Post Septoplasty Complications and Its Relationship with Allergic Rhinitis: Comparative Study

Volume 5 - Issue 2

Abdulwahid S AL Qahtani¹*, Rmzi M Dagriri², Ahmad M Alrasheed¹, Ahmad A Etwadi³, Khalid A Al Qahtani⁴, Montasir Junaid¹ and Sadaf Qadeer Ahmed⁵

Received: September 07, 2020;   Published: September 17, 2020

DOI: 10.32474/SJO.2020.05.000208

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Abstract

Background: Allergic rhinitis (AR) is characterized by inflammation in the nose as the immune system respond to inhaled allergens in the air. Signs and symptoms include a runny, stuffy red and itchy nose, sneezing with watery eyes, and swelling around the eyes A deviated septum mostly is asymptomatic, but sometimes may be presented by difficulty breathing through the nose, nasal congestion, sinus infections, nosebleeds, sleep apnea, headache, and postnasal drip. Septoplasty is the main surgical intervention for patients with deviated nasal septum to relieve nasal obstruction. While Allergic rhinitis is mainly treated with anti-allergy medicine.

Aim: To detect the incidence of post-septoplasty complications among patients with deviated nasal septum and Identify the correlation between the allergic rhinitis and post-operative complications as compared with non-allergic patients.

Methodology: A retrospective Electronic record-based study was conducted including all patients with clinically diagnosed as deviated nasal septum and undergone surgical intervention at Khamis Mushait General Hospital. Data extracted included patient’s demographic data, recorded post-operative complications and history of having allergic rhinitis.

Results: The study included a total sample of 93 patients; Nasal obstruction was the most frequent complaint among patients. As for post-operative complications, nearly one third of the cases had nasal obstruction followed by external nasal deformity, and smell disturbance. Nasal obstruction was diagnosed higher among patients with allergic rhinitis (P=.142). External nasal deformity was recorded among 6.2% of the cases with allergic rhinitis compared to 3.6% of others without allergic rhinitis. Regarding smell disturbance, it was reported among 13.8% of the patients with allergic rhinitis compared to 3.6% of those without allergic rhinitis.

Conclusions: The study revealed that post-septoplasty nasal obstruction as a complication is most common with similar incidence rate in both allergic and non-allergic rhinitis patient groups while septal hematoma was least common. All post septoplasty complications except nasal obstruction were found to be significantly higher among allergic rhinitis cases.

Keywords: Allergic rhinitis, septoplasty, surgical intervention, deviated septum, complications, nasal allergy

Abbreviations: DNS: Deviated Nasal Septum; AR: Allergic Rhinitis; CSF: Cerebrospinal Fluid

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