Abstract
Background
There are a variety of surgical techniques which can be used to treat structural nasal obstruction. Airwayplasty is a procedure, combining septoplasty, turbinate surgery, and nasal wall lateralization. The article reports the long-term result of this novel approach.
Methodology
Patients who have evidence of structural nasal obstruction were offered the option to have airwayplasty under the senior surgeon. Patients were asked to quantify the severity and the impact of their nasal obstruction using the Visual Analogue Scale (VAS) and the validated Sino-Nasal Outcome Test (SNOT-22) pre-operatively and post-operatively.
Results
The mean total SNOT-22 score and VAS score showed a reduction of more than 50% with significant p value at 6 and 12 months post-operatively.
Conclusions
This novel approach to nasal obstruction can provide good long-term functional results for patients suffering from nasal obstruction.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Akduman D, Yanılmaz M, Haksever M, Doner F, Sayar Z (2013) Patients` evaluation for the surgical management of nasal obstruction. Rhinology 51:361–367
Udaka T, Suzuki H, Kitamura T et al (2006) Relationships among nasal obstruction, daytime sleepiness, and quality of life. Laryngoscope 116:2129–2132
Shedden A (2005) Impact of nasal congestion on quality of life and work productivity in allergic rhinitis: findings from a large online survey. Treat Respir Med 4(6):439–446
Triaca A, Brusco D, Guijarro-Martínez R (2013) Nasal wall lateralization: a novel technique to improve nasal airway obstruction. Br J Oral Maxillofac Surg 51(2):e24-5
Simmen D, Sommer F, Briner HR, Jones N, Kröger R, Hoffmann TK, Lindemann J (2015) The effect of “Pyriform Turbinoplasty” on nasal airflow using a virtual model. Rhinology 53(3):242–248
Smith W, Lowe D, Leong P (2009) Resection of pyriform aperture: a useful adjunct in nasal surgery. J Laryngol Otol 123(1):123–125
de Ru JA (2015) Septoplasty is a proven and effective procedure: an expert’s view of a burning issue. B-ENT 11(4):257–262
Lindemann J, Keck T, Wiesmiller K, Sander B, Brambs HJ, Rettinger G, Pless D (2006) A numerical simulation of intranasal air temperature during inspiration. Laryngoscope 114:1037–1041
Lindemann J, Leiacker R, Sikora T, Rettinger G, Keck T (2002) Impact of unilateral sinus surgery with resection of the turbinates via midfacial degloving on nasal air conditioning. Laryngoscope 112:2062–2066
Lindemann J, Keck T, Wiesmiller KM, Rettinger G, Brambs HJ, Pless D (2005) Numerical simulation of intranasal air flow and temperature after resection of the turbinates during inspiration. Rhinology 43:24–28
Lindemann J, Brambs HJ, Keck T, Wiesmiller KM, Rettinger G, Pless D (2005) Numerical simulation of intranasal air flow after radical sinus surgery. Am J Otol 26:175–180
Lavinsky-Wolff M, Camargo HL Jr, Barone CR et al (2013) Effect of turbinate surgery in rhinoseptoplasty on quality-of-life and acoustic rhinometry outcomes: a randomized clinical trial. Laryngoscope 123:82–89
Erdem T, Ozturan O, Erdem G, Akarcay M, Miman MC (2004) Nasal pyriform aperture stenosis in adults. Am J Rhinol 18:57–62
Hommerich CP, Riegel A (2002) Measuring of the piriform aperture in humans with 3D-SSD-CT-reconstructions. Ann Anat 184:455–459
Lee SH, Yang TY, Han GS, Kim YH, Jang TY (2008) Analysis of the nasal bone and nasal pyramid by three-dimensional computed tomography. Eur Arch Otorhinolaryngol 265:421–424
Funding
None.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
No conflict of interest from any authors.
Rights and permissions
About this article
Cite this article
Wong, B.L.K., Peng, Y., Shamil, E. et al. Airwayplasty: long-term outcome of nasal wall lateralisation. Eur Arch Otorhinolaryngol 275, 1123–1128 (2018). https://doi.org/10.1007/s00405-018-4911-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-018-4911-x