A Longitudinal Prospective Study of Septoplasty Impact on Headache and Allergic Rhinitis in Patients with Septal Deviation

Overview

Journal J Int Med Res

Publisher Sage Publications

Specialty General Medicine

Date 2023 Nov 24

PMID 38000047

Authors

Shanila Feroz

Muhammad Hamza Dawood

Sheza Sohail

Muhammad Daniyal

Ayesha Zafar

Ukashah Bin Shahid

Shamim Ahmed

Affiliations

Soon will be listed here.

Abstract

Objective: To measure the severity of allergic rhinitis (AR) and different types of headaches in patients with septal deviation before and after septoplasty.

Methods: This multicentre, prospective, longitudinal, observational study enrolled patients with deviated nasal septum, nasal symptoms and headaches associated with persistent AR lasting at least 2 months without resolution. The nasal obstruction evaluation (NOSE) scale, immunoglobulin-E (Ig-E) levels and visual analogue scale (VAS) for headache pain severity were evaluated before and after septoplasty using Wilcoxon signed-rank test.

Results: A total of 196 patients were enrolled in the study (102 males; 94 females). A total of 134 patients (68%) were diagnosed with severe AR and 166 (85%) experienced headaches with AR. The majority (100 of 166 patients; 60%) had sinusoidal headaches, while 25% (42 of 166 patients) reported a combination of sinusoidal headache and migraine and 14% (24 of 166 patients) experienced migraines. A comparison of preoperative and postoperative Ig-E levels, NOSE and VAS scores demonstrated that septoplasty significantly improved AR symptoms and headaches. Although there were significant improvements in headaches overall post-septoplasty, only the sinusoidal components improved, while migraine remained unaffected.

Conclusion: Septoplasty improved AR and sinusoidal headaches in patients with septal deviation, but migraines remained unaffected.

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