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How do different climatic conditions affect the quality of life for patients following septoplasty or septorhinoplasty?

Published:November 22, 2022DOI:https://doi.org/10.1016/j.bjps.2022.11.027

      Abstract

      Objectives

      Effects of different climatic conditions on quality of lives (QoLs) of patients following septoplasty or septorhinoplasty were investigated.

      Methods

      Eighty-nine patients (47 males and 42 females) underwent either septoplasty or septorhinoplasty during the summer (summer group, n=42) or winter (winter group, n=47). To assess QoL, SinoNasal Outcome Test (SNOT)-22, Nasal Obstruction Symptom Evaluation (NOSE) scale, and Visual Analogue Scale (VAS) were used. Postoperative (PO) pain, bleeding and symptoms related to nasal packing (eating and sleep problems) were also evaluated.

      Results

      Postoperative pain scores were lower in winter group than in summer group (p<0.05). After pack removal there was a slight sero-hemorrhagic nasal discharge in 2.1% of winter group participants, but no case required intervention. In summer group, slight leakage was detected in 47.6% of the patients and 2.4% of cases called for intervention (p<0.05). SNOT-22 did not differ between the groups (p>0.05). NOSE scores in winter group were higher than the summer group (p<0.05). In each group, SNOT-22 (padjusted<0.175) and NOSE scores (p<0.05) were lower at 1 month after surgery. The winter group rated headache, facial pain and nasal crusting than the summer group did (p<0.05). However nasal discharge and loss of smell were less troubling in the summer group compared to the winter group (p<0.05).

      Conclusion

      Regardless of climate or season, septoplasty or septorhinoplasty increases patient QoL. However, problematic postoperative bleeding was detected at a higher frequency in cases operated on in summer. Surgery in winter offers the advantage of less frequent problematic bleeding postoperatively.

      Keywords

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