Outcomes after nasal septoplasty: Results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study

Michael G. Stewart; Timothy L. Smith; Edward M. Weaver; David L. Witsell; Bevan Yueh; Maureen T. Hannley; Jonas T. Johnson; C. Ron Cannon; Joel Ernster; Bruce Gordon; Andrew Gould; James Hadley; Patty Huang; Barton Knox; Howard Levine; Vincent Nalbone; Mark Reinke; John S. Rhee; J. Lewis Romett; Richard Scher; Edward L. Weaver; David L. Witsell

doi:10.1016/j.otohns.2003.12.004

Outcomes after nasal septoplasty: Results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study

Michael G. Stewart, Timothy L. Smith, Edward M. Weaver, David L. Witsell, Bevan Yueh, Maureen T. Hannley, Jonas T. Johnson, C. Ron Cannon, Joel Ernster, Bruce Gordon, Andrew Gould, James Hadley, Patty Huang, Barton Knox, Howard Levine, Vincent Nalbone, Mark Reinke, John S. Rhee, J. Lewis Romett, Richard ScherEdward L. Weaver, David L. Witsell

Otolaryngology

Research output: Contribution to journal › Article › peer-review

427 Scopus citations

Abstract

OBJECTIVE: Our goal was to assess disease-specific quality of life outcomes after nasal septoplasty in adults with nasal obstruction. DESIGN, SETTINGS, AND PATIENTS: We conducted a prospective observational outcomes multicenter study with 14 sites and 16 investigators, including private practice and academic settings. Patients had had septal deviation and symptomatic nasal obstruction for at least 3 months, and medical management had failed. METHODS: Patients with septal deviation completed a validated outcomes instrument (the Nasal Obstruction Septoplasty Effectiveness (NOSE) scale) before and 3 and 6 months after septoplasty, with or without partial turbinectomy. RESULTS: Fifty-nine patients underwent surgery; there was a significant improvement in mean NOSE score at 3 months after septoplasty (67.5 versus 23.1, P < 0.0001), and this improvement was unchanged at 6 months. Patient satisfaction was very high, and patients used significantly fewer nasal medications. CONCLUSIONS: In patients with septal deformity, nasal septoplasty results in significant improvement in disease-specific quality of life, high patient satisfaction, and decreased medication use.

Original language	English (US)
Pages (from-to)	283-290
Number of pages	8
Journal	Otolaryngology - Head and Neck Surgery
Volume	130
Issue number	3
DOIs	https://doi.org/10.1016/j.otohns.2003.12.004
State	Published - Mar 2004

Bibliographical note

Funding Information:
This study was supported by the National Center for the Promotion of Research in Otolaryngology at the American Academy of Otolaryngology–Head and Neck Surgery Foundation, which was partially funded by a generous unrestricted grant from Schering-Plough Corporation. Dr Weaver is supported by Career Development Award HL068849 from the National Heart, Lung, and Blood Institute. Dr Yueh is supported by a Career Development Award CD-98318 from the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service. The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.

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Stewart, M. G., Smith, T. L., Weaver, E. M., Witsell, D. L., Yueh, B., Hannley, M. T., Johnson, J. T., Cannon, C. R., Ernster, J., Gordon, B., Gould, A., Hadley, J., Huang, P., Knox, B., Levine, H., Nalbone, V., Reinke, M., Rhee, J. S., Romett, J. L., ... Witsell, D. L. (2004). Outcomes after nasal septoplasty: Results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Otolaryngology - Head and Neck Surgery, 130(3), 283-290. https://doi.org/10.1016/j.otohns.2003.12.004

Stewart, MG, Smith, TL, Weaver, EM, Witsell, DL, Yueh, B, Hannley, MT, Johnson, JT, Cannon, CR, Ernster, J, Gordon, B, Gould, A, Hadley, J, Huang, P, Knox, B, Levine, H, Nalbone, V, Reinke, M, Rhee, JS, Romett, JL, Scher, R, Weaver, EL & Witsell, DL 2004, 'Outcomes after nasal septoplasty: Results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study', Otolaryngology - Head and Neck Surgery, vol. 130, no. 3, pp. 283-290. https://doi.org/10.1016/j.otohns.2003.12.004

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title = "Outcomes after nasal septoplasty: Results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study",

abstract = "OBJECTIVE: Our goal was to assess disease-specific quality of life outcomes after nasal septoplasty in adults with nasal obstruction. DESIGN, SETTINGS, AND PATIENTS: We conducted a prospective observational outcomes multicenter study with 14 sites and 16 investigators, including private practice and academic settings. Patients had had septal deviation and symptomatic nasal obstruction for at least 3 months, and medical management had failed. METHODS: Patients with septal deviation completed a validated outcomes instrument (the Nasal Obstruction Septoplasty Effectiveness (NOSE) scale) before and 3 and 6 months after septoplasty, with or without partial turbinectomy. RESULTS: Fifty-nine patients underwent surgery; there was a significant improvement in mean NOSE score at 3 months after septoplasty (67.5 versus 23.1, P < 0.0001), and this improvement was unchanged at 6 months. Patient satisfaction was very high, and patients used significantly fewer nasal medications. CONCLUSIONS: In patients with septal deformity, nasal septoplasty results in significant improvement in disease-specific quality of life, high patient satisfaction, and decreased medication use.",

