Surgical closure of nasoseptal defects: postoperative patient satisfaction

Abstract

Background: Nasoseptal defects are rather rare. The current therapy of choice is surgical closure. Objective clinical factors prove the efficacy of surgical intervention; however, to establish the quality of the procedure patients' subjective quality of life assessments must also be considered.

Methods: 31 patients participated in the study. The operation was always carried out according to the superior and inferior bipedicle bridge flap technique according to Schultz-Coulon. The patient survey was performed retrospectively, and patient satisfaction was evaluated using two different questionnaires: the Sino-Nasal Outcome Test 20 German Adapted Version (SNOT-20 GAV SDT) expanded by Neumann [2010], and the Glasgow Benefit Inventory (GBI).

Results: Evaluation of the GBI revealed significant improvements in the total score and the subscore 'general health' and therefore an improved quality of life. Evaluation of the SNOT-20 GAV SDT showed a significant reduction in the total score and a significant reduction in the primary nasal symptoms as well as in the items typical of septum defects and therefore less discomfort caused by the nasoseptal defect.

Conclusion: As the gold standard for treatment of septum perforation, successful surgical closure leads to an improvement in subjective quality of life.