March 2025, Volume 3, Issue 3

Author

Bashir Nalakath Kunhimon, Asha Roy, Anwar Sadath CA and Bavija V Krishna

Abstract

Introduction: Nose is the hallmark feature of a human face and it plays a pivotal role in both aesthetic harmony and essential physiological functions. Nasal obstruction is one of the common complaint in otorhinolaryngology, with significant affect in the quality of life. Septorhinoplasty is one among the surgical procedure which addresses both functional and aesthetic concerns of nasal obstruction. It improves nasal airflow and helps in achieving the normal contour. This study evaluates the functional and structural outcomes of septorhinoplasty at a tertiary care center. Materials and Methods: This case series was conducted at MES Medical College, Kerala, among 20 patients above 18 years of age who presented with external nasal deformity and nasal obstruction. Institutional Ethical clearance was obtained, and informed consent was secured from all participants. Preoperative evaluation of all the study participants were done (clinical history, ENT examination, and diagnostic nasal endoscopy). Functional and structural outcomes of all the participants were assessed using the Sino-Nasal Outcome Test (SNOT-22) and Rhinoplasty Outcome Evaluation (ROE) questionnaire, administered preoperatively and postoperatively. Results: Most patients (70%) were between 18 and 20 years of age, with a male predominance (80%). Preoperative SNOT-22 scores significantly reduced from a mean of 27.95 to 2.10 postoperatively indicating a better outcome after surgery. Similarly, ROE scores increased from a preoperative mean of 4.05 to 23.30 postoperatively, demonstrating a substantial improvement in patient-reported outcome and satisfaction. Complications were minimal, occurring in less than 5% of study partcipants. Conclusion: Septorhinoplasty significantly contributes for improvement of functional and aesthetic outcomes, with better patient satisfaction and minimal complications. This procedure effectively addresses nasal deformities and enhance overall well-being and quality of life.