Comparação entre métodos subjetivos e objetivo para avaliação de pacientes submetidos a cirurgias funcionais nasais

Revista da Faculdade de Ciências Médicas de Sorocaba

View Publication Info
 
 
Field Value
 
Title Comparação entre métodos subjetivos e objetivo para avaliação de pacientes submetidos a cirurgias funcionais nasais
Comparison between subjective and objective methods to evaluate patients submitted to nasal functional surgeries
 
Creator Jorge Júnior, José Jarjura
Borges, Godofredo Campos
Antila, Martti Anton
Silva, Ana Paula Berenguer Ribeiro da
Rubez, Andre Canettieri
Abrahão, Augusto Riedel
 
Subject Medicina; Otorrinolaringologia.
obstrução nasal; procedimentos cirúrgicos nasais; Inspiratory Peak Flow; escala visual analógica
obstrução nasal; procedimentos cirúrgicos nasais; pico de fluxo expiratório; escala visual analógica.

nasal obstruction; nasal surgical procedures; Inspiratory Peak Flow; visual analog scale

 
Description Introdução: A septoplastia e a turbinectomia são as cirurgias funcionais nasais mais comuns realizadas pelos otorrinolaringologistas. Métodos objetivos e subjetivos podem ser aplicados para avaliar os resultados obtidos. Objetivo: Comparar três métodos subjetivos com um método objetivo de avaliação da obstrução nasal em pacientes submetidos a cirurgias funcionais nasais e analisar a eficácia dessas cirurgias no pós-operatório a curto prazo (35 a 45 dias) e em longo prazo (seis meses). Métodos: Trinta pacientes submetidos a cirurgias funcionais do nariz foram avaliados no pré-operatório, pós-operatório precoce entre 30 e 45 dias e pós-operatório tardio de seis meses, por meio do método objetivo do Peak Flow, e de escalas subjetivas: Escala Visual Analógica (EVA), Nasal Index Score (NIS) e escala Nasal Obstruction Symptom Evaluation (NOSE scale). Resultados: Todos os métodos mostraram eficácia significativa das cirurgias em pacientes com obstrução nasal nos pós-operatórios precoce e tardio. O Peak Flow mostrou uma melhora de 65% do fluxo inspiratório. As escalas NOSE, NIS e EVA também mostraram melhora significativa da obstrução nasal. Na comparação entre as escalas NOSE, NIS e EVA com o Peak Flow, não se encontrou diferença significativa entre o pré-operatório e os pós-operatórios inicial e tardio (p≥0,05). Conclusão: Há grande relação entre os métodos subjetivos NOSE, NIS e EVA e o objetivo (Peak Flow), podendo-se usar qualquer um deles para a avaliação da obstrução nasal.
Introduction: Septoplasty and turbinectomy are the most common functional nasal surgeries performed by otolaryngologists. Objective and subjective methods can be used to evaluate the results obtained. Objective: To compare 3 subjective methods and one objective method of evaluation of nasal obstruction in patients submitted to functional nose surgeries and to analyze the efficiency of these surgeries in short- (30 and 45 days) and long-term (6 months) postoperative surgeries. Methods: Thirty patients submitted to functional nose surgeries were evaluated preoperatively and postoperatively at short term — between 30 and 45 days — and long term — 6 months —, through the Peak Flow objective method and through 3 subjective scales: Analog Visual Scale (VAS), Nasal Index Score (NIS) and the NOSE Scale. Results: All methods showed significant efficacy of surgery in patients with nasal obstruction in the early and late postoperative period. Peak Flow showed an increase of 65% in the inspiratory flow. The NOSE, NIS and VAS scales also showed significant improvement on nasal obstruction. Comparing results of the NOSE, NIS and VAS scales to Peak Flow, there was no significant difference between preoperative and early and late postoperative (p≥0.05). Conclusion: There is a strong relation between the objective Peak Flow and the subjective methods NOSE, NIS and EVA; any one of them can be used on the evaluation of nasal obstruction.
 
