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- Title
Sinonasal outcomes following endoscopic anterior skull base surgery with nasoseptal flap reconstruction: a prospective study.
- Authors
Hanson, M; Patel, P M; Betz, C; Olson, S; Panizza, B; Wallwork, B
- Abstract
Objective:To assess nasal morbidity resulting from nasoseptal flap use in the repair of skull base defects in endoscopic anterior skull base surgery.Methods:Thirty-six patients awaiting endoscopic anterior skull base surgery were prospectively recruited. A nasoseptal flap was used for reconstruction in all cases. Patients were assessed pre-operatively and 90 days post-operatively via the Sino-Nasal Outcome Test 20 questionnaire and visual analogue scales for nasal obstruction, pain, secretions and smell; endoscopic examination findings and mucociliary clearance times were also recorded.Results:Sino-Nasal Outcome Test 20 questionnaire data and visual analogue scale scores for pain, smell and secretions showed no significant differences between pre- and post-operative outcomes, with visual analogue scale scores for nasal obstruction actually showing a significant improvement (p = 0.0007). A significant deterioration for both flap and non-flap sides was demonstrated post-operatively on endoscopic examination (p = 0.002 and p = 0.02 respectively).Conclusion:Whilst elevation of a nasoseptal flap in endoscopic surgery of the anterior skull base engendered significant clinical deterioration on examination post-operatively, quality of life outcomes showed that no such deterioration was subjectively experienced by the patient. In fact, there was significant nasal airway improvement following nasoseptal flap reconstruction.
- Subjects
CONFIDENCE intervals; STATISTICAL correlation; SURGICAL flaps; HYPOPHYSECTOMY; LONGITUDINAL method; MUCOCILIARY system; NONPARAMETRIC statistics; PARANASAL sinus diseases; PITUITARY tumors; PROBABILITY theory; QUALITY of life; QUESTIONNAIRES; STATISTICS; PLASTIC surgery; DATA analysis; SYMPTOMS; VISUAL analog scale; TREATMENT effectiveness
- Publication
Journal of Laryngology & Otology, 2015, Vol 129, Issue S3, pS41
- ISSN
0022-2151
- Publication type
Article
- DOI
10.1017/S002221511500047X