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A DESCRIPTIVE CROSS-SECTIONAL RESEARCH TO ASSESS THE PREOPERATIVE AND POSTOPERATIVE OUTCOMES OF COBLATION TURBINATE REDUCTION AND DEVIATED NASAL SEPTOPLASTY THROUGH RHINOMANOMETRIC EVALUATION

1,2Thuy Phan, 2Chung Tran

Introduction: Turbinate, valves and vestibules are three components of nasal airflow. The composition of the nasal valves is from the nasal septum part. From the turbinate (mostly inferior turbinate) is covered by the surface of mucous along with expanded capacity which is capable to reduce or increase the overall volume which comprises of nasal resistance. Therefore, inferior turbinate hypertrophy and nasal septum increases nasal resistance and also affect nasal patency among nasal congestion patients. We conducted this research in order to study rhinomanometric nasal airflow among deviated nasal septum patients who belong to inferior turbinate hypertrophy. We also aimed to compare and contrast nasal septoplasty rhinomanometric improvements after surgical intervention and the coblation of the reduced inferior turbinate. Methods: The design of our research was descriptive cross-sectional which was conducted at Services Hospital, Lahore in the timeframe starting from February to October 2017. Our research included a total of forty-two patients who underwent coblation inferior turbinate reduction and nasal septoplasty. We interviewed every patient and observed their SNOT-22 through a questionnaire. We also performed nasal airflow postoperative and preoperative assessment with the help of rhinomanometry. Results: The male to female distribution was such as that our research sample included 11 females and 31 males with a mean age of (33.56 ± 11.59) years. Preoperative SNOT-22 average score was (6.38 ± 3.10); whereas, values of nasal airflow and nasal airflow resistance was respectively (461.17 ± 110.84) cm3 /s and (0.35± 0.07) Pa/cm3 /s. The postoperative outcomes reflected that SNOT-22, nasal airflow and airflow resistance was respectively (1.78 ± 1.66), (977.26 ± 155.84) cm3 /s and (0.16 ± 0.03) Pa/cm3 /s. The improvement of nasal resistance and nasal airflow was respectively 2.18 times and 2.12 times. Conclusion: Rhinomanometry is useful, reliable and objective way to assess the postoperative and preoperative nasal obstruction in the patients. It is suggested that this method is to be made a regular routine assessment for the shortlisted patients experiencing surgical intervention. Keywords: Assessment, Rhinomanometric, Deviated Nasal Septoplasty, Nasal Airflow and Coblation Turbinate Reduction.

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