The Incidence of Post-Septoplasty Complications Among Patients with Deviated Nasal Septum in Relation to Gender and Age

Abdulwahid S Al Qahtani
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Abstract

Background: A deviated septum can present at birth, becomes curved during growth, or can be traumatic due to nasal and facial injury. A deviated septum is usually asymptomatic, but sometimes may be present with difficulty breathing through the nose, nasal congestion, sinus infections, nosebleeds, sleep problems, headache, or postnasal drip. Many methods and guidelines have been scheduled to treat and manage acute nasal trauma; however, re-establishment of anatomical deformities and function is still a challenge. Septoplasty is the required surgical intervention for patients to relieve their nasal obstruction. Aim: To detect the incidence of post-septoplasty complications and their relationship with patients’ age and gender among cases with nasal septum deviation. Methodology: A retrospective Electronic record-based study was conducted. This study included patients diagnosed clinically with a deviated nasal septum (DNS) and have undergone surgical intervention (Septoplasty) at Khamis Mushait General Hospital. Data extracted included patients’ demographics and postoperative recorded complications. Results: The study included a total sample of 93 patients. Nasal obstruction was the commonest symptom among patients. As for postoperative complications, nasal obstruction represents nearly one-third of the cases followed by external nasal deformity, and smell disturbance. Conclusion: In conclusion, our study revealed that the only significant post-operative complication incidence in relation with both gender and age groups is a nasal deformity. Nasal obstruction is the most common postoperative complications recorded in general and among male and female patients as well as in all age groups although there is no significant relation to both gender and age groups. Large-scale researches should be conducted to give more understanding and further explanation.
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鼻中隔偏曲成形术后并发症与性别、年龄的关系
背景:鼻中隔偏曲可以在出生时出现,在生长过程中变得弯曲,或者由于鼻腔和面部损伤而造成的创伤。鼻中隔偏曲通常是无症状的,但有时可能表现为通过鼻子呼吸困难、鼻塞、鼻窦感染、流鼻血、睡眠问题、头痛或后鼻滴涕。许多方法和指南已经安排治疗和管理急性鼻外伤;然而,解剖畸形和功能的重建仍然是一个挑战。鼻中隔成形术是缓解鼻塞的必要手术干预。目的:探讨鼻中隔偏曲术后并发症的发生率及其与患者年龄、性别的关系。方法:采用回顾性电子记录研究。本研究纳入了临床诊断为鼻中隔偏曲(DNS)并在Khamis Mushait总医院接受手术干预(鼻中隔成形术)的患者。提取的数据包括患者的人口统计数据和术后记录的并发症。结果:本研究共纳入93例患者。鼻塞是患者最常见的症状。术后并发症以鼻塞占近三分之一,其次为外鼻畸形,嗅觉障碍。结论:我们的研究表明,在性别和年龄组中,唯一显著的术后并发症发生率是鼻畸形。鼻塞是一般情况下最常见的术后并发症,在男性和女性患者以及所有年龄组中都有记录,尽管性别和年龄组之间没有明显的相关性。需要进行大规模的研究来给予更多的理解和进一步的解释。
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