Mejoría en la calidad de vida en pacientes con insuficiencia respiratoria nasal intervenidos quirurgicamente de rinoseptumplastia cuantificados por la Nose Scale, Hospital Clinica Kennedy - Guayaquil durante el periodo del 2015 – 2018.

Abstract

Introduction: Sinus and nasal complaints are among the most common reasons for visits to primary care physicians and otolaryngologists. Nasal obstruction is considered to imply a blockage within the nasal cavity but is more defined as a symptom that causes a sensation. Insufficient air flow through the nose: Rhinoseptumplastia is a complex surgery with functional and aesthetic goals; it is the corrective treatment of choice against different etiologies of nasal obstruction; to measure the effectiveness of the surgical procedure, several authors recommended the use of Nose Scale. Methodology: This was an observational, descriptive and longitudinal retrospective study. Who had 156 patients with a diagnosis of nasal obstruction who were operated with the rhinoseptumplastia technique, belonged to an outpatient ENT clinic at the Kennedy-Guayaquil Clinic between January 2015 to January 2018. Results: the majority of the population was female, which corresponded to 55.1%, while 44.9% corresponded to men, people between the ages of 26 and 40 formed the most prevalent age group, the presurgical pathology most frequently was the desviation septal with 92.9% of the population followed by hypertrophy of turbinates with 37.8% corresponding to 59 patients; according to the severity range of the NOSE Scale, the patients without discomfort were 44.9% and 39.7% with mild discomfort. We found statistically significant associations between rhinosinusitis, sleep apnea with nasal congestion. Conclution: When submitting the patients under the NOSE score, we found that there was an improvement in the quality of life in terms of post-surgical symptoms whose frequencies were: difficulty sleeping and inhability to obtain air during exercise with 104 (66.66%), difficulty breathing with 89 (57.05%) and nasal congestion / obstruction with a frequency of 78 corresponding to 50% of the sample under study.