Assessing Patient Reported Outcomes after Septorhinoplasty with and without Nasal Packing Using the Glasgow Benefit InventoryPages 17-21

Neeraj Sethi1, Rupert Simpson1,2, Simon Prowse1, Sanjai Sood1 and David Strachan1

1Department of Otorhinolaryngology-Head and Neck Surgery, Bradford Teaching Hospitals NHS Trust, Bradford Royal Infirmary, Duckworth Lane, Bradford, West Yorkshire, BD9 6RJ, UK; 2University of Leeds Medical School, Leeds, West Yorkshire, UK

DOI: http://dx.doi.org/10.12970/2308-7978.2015.03.01.4

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Abstract: Introduction: Patient-reported outcomes are an invaluable tool to guide clinical decision-making. Nasal packing is a traumatic, painful event for patients, which could negatively impact patient-reported outcomes. We aimed to evaluate if avoiding postoperative nasal packing in septorhinoplasty and rhinoplasty affects patient-reported outcomes.

Methods: All septorhinoplasty and rhinoplastyoperations performed over 5 years were identified. The case notes were reviewed to obtain patient demographics, operative details and any post-operative complications. The Glasgow Benefit Inventory (GBI) was administered via telephone to measure patient-reported outcomes.

Results: 167 patients were identified. In 11 the case notes were unavailable. Of the 156 patients remaining, 126 completed the GBI questionnaire (who had undergone 132 operations). No significant difference in GBI scores was found with or without the use of nasal packing.

Conclusion: This study suggests that routine nasal packing can be avoided in the majority of patients, but can be used with confidence that patient-reported outcome is not being compromised.

Keywords: Septorhinoplasty, rhinoplasty, nasal packing, rhinology. Read more →