Revisão bibliográfica e planeamento de protocolo através de questionário sinonasal outcome test, rinometria e tomografia computorizada em doentes propostos para septoplastia

Introduction: Septoplasty is proposed based on patient's complaints and medical evaluation. However, in modern evidence-based medicine, rhinometry, computed tomography (CT) and parameterized questionnaires are useful and, in the future, fundamental tools to document the work of an otorhinolaryngologist. The objective of this study is to review the literature on the evaluation of septoplasty results through objective methods, namely with sinonasal outcome test questionnaire (SNOT-22) and rhinometry and CT results, in order to protocol its use in our patients. Methods: Study sample: patients proposed to septoplasty at Centro Hospitalar e Universitario de Coimbra (CHUC). Working tools: portuguese version of SNOT-22 questionnaire, acoustic rhinometry equipment and paranasal sinuses CT images. Results: For all patients proposed for septoplasty at CHUC we developed the following protocol: filling of SNOT-22 questionnaire validated for portuguese language, being submitted to acoustic rhinometry in the week prior to the surgical intervention, at 3 and at 6 months post surgery. In addition, CT examinations of the paranasal sinuses will be reviewed if performed by the patient. Conclusions: The use of guidelines is the first step to refine some procedures and validate them statistically. The implementation of this protocol will permit further studies to be worked on regarding the septoplasty and acoustic rhinometry, as well as evaluate patients’ satisfaction. In addition, it may predict the relevance of the proposal and surgical success of interventions.