Publisher Pontifícia Universidade Católica de São Paulo
 
Contributor

 
Date 2019-12-09
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

Avaliado pelos pares
 
Format application/pdf
 
Identifier http://revistas.pucsp.br/RFCMS/article/view/34034
10.23925/1984-4840.2019v21i3a4
 
Source Revista da Faculdade de Ciências Médicas de Sorocaba; v. 21, n. 3 (2019); 114-119
1984-4840
1517-8242
 
Language por
 
Relation http://revistas.pucsp.br/RFCMS/article/view/34034/pdf
http://revistas.pucsp.br/RFCMS/article/downloadSuppFile/34034/4400
http://revistas.pucsp.br/RFCMS/article/downloadSuppFile/34034/4401
/*ref*/Scheithauer MO. Surgery of the turbinates and “empty nose” syndrome. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2010;9:1-28. doi: http://doi.org/10.3205/cto000067
/*ref*/Starling-Schwantz R, Peak HL, Salome CM, Toelle BG, Ng KW, Marks GB et al. Repeatability of peak nasal inspiratory flow measurements and utility of assessing the severity of rhinitis. Allergy. 2005;60(6):795-800. doi: http://doi.org/10.1111/j.1398-9995.2005.00779.x
/*ref*/Hol MKS, Huizing EH. Treatment of inferior turbinate pathology: a review and critical evaluation of the different techniques. Rhinology. 2000;38(4):157-66.
/*ref*/Siméon R, Soufflet B, Souchal Delacour I. Coblation turbinate reduction in childhood allergic rhinitis. Eur Ann Otorhinolaryngol Head Neck Dis. 2010;127(2):77‑82. doi: http://doi.org/10.1016/j.anorl.2010.04.004
/*ref*/Bandos RD, Mello VRD, Ferreira MDS, Rossato M, Anselmo-Lima WT. Clinical and ultrastructural study after partial inferior turbinectomy. Braz J Otorhinolaryngol. 2006;72(5):609-16. doi: https://doi.org/10.1016/S1808-8694(15)31016-8
/*ref*/Konstantinidis I, Triaridis S, Triaridis A, Karagiannidis K, Kontzoglou G. Long term results following nasal septal surgery: focus on patients’ satisfaction. Auris Nasus Larynx. 2005;32(4):369-74. doi: https://doi.org/10.1016/j.anl.2005.05.011
/*ref*/Gandomi B, Bayat A, Kazemei T. Outcomes of septoplasty in young adults: the Nasal Obstruction Septoplasty Effectiveness study. Am J Otolaryngol. 2010;31(3):189‑92. doi: https://doi.org/10.1016/j.amjoto.2009.02.023
/*ref*/Jessen M, Malm L. Definition, prevalence and development of nasal obstruction. Allergy. 1997;52(40 Supl.):3-6. doi: https://doi.org/10.1111/j.1398-9995.1997.tb04876.x
/*ref*/Branco A, Ferrari GF, Weber SA. Alterações orofaciais em doenças alérgicas de vias aéreas. Rev Paul Pediatr. 2007;25(3):266-70. doi: http://dx.doi.org/10.1590/S0103-05822007000300012
/*ref*/Rodrigues MM, Dibbern RS, Oliveira LFD, Marques MDO, Bella MF, Paula Junior FA, et al. Comparison between turbinoplasty and endoscopic turbinectomy: Efficacy and clinical parameters. Int Arch Otorhinolaryngol. 2011;15(4):426-30. doi: http://dx.doi.org/S1809-48722011000400004
/*ref*/Teixeira RUF, Zappelini CEM, Oliveira LG, Basile LCG, Costa EAD. Peak flow inspiratory nasal and analogical visual scale’s correlation, pre and pos nasal vasoconstrictive nasal usage. Int Arch Otorhinolaryngol. 2011;15(2):156-62. doi: http://dx.doi.org/10.1590/S1809-48722011000200006
/*ref*/Mello Júnior JF. Diretrizes Brasileiras de Rinossinusite. Braz J Otorhinolaryngol. 2008;74(2 Supl. 0):6-59. doi: http://dx.doi.org/10.1590/S0034-72992008000700002
/*ref*/Solé D, Mello Júnior JF, Weckx LLM, Rosário Filho NA. II Consenso Brasileiro sobre rinites 2006. Rev Bras Alerg Imunopatol. 2006;29(1):32-54.
/*ref*/Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization GA (2 LEN and AllerGen). Allergy. 2008;63(Supl. 86):8-160. doi: https://doi.org/10.1111/j.1398-9995.2007.01620.x
/*ref*/Corey JP, Houser SM, Ng BA. Nasal congestion: a review of its etiology, evaluation, and treatment. Ear Nose Throat J. 2000;79(9):690-702. doi: https://doi.org/10.1177/014556130007900908
