Evaluating the Effect of Spreader Grafting on Nasal Obstruction Using the NOSE Scale

Standlee, Aurora G.; Hohman, Marc H.

doi:10.1177/0003489416685320

Cited by 23 publications

(23 citation statements)

References 30 publications

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“…In Standlee and Hohman's [25] study, they reported reduction in NOSE scores by an average of 46 points postoperatively. Our study showed that the mean eduction of NOSE score in this study for patients treated by spreader grafts was more than 43 and 36 points after 3 and 6 months postoperative respectively which is almost consistent with Standlee and Homan [25] regarding the improvement of NOSE score postoperatively irrespective of the surgical procedure in comparison with the preoperative mean NOSE score.…”

Section: Discussionmentioning

confidence: 95%

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Functional and aesthetic outcomes of spreader graft and auto-spreader flap after nasal hump removal

Naguib

Ahmed

Madian

et al. 2020

Egypt J Otolaryngol

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Background Following the reduction of the nasal hump to a desired level, spreader grafts are usually positioned to prevent the complication of nasal valve collapse. Auto-spreader flap is a new technique that gained more popularity recently and can be used as an alternative to spreader graft. This RCCT compared between both techniques aesthetically and functionally as well as the operative time. Results Forty patients, 17 males (42.5%) and 23 females (57.5%), were included. The mean duration of operation in auto-spreader flap was 11.8 ± 3.4 min, while it was 19.2 ± 3.2 min in spreader graft. The difference between the two procedures was statistically significant (P < 0.05). Functional assessment of nasal obstruction was done for all patients in both groups preoperative that was (75.6 ± 19.9) which showed marked improvement when re-evaluated 3 moths postoperatively (18.9 ± 14.7), and after 6 months NOSE scale was (29.1 ± 20.2). The overall aesthetic satisfaction was 62.5% (25 of 40) irrespective of the surgery done. Sixteen out of 20 patients in spreader group and 9 out of 20 in auto-spreader flap group. Conclusion Auto-spreader flap and spreader graft are very effective surgical procedure for treatment of nasal obstruction due to internal nasal valve dysfunction, but the auto-spreader flap had shorter operative time. However, spreader graft has a superior aesthetic outcome.

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Section: Discussionmentioning

confidence: 95%

“…Rhee et al [26] compared multiple studies [27][28][29][30][31][32] by using the mean NOSE improvement after surgery and they found that it was more than 40 points. In addition, Standlee and Hohman [25] found that spreader grafts in rhinoplasty results in great improvement in NOSE score and subjective sensation of nasal obstruction.…”

Section: Discussionmentioning

confidence: 98%

Functional and aesthetic outcomes of spreader graft and auto-spreader flap after nasal hump removal

Naguib

Ahmed

Madian

et al. 2020

Egypt J Otolaryngol

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“…However, the ideal follow‐up duration after functional septorhinoplasty has not yet been determined. Previous literature utilizing NOSE scores report variable follow‐up, ranging from 1 month to 4 years …”

Section: Introductionmentioning

confidence: 99%

Nasal obstruction symptom evaluation (NOSE) score outcomes after septorhinoplasty

et al. 2018

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Objectives/Hypothesis The time interval at which Nasal Obstruction Symptom Evaluation (NOSE) scores stabilize after functional septorhinoplasty has not been determined. Our goal was to characterize longitudinal trends of patient‐reported outcomes of nasal obstruction using the NOSE survey instrument following functional septorhinoplasty. Study Design Prospective longitudinal cohort study. Methods Adult patients (≥18 years) with nasal obstruction who underwent functional septorhinoplasty by three different surgeons at a single academic, tertiary referral center were identified. NOSE scores were obtained preoperatively and prospectively during three postoperative intervals defined as early (1–3 months), middle (4–6 months), and late (≥10 months.) Longitudinal analysis included repeated measures analysis of variance and adjustments for multiple comparisons. Results A total of 49 patients met inclusion criteria. For the total cohort, mean NOSE scores significantly improved between preoperative and early postoperative evaluations (71.4, standard deviation [SD] ± 17.0 vs. 24.2, SD ± 19.5; P < .001) but did not significantly change between early and middle (20.6, SD ± 19.1; P = .543) or middle and late (23.1, SD ± 24.9; P > .999) time intervals. Conclusions Patients with nasal obstruction who undergo functional septorhinoplasty can be expected to have significant improvement in self ‐reported nasal obstruction as early as 1 to 3 months postoperatively with a continued, durable, long‐standing benefit lasting at least 10 months after surgery. Future studies can consider the 3‐month time frame as a proxy for 1 year outcomes to help reduce survey burden. Level of Evidence 2c Laryngoscope, 129:841–846, 2019

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“…De Pochat et al (2012) and Standlee and Hohman (2017) reported improvement in NOSE scores for patients who had spreader grafts. [14,15] Yoo and Most (2011), Eren et al (2014) and Huseein et al (2015) reported similar improvement with spreader flaps [2,16,17] Simpler scoring systems were used by other authors for subjective assessment. Saedi et al (2014) and Hassanpour et al (2016) used simple questionnaires and compared between the functional outcomes of spreader grafts and flaps [18,19] .…”

Section: Discussionmentioning

confidence: 99%

Spreader Flap versus Spreader Graft in Dorsal Reconstruction following Hump Resection in Primary Closed Rhinoplasty

ElBestar

Abou-Zeid

Lasheen

et al. 2020

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

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Evaluating the Effect of Spreader Grafting on Nasal Obstruction Using the NOSE Scale

Abstract: This is the largest study quantifying the effect of spreader grafting. Greater improvement was observed from septorhinoplasty with spreader graft placement than septoturbinoplasty, and this improvement persisted over time.

Cited by 23 publications

References 30 publications

Functional and aesthetic outcomes of spreader graft and auto-spreader flap after nasal hump removal

Functional and aesthetic outcomes of spreader graft and auto-spreader flap after nasal hump removal

Nasal obstruction symptom evaluation (NOSE) score outcomes after septorhinoplasty

Spreader Flap versus Spreader Graft in Dorsal Reconstruction following Hump Resection in Primary Closed Rhinoplasty

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