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Unmet challenges in...
Unmet challenges in septoplasty-nordic studies from a uniform healthcare and geographical area
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- Hellgren, Johan, 1965 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för öron-, näs- och halssjukdomar,Institute of Clinical Sciences, Department of Otorhinolaryngology
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Lundberg, M. (author)
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Rubek, N. (author)
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von Buchwald, C. (author)
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Steinsvag, S. (author)
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- Makitie, A. (author)
- Karolinska Institutet
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(creator_code:org_t)
- 2022-12-01
- 2022
- English.
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In: Frontiers in Surgery. - : Frontiers Media SA. - 2296-875X. ; 9
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Abstract
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- PurposeNasal septoplasty is one of the most common surgical procedures in otorhinolaryngology and optimising both patient selection and the surgery is a challenge. The Nordic countries have similar public healthcare systems and comparable populations in terms of size. MethodsThis is a review of studies of outcome and predictors related to septoplasty from Denmark, Finland, Norway and Sweden, published during the last decade. The aim of this review was to identify areas in need of further research to meet the challenges of septoplasty in the Nordic countries with reference to international data. ResultsPostoperative patient satisfaction at 6-12 months was reported in around 2/3 of the patients and well in line with international data. Patients with more severe symptoms had a higher chance of improvement. Lack of standardisation in patient selection, surgical methods and skills, and follow up procedures, still makes it difficult to explain the 25% failure rate in septoplasty surgery. ConclusionThis review of the Nordic studies from the last decade shows that septoplasty in general is effective in relieving nasal obstruction. There is a need for studies addressing the standardisation of diagnostic tools and algorithms and the systematic and continuous implementation of follow-up of the surgical results at both departmental and personal level. This includes an awareness of how surgical skills in septoplasty are obtained and maintained.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- PROM (patient reported outcome measures)
- septoplasty outcomes
- quality
- register
- nordic
- review
Publication and Content Type
- ref (subject category)
- for (subject category)
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