author = "Stewart, \{Michael G.\} and Smith, \{Timothy L.\} and Weaver, \{Edward M.\} and Witsell, \{David L.\} and Bevan Yueh and Hannley, \{Maureen T.\} and Johnson, \{Jonas T.\} and Cannon, \{C. Ron\} and Joel Ernster and Bruce Gordon and Andrew Gould and James Hadley and Patty Huang and Barton Knox and Howard Levine and Vincent Nalbone and Mark Reinke and Rhee, \{John S.\} and Romett, \{J. Lewis\} and Richard Scher and Weaver, \{Edward L.\} and Witsell, \{David L.\}",

note = "Funding Information: This study was supported by the National Center for the Promotion of Research in Otolaryngology at the American Academy of Otolaryngology–Head and Neck Surgery Foundation, which was partially funded by a generous unrestricted grant from Schering-Plough Corporation. Dr Weaver is supported by Career Development Award HL068849 from the National Heart, Lung, and Blood Institute. Dr Yueh is supported by a Career Development Award CD-98318 from the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service. The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs. ",

year = "2004",

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doi = "10.1016/j.otohns.2003.12.004",

language = "English (US)",

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T1 - Outcomes after nasal septoplasty

T2 - Results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study

AU - Stewart, Michael G.

AU - Smith, Timothy L.

AU - Weaver, Edward M.

AU - Witsell, David L.

AU - Yueh, Bevan

AU - Hannley, Maureen T.

AU - Johnson, Jonas T.

AU - Cannon, C. Ron

AU - Ernster, Joel

AU - Gordon, Bruce

AU - Gould, Andrew

AU - Hadley, James

AU - Huang, Patty

AU - Knox, Barton

AU - Levine, Howard

AU - Nalbone, Vincent

AU - Reinke, Mark

AU - Rhee, John S.

AU - Romett, J. Lewis

AU - Scher, Richard

AU - Weaver, Edward L.

AU - Witsell, David L.

N1 - Funding Information: This study was supported by the National Center for the Promotion of Research in Otolaryngology at the American Academy of Otolaryngology–Head and Neck Surgery Foundation, which was partially funded by a generous unrestricted grant from Schering-Plough Corporation. Dr Weaver is supported by Career Development Award HL068849 from the National Heart, Lung, and Blood Institute. Dr Yueh is supported by a Career Development Award CD-98318 from the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service. The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.

PY - 2004/3

Y1 - 2004/3

N2 - OBJECTIVE: Our goal was to assess disease-specific quality of life outcomes after nasal septoplasty in adults with nasal obstruction. DESIGN, SETTINGS, AND PATIENTS: We conducted a prospective observational outcomes multicenter study with 14 sites and 16 investigators, including private practice and academic settings. Patients had had septal deviation and symptomatic nasal obstruction for at least 3 months, and medical management had failed. METHODS: Patients with septal deviation completed a validated outcomes instrument (the Nasal Obstruction Septoplasty Effectiveness (NOSE) scale) before and 3 and 6 months after septoplasty, with or without partial turbinectomy. RESULTS: Fifty-nine patients underwent surgery; there was a significant improvement in mean NOSE score at 3 months after septoplasty (67.5 versus 23.1, P < 0.0001), and this improvement was unchanged at 6 months. Patient satisfaction was very high, and patients used significantly fewer nasal medications. CONCLUSIONS: In patients with septal deformity, nasal septoplasty results in significant improvement in disease-specific quality of life, high patient satisfaction, and decreased medication use.

AB - OBJECTIVE: Our goal was to assess disease-specific quality of life outcomes after nasal septoplasty in adults with nasal obstruction. DESIGN, SETTINGS, AND PATIENTS: We conducted a prospective observational outcomes multicenter study with 14 sites and 16 investigators, including private practice and academic settings. Patients had had septal deviation and symptomatic nasal obstruction for at least 3 months, and medical management had failed. METHODS: Patients with septal deviation completed a validated outcomes instrument (the Nasal Obstruction Septoplasty Effectiveness (NOSE) scale) before and 3 and 6 months after septoplasty, with or without partial turbinectomy. RESULTS: Fifty-nine patients underwent surgery; there was a significant improvement in mean NOSE score at 3 months after septoplasty (67.5 versus 23.1, P < 0.0001), and this improvement was unchanged at 6 months. Patient satisfaction was very high, and patients used significantly fewer nasal medications. CONCLUSIONS: In patients with septal deformity, nasal septoplasty results in significant improvement in disease-specific quality of life, high patient satisfaction, and decreased medication use.

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ER -

Outcomes after nasal septoplasty: Results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study

Abstract

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