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Nasal septal surgery: is routine follow-up necessary?

Published online by Cambridge University Press:  29 June 2007

P. Murthy  and
W. S. Mckerrow
P. Murthy*
Affiliation:
Department of ENT, Raigmore Hospital NHS Trust, Inverness.
W. S. Mckerrow
Affiliation:
Department of ENT, Raigmore Hospital NHS Trust, Inverness.
*
Address for correspondence: Mr P. Murthy, F.R.C.S., Department of ENT, Raigmore Hospital NHS Trust, Perth Road, Inverness IV2 3UJ.
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Abstract

An audit project was undertaken to appraise the outcome of 95 cases of septal surgery over a 12-month period, taking into account the subjective alteration of symptoms, appearances at anterior rhinoscopy and complications. Seventy-three patients (76.8 per cent) attended the follow-up clinic three to six months (median four months) after surgery. There was an improvement in short-term nasal breathing and in the clinical appearance of the septum in 84.9 and 96.9 per cent respectively; a complication rate of 10.9 per cent and an overall satisfaction rate of 81.3 per cent were also noted. These results support those of other reported series and suggest that routine follow-up of uncomplicated cases of septal surgery is unnecessary.

Keywords

Nasal septumsurgeryPost-operative complicationsFollow-up studies
Type
Audit Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 4 , April 1995 , pp. 320 - 323
Copyright
Copyright © JLO (1984) Limited 1995

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References

Cartwright, A., Windsor, J. (1992) Patterns of attendance. In Outpatients and their doctors: a study of patients, potential patients, general practitioners and hospital doctors. Department of Health, Institute for Social Studies in Medical Care, London:HMSO, pp 45–52.Google Scholar
Cottle, M. H.. Loring, R. M. (1946) Corrective surgery of the external pyramid and the nasal septum for restoration of normal physiology. Illinois Medical Journal 90: 119–131.Google ScholarPubMed
Dommerby, H., Rasmussen, O. R., Rosberg, J. (1985) Long-term results of septoplastic operations. Journal of Otorhinolaryngology and its Borderlands 47: 151–157.Google ScholarPubMed
Fjermedal, O., Saunte, C., Pedersen, S. (1988) Septoplasty and/or submucous resections? Five years of nasal septum operations. Journal of Laryngology and Otology 102: 796–798.CrossRefGoogle ScholarPubMed
Freer, O. T. (1902) The correction of deflections of the nasal septum with a minimum of traumatization. Journal of the American Medial Association 4: 61–69.Google Scholar
Low, W. K., Willatt, D. J. (1992) Submucous resection for deviated nasal septum: a critical appraisal. Singapore Medical Journal 33: 617–619.Google ScholarPubMed
Murthy, P., Mckerrow, W. S. (1994) Routine nasal surgery – an audit to assess the value of outpatient follow-up. British Medical Journal (in press).Google Scholar
NHS Outpatient Services (1991) In National Audit Office Report by the Comptroller and Auditor General HMSO: London. pp 1–27.Google Scholar
Peacock, M. R. (1981) Submucous resection of the nasal septum. Journal of Laryngology and Otology 95: 341–356.CrossRefGoogle ScholarPubMed
Samad, I., Stevens, H. E., Maloney, A. (1992) The efficacy of nasal septal surgery. Journal of Otolaryngology 21 (2): 88–91.Google ScholarPubMed
The Government's Strategy (1989) In Working for Patients HMSO: London. pp 4–9.Google Scholar