/*ref*/Priftis KN, Papadimitriou N, Anthracopoulos MB. Should we perform objective assessment of nasal obstruction in children with chronic rhinitis? J Pediatr. 2012;88(5):374-6. doi: http://dx.doi.org/10.2223/JPED.2235
/*ref*/Costa GGO, Ctenas BB, Takahashi DY, Mion O, Mello Júnior JF, Butugan O. Comparação entre a rinometria acústica, “Peak Flow” nasal inspiratório e sua correlação com sintomas e sinais clínicos de rinite. Int Arch Otorhinolaryngol. 2005;9(3):203-11.
/*ref*/Joseph J. Re: the effects of disclosure of sequential rhinomanometry scores opost‐septoplasty subject scores of nasal obstruction: a randomised controlled trial. Clin Otolaryngol. 2012;37(5):422. doi: http://dx.doi.org/10.1111/coa.12013
/*ref*/Mendes AIS, Wandalsen GF, Solé D. Objective and subjective assessments of nasal obstruction in children and adolescents with allergic rhinitis. J Pediatr. 2012;88(5):389-95. doi: https://doi.org/10.2223/JPED.2213
/*ref*/Roithmann R. Avaliação da função respiratória nasal. In: Lopes FO, Campos CAH, editores. Tratado de otorrinolaringologia. São Paulo: Roca; 2003. p. 640-54.
/*ref*/Creticos P, Fireman P, Settipane G, Bernstein D, Casale T, Schwartz H. Intranasal budesonide aqueous pump spray (Rhinocort Aqua) for the treatment of seasonal allergic rhinitis. Rhinocort Aqua Study Group. Allergy Asthma Proc. 1998;19(5):285-94. doi: https://doi.org/10.2500/108854198778557692
/*ref*/Stewart MG, Smith TL, Weaver EM, Witsell DL, Yueh B, Hannley MT, et al. After nasal septoplasty: results from the Nasal Obstruction Septoplasty effectiveness (NOSE) study. Otolaryngol Head Neck Surg. 2004;130(3):283-90. doi: https://doi.org/10.1016/j.otohns.2003.12.004
/*ref*/Cavaliere M, Mottola G, Iemma M. Comparison of the effectiveness and safety of radiofrequency turbinoplasty and traditional surgical technique in treatment of inferior turbinate hypertrophy. Otolaryngol Head Neck Surg. 2005;133(6):972-8. doi: https://doi.org/10.1016/j.otohns.2005.08.006
/*ref*/Sapçi T, Sahin B, Karavus A, Akbulut UG. Comparison of the effects of radiofrequency tissue ablation, CO2 laser ablation, and partial turbinectomy applications on nasal mucociliary functions. Laryngoscope. 2003;113(3):514-9. doi: https://doi.org/10.1097/00005537-200303000-00022
/*ref*/Lund VJ, Scadding GK. Objective assessment of endoscopic sinus surgery in the management of chronic rhinosinusitis: an update. J Laryngol Otol. 1994;108(9):749-53. doi: https://doi.org/10.1017/s0022215100128014
/*ref*/Marais J, Murray JA, Marshall I, Douglas N, Martin S. Minimal cross-sectional areas, nasal Peak Flow and patients’ satisfaction in septoplasty and inferior turbinectomy. Rhinology. 1994;32(3):145-7.
/*ref*/Cook JA, McCombe AW, Jones AS. Laser treatment of rhinitis: one year follow-up. Clin Otolaryngol. 1993;18(3):209-11. doi: https://doi.org/10.1111/j.1365-2273.1993.tb00832.x
/*ref*/Fairley JW, Durham LH, Ell SR. Correlation of subjective sensation of nasal patency with nasal Peak Flow rate. Clin Otolaringol. 1993;18(1):19-22. doi: https://doi.org/10.1111/j.1365-2273.1993.tb00803.x
/*ref*/Wilson AM, Dempsey OJ, Sims EJ, Lipworth BJ. Subjective and objective markers of treatment response in patients with seasonal allergic rhinitis. Ann Allergy Asthma Immunol. 2000;85(2):111-4. doi: https://doi.org/10.1016/S1081-1206(10)62449-0
 
Rights Direitos autorais 2019 Revista da Faculdade de Ciências Médicas de Sorocaba
http://creativecommons.org/licenses/by/4.0
 

Contact Us

The PKP Index is an initiative of the Public Knowledge Project.

For PKP Publishing Services please use the PKP|PS contact form.

For support with PKP software we encourage users to consult our wiki for documentation and search our support forums.

For any other correspondence feel free to contact us using the PKP contact form.

Find Us

Twitter

Copyright © 2015-2018 Simon Fraser University Library