The Journal of laryngology and otology · 2026
The impact of allergic rhinitis on functional, aesthetic and scar outcomes after open septorhinoplasty: a prospective controlled study.
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Uzun Tankut, Uzunoğlu Eray
Аннотация
OBJECTIVE: To compare 12-month functional, aesthetic and scar outcomes after septorhinoplasty in patients with and without allergic rhinitis and to assess allergy symptoms in the allergic rhinitis group.
METHODS: Ninety-six patients were included (allergic rhinitis, n = 47; non-allergic rhinitis, n = 49). No turbinate surgery was performed. Allergy symptoms (allergic rhinitis group) were rated pre-operatively and at 12 months using a visual analogue scale (VAS). At 12 months, all patients completed the Standardised Cosmesis and Health Nasal Outcomes Survey; scars were evaluated with the Stony Brook Scar Evaluation Scale and patient- and physician-reported VAS scores for scar and nasal shape.
RESULTS: The Standardised Cosmesis and Health Nasal Outcomes Survey, the Stony Brook Scar Evaluation Scale and scar VAS scores were similar between groups. Nasal shape VAS scores were higher in the non-allergic rhinitis group, significant only for physician ratings (p = 0.03). In the allergic rhinitis group, allergy VAS decreased from 39.32 ± 42.25 to 24.22 ± 31.96 (p < 0.001).
CONCLUSION: Allergic rhinitis does not adversely affect functional, aesthetic or scar outcomes after septorhinoplasty, and septorhinoplasty may clinically reduce allergy symptoms in patients with allergic rhinitis.
METHODS: Ninety-six patients were included (allergic rhinitis, n = 47; non-allergic rhinitis, n = 49). No turbinate surgery was performed. Allergy symptoms (allergic rhinitis group) were rated pre-operatively and at 12 months using a visual analogue scale (VAS). At 12 months, all patients completed the Standardised Cosmesis and Health Nasal Outcomes Survey; scars were evaluated with the Stony Brook Scar Evaluation Scale and patient- and physician-reported VAS scores for scar and nasal shape.
RESULTS: The Standardised Cosmesis and Health Nasal Outcomes Survey, the Stony Brook Scar Evaluation Scale and scar VAS scores were similar between groups. Nasal shape VAS scores were higher in the non-allergic rhinitis group, significant only for physician ratings (p = 0.03). In the allergic rhinitis group, allergy VAS decreased from 39.32 ± 42.25 to 24.22 ± 31.96 (p < 0.001).
CONCLUSION: Allergic rhinitis does not adversely affect functional, aesthetic or scar outcomes after septorhinoplasty, and septorhinoplasty may clinically reduce allergy symptoms in patients with allergic rhinitis.