Abstract
Background: Patients with a nasal obstruction frequently present at the clinic. The obstruction is managed by a septoplasty accompanied by an operation, a septorhinoplasty, to correct the nasal deformity. Objectives: The objective of the study was to compare allergic and non-allergic patients in terms of symptomatic improvement and patient satisfaction after a septorhinoplasty. Methods: A cross-sectional study was conducted at King Abdulaziz Medical City (KAMC) with patients who had a septorhinoplasty between June 2015 and June 2018. The data was collected using a globally accepted scale, namely the NOSE questionnaire. Results: The sample realized as 222 and 73.40% (n=163) were male, the mean age was 30.4 years. Nasal obstruction was the main complaint, which was reported by 78.80% (n=175) of the combined sample. Overall, for the non-allergic subgroup, the proportions of the categories of the NOSE score (normal, mild, moderate, severe and extreme) before and after surgery were: normal (11.90% vs 30.50%), mild (21.5% vs 40.7%), moderate (24.60% vs 21.20%), severe (29.70% vs 6.80%) and extreme (12.70% vs 6.80%). For the allergic subgroup, before and after septorhinoplasty the proportions for the categories were: normal (4.80% vs 20.20%), mild (10.6% vs 36.50%), moderate (23.10% vs 26.90%), severe (29.7% vs 6.8%) and extreme (12.7% vs 6.70%). Conclusion: In patients with a septal nasal deformity (SND), with allergic or non-allergic rhinitis, septorhinoplasty results in significant symptomatic improvement.