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The objective of this study is to determine which of the two techniques (disarticulation septoplasty versus open surgery) offers the best functional results for correcting symptomatic deviations of the nasal septum.
More specifically it's about:
Nowadays, disarticulation septoplasty is recognized as an effective technique for correcting complex septal deviations. It allows better exposure of the nasal septum, which facilitates the correction of severe deformities and reduces post-operative complications. This method is often compared to open surgery, which remains a classic approach but perhaps less suited to cases of severe or complex deviations. This technique makes it possible to correct aesthetic deviations while improving the functional aspect avoiding an open path.
There are several questionnaires, particularly in the field of rhinology, to evaluate the results of this technique on nasal obstruction in an objective and subjective manner, therefore its impact on quality of life as well as its effectiveness on chronic nasal dysfunction caused by deviation of the nasal septum. In this study, in addition to nasal symptoms before and after surgery and postoperative complications, we chose to work with two scores; NOSE score as a valid, reliable and responsive self-report instrument to quantify subjective dysfunction related to nasal obstruction. The other score is NAFEQ score which makes it possible to evaluate the aesthetic and functional outcome after nasal reconstruction.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Comparison of functional improvement in nasal breathing between the two techniques using questionnaires administered to patients by their practitioners in routine practice | Other | Comparison of functional improvement in nasal breathing between the two techniques using questionnaires administered to patients by their practitioners in routine practice |
| Measure | Description | Time Frame |
|---|---|---|
| To determine which of the two techniques (disarticulation septoplasty versus open surgery) offers the best functional results to correct symptomatic nasal septum deviations | Comparison of functional improvement in nasal breathing between the two techniques (disarticulation septoplasty versus classic septoplasty), using the standardized NOSE score routinely completed by patients pre-operatively and then 3 months post-operation. | Before and at least 3 months after the operation |
| Measure | Description | Time Frame |
|---|---|---|
| Compare the functional improvement between the two techniques, using a different tool | The functional improvement in nasal breathing between the two techniques will also be assessed using the NAFEQ score, which is also routinely completed pre-operatively and then 3 months after the operation | Before and at least 3 months after the operation |
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Inclusion Criteria:
Exclusion Criteria:
Patient undergoing surgery but with the following medical history (on the day of surgery):
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Patient undergoing a new disarticulation septoplasty, or an open approach for nasal obstruction due to a deviated nasal septum, confirmed by endoscopy
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mathilde WLODARCZYK | Contact | 0033130754650 | mathilde.wlodarczyk@ght-novo.fr |
| Name | Affiliation | Role |
|---|---|---|
| Khaled AL TABAA | Hôpital NOVO | Principal Investigator |
| Esthelle MINKA | Hôpital NOVO | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hopital Novo | Pontoise | France |
|
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33020044 | Background | Jankowski R, Gallet P, Nguyen DT, Rumeau C. Septoplasty by disarticulation. Eur Ann Otorhinolaryngol Head Neck Dis. 2020 Nov;137(5):423-426. doi: 10.1016/j.anorl.2020.07.014. Epub 2020 Oct 2. |
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| Compare the improvement in respiratory symptoms between the two techniques |
The improvement in patients' symptoms will be compared between the two techniques using the responses to the NOSE questionnaire and responses 1-6 of the NAFEQ questionnaire. |
| Before and at least 3 months after the operation |
| Analyze and compare the complication rates between the two techniques | The number of the following complications will be compared between the two techniques: bleeding up to day 15, infections up to day 15, and septal perforations up to M3. These data will be available in the patient's medical record. | At day 15 and 3 months after the operation |
| Assess patient satisfaction with aesthetic results (including columellar deviation) | Patient satisfaction with aesthetics will be measured using questions 8 to 14 of the NAFEQ questionnaire and then compared between the two techniques preoperatively and 3 months postoperatively. | Before and at least 3 months after the operation |