Evaluation of nasal patency by visual analogue scale/nasal obstruction symptom evaluation questionnaires and anterior active rhinomanometry after septoplasty: a retrospective one‐year follow‐up cohort study

Hsu, Hsin‐Chien; Tan, Ching Ding; Chang, Cheng Fu; Chu, Chao-Mei; Chiu, Yi-Chun; Pan, Chun-I; Huang, Hsiao‐Ping

doi:10.1111/coa.12662

Cited by 50 publications

(67 citation statements)

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“…22 Hsu ve ark., septoplasti sonrasında hem NOSE skorlarında hem de NR'da azalma gözlemiş, ancak NOSE skalası ile NR arasında preoperatif dönemde görülen korelasyonu postoperatif dönemde görememişlerdir. 5 Toyserkani ve ark., septoplasti sonrası uzun dönemde NOSE skalası ve AR sonuçlarını karşılaştırmışlar ve anlamlı korelasyon bulamamışlardır. 23 Mozzanica ve ark., nazal obstrüksiyon tarifleyen hastaların RMN sonuçları ile NOSE skalası arasında anlamlı korelasyon bulmuşlardır.…”

Section: Discussionunclassified

“…3 Yapılan birçok çalışma "Burun Tıkanıklığı Semptom Değerlendirmesi [Nose Obstruction Symptom Evaluation (NOSE)]" skalası ile nazal obstrüksiyon varlığında mevcut hastalığa özel yaşam kalitesini değerlendirmiştir. [4][5][6] Nazal cerrahi tekniklerin nazal obstrüksiyonu giderme konusundaki etkinliğini ve bu teknikler arasındaki korelasyonu değerlendiren çalışmalar olmakla birlikte, farklı sonuçlar elde edilmiştir. [7][8][9][10] Bu çalışma, NSD ve INVK'da havayolu darlığını gösterme ve cerrahi yöntemin başarısını değerlendirmede uygulaması kolay, maliyeti düşük ve hasta açısından risk oluşturmayacak objektif ve subjektif tanı yöntemlerini ortaya koymak amacıyla gerçekleştirilmiştir.…”

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Clinical Importance of Acoustic Rhinometry, Rhinomanometry and NOSE Scale in Nasal Septum Deviation and Internal Nasal Valve Surgery

Akkoca¹,

Arslan²,

İslam³

et al. 2019

KBB ve BBC Dergisi

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azal obstrüksiyon, çeşitli faktörlerin neden olduğu oldukça yaygın görülen bir semptomdur. Sık anatomik sebeplerinden birisi nazal septum deviasyonu (NSD)'dur ve en sık tercih edilen cerrahi tedavi yöntemi septoplastidir. 1 İnternal nazal valf (INV) tipik olarak burun boşluğunun en dar kısmıdır ve septum, upper lateral kartilaj (ULC), alt konka ve burun tabanı tarafından sınırlandırılmıştır. Normalde INV açısı 10-15°arasındadır ve bu açının daralması internal nazal valf kollapsı (INVK) oluştu-KBB ve BBC Dergisi 2019;27(3):125-30 125 125 125 Nazal Septum Deviasyonu ve İnternal Nazal Valf Cerrahisinde Akustik Rinometri, Rinomanometri ve NOSE Skalasının Klinik Önemi Ö ÖZ ZE ET T A Am ma aç ç: : Nazal septum deviasyonu (NSD) ve internal nazal valv kollapsında (INVK) akustik rinometri (AR), rinomanometri (RMN) ve "Nose Obstruction Symptom Evaluation (NOSE)" skalasının preoperatif ve postoperatif tanı yöntemi olarak kullanılıp kullanılamayacağını göstermektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu çalışma 31 NSD, 36 INVK'li hasta ile prospektif olarak gerçekleştirildi. Ameliyat kararı verilen toplam 67 hastaya preoperatif AR ve RMN yapıldı. Aynı zamanda, "Burun Tıkanıklığı Semptom Değerlendirilmesi [Nose Obstruction Symptom Evaluation (NOSE)]" Skalasını doldurmaları sağlandı. NSD tanısı alan 31 hastaya septoplasti, NSD-INVK tanısı alan 36 hastaya ise septoplasti ve bilateral nazal valf cerrahisi uygulandı. B Bu ul lg gu ul la ar r: : Ameliyat sonrası her 2 grupta NOSE skalasında istatistiksel olarak anlamlı bir düşüş görüldü. AR ölçümlerine göre minimal kesit alanı ve nazal hacimde artış kaydedildi. RMN ölçümleri, nazal rezistansta azalma ve nazal hava akımında artış gösterdi (p=0,00). Ayrıca, hem ameliyat öncesi hem de ameliyat sonrası NOSE skalası, AR ve RMN değerleri arasında korelasyon vardı. S So on nu uç ç: : AR ve RMN, hem NSD ve INVK'ye bağlı obstrüksiyonu hem de postoperatif başarıyı değerlendirmede objektif, NOSE skalası ise subjektif tanı yöntemi olarak kullanılabilir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Akustik rinometri; rinomanometri; nazal septum; nazal obstruksiyon A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : This study was performed to determine whether acoustic rhinometry (AR), rhinomanometry (RMN) and Nose Obstruction Symptom Evaluation (NOSE) scale can be used as preoperative and postoperative diagnostic methods in NSD and INVK. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This study was performed prospectively with 31 patients with nasal septum deviation (NSD) and 36 patients with internal nasal valve collapse (INVK). Preoperative AR and RMN were performed in 67 patients. Patients were asked to complete the NOSE scale. 31 patients with NSD underwent septoplasty, 36 patients with NSD-INVK underwent septoplasty and bilateral nasal valve surgery. R Re es su ul lt ts s: :There was a statistically significant decrease in NOSE scale in both groups postoperatively. Increased minimal cross-sectional area and nasal volume were recorded accord...

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Section: Discussionunclassified

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Clinical Importance of Acoustic Rhinometry, Rhinomanometry and NOSE Scale in Nasal Septum Deviation and Internal Nasal Valve Surgery

Akkoca¹,

Arslan²,

İslam³

et al. 2019

KBB ve BBC Dergisi

View full text Add to dashboard Cite

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“…8 Similar results were also observed when patients underwent septoplasty for chronic nasal obstruction. 5…”

Section: Comparison With Other Studiesmentioning

confidence: 99%

“…Although turbinate surgery improves nasal patency and airflow in many cases, some of the operations do not achieve the expected results regarding the sensation of nasal obstruction. In clinical use, it is generally accepted that active anterior rhinomanometry (RMM) is a reliable method for measuring nasal patency . However, there is still limited evidence that the routine use of RMM validates therapeutic outcomes such as turbinate surgery.…”

Section: Introductionmentioning

confidence: 99%

“…In clinical use, it is generally accepted that active anterior rhinomanometry (RMM) is a reliable method for measuring nasal patency. 4,5 However, there is still limited evidence that the routine use of RMM validates therapeutic outcomes such as turbinate surgery. The aim of our study was to explore the inconsistency between objective and subjective outcomes of inferior turbinate reduction in chronic nasal obstruction.…”

Section: Introductionmentioning

confidence: 99%

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The correlation between active anterior rhinomanometry results and nasal obstruction symptoms scores after inferior turbinate reduction: A prospective cohort study about sixty‐five patients

Desvant

Guislain

Vandenhende‐Szymanski

et al. 2018

Clinical Otolaryngology

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A systematic review to examine the relationship between