomic site(s) of residual septal deviation were recorded intraoperatively.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Thirty-nine patients completed the study. Mean NOSE scores decreased significantly from 75.9 preoperatively to 14.9 3 months after revision surgery. Mean Ease-of-Breathing scores over this interval improved from 3/10 preoperatively to 8.5/10. Both results were sustained at 6 months (P <0.0001). Patient satisfaction was very high, and many patients required less medication to treat symptoms of nasal congestion postoperatively. Deviations persisting from prior surgery most commonly involved the dorsal or caudal septum.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In patients who experience ongoing nasal obstruction with a persistent septal deviation despite prior septoplasty, revision surgery significantly improves disease-specific quality of life, results in high patient satisfaction, and may diminish the need for nasal medications postoperatively. Caudal or dorsal deflections may be more difficult to correct, leading to the need for revision surgery.</AbstractText>
<AbstractText Label="LEVEL OF EVIDENCE" NlmCategory="METHODS">2C.</AbstractText>
<CopyrightInformation>Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc.</CopyrightInformation>
</Abstract>
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<LastName>Gillman</LastName>
<ForeName>Grant S</ForeName>
<Initials>GS</Initials>
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<Affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, U.S.A.</Affiliation>
</AffiliationInfo>
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<LastName>Egloff</LastName>
<ForeName>Ann M</ForeName>
<Initials>AM</Initials>
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<Author ValidYN="Y">
<LastName>Rivera-Serrano</LastName>
<ForeName>Carlos M</ForeName>
<Initials>CM</Initials>
</Author>
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<Language>eng</Language>
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<PublicationType UI="D023362">Evaluation Studies</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
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<Year>2013</Year>
<Month>09</Month>
<Day>19</Day>
</ArticleDate>
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<Country>United States</Country>
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<DescriptorName UI="D009300" MajorTopicYN="N">Nasal Septum</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<DescriptorName UI="D017063" MajorTopicYN="Y">Outcome Assessment (Health Care)</DescriptorName>
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<DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName>
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<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Septoplasty</Keyword>
<Keyword MajorTopicYN="N">outcomes</Keyword>
<Keyword MajorTopicYN="N">revision</Keyword>
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<Month>07</Month>
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