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Surgery is more effective than nasal sprays for symptoms of a crooked septum, trial finds

Surgery is more effective than nasal sprays for symptoms of a crooked septum, trial finds
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Surgery to straighten a crooked septum more effective than nasal sprays, trial suggests

Surgery to straighten a crooked septum (the thin wall of bone and cartilage dividing the space between the two nostrils) is more effective than nasal sprays, and should be offered to adults with at least moderate symptoms such as breathing disruption, suggests a UK trial published by The BMJ today.

Clinical effectiveness of septoplasty versus medical management for nasal airways obstruction: multicentre, open label, randomised controlled trial

Objective To assess the clinical effectiveness of septoplasty. Design Multicentre, randomised controlled trial. Setting 17 otolaryngology clinics in the UK’s National Health Service. Participants 378 adults (≥18 years, 67% men) newly referred with symptoms of nasal obstruction associated with septal deviation and at least moderate symptoms of nasal obstruction (score >30 on the Nasal Obstruction and Symptom Evaluation (NOSE) scale). Interventions Participants were randomised 1:1 to receive either septoplasty (n=188) or defined medical management (n=190, nasal steroid and saline spray for six months), stratified by baseline symptom severity and sex. Main outcome measures The primary outcome measure was patient reported score on the Sino-Nasal Outcome Test-22 (SNOT-22) at six months, with 9 points defined as the minimal clinically important difference. Secondary outcomes included quality of life and objective nasal airflow measures. Results Mean SNOT-22 scores at six months

Surgery Outperforms Nasal Sprays for Crooked Septum Symptoms

Surgery Outperforms Nasal Sprays for Crooked Septum Symptoms
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