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New research · Otolaryngology (ENT)
BMJ (Clinical research ed.) · 1w
Randomized trialBMJ (Clinical research ed.) · 2023

Clinical effectiveness of septoplasty versus medical management for nasal airways obstruction: multicentre, open label, randomised controlled trial.

Sean Carrie, James O'Hara, Tony Fouweather … M Dawn Teare
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Otolaryngology (ENT)Randomized trial

Septoplasty improved nasal obstruction symptoms more than nasal sprays at six months

Clinical effectiveness of septoplasty versus medical management for nasal airways obstruction: multicentre, open label, randomised controlled trial.

Sean Carrie … M Dawn Teare
BMJ (Clinical research ed.) · 2023
Purpose

To assess the clinical effectiveness of septoplasty.

Methods

378 adults (≥18 years, 67% men) newly referred with symptoms of nasal obstruction associated with septal deviation and at least moderate symptoms of nasal obstruction (score >30 on the Nasal Obstruction and Symptom Evaluation (Nasal Obstruction and Symptom Evaluation) scale).

n = 378 adults
Results

points lower score on a nasal symptom questionnaire with surgery than sprays

MD 20 (95% CI 16.40 to 23.60)
null 0
16.40
23.60
CI excludes the null - significant
More results

Greater improvement in SNOT-22 scores was predicted by higher baseline symptom severity scores.

Quality of life outcomes and nasal airflow measures (including peak nasal inspiratory flow and absolute inhalational nasal partitioning ratio) improved more in participants in the septoplasty group.

“
Conclusion

Septoplasty is a more effective intervention than a defined medical management regimen with a nasal steroid and saline spray in adults with nasal obstruction associated with a deviated nasal septum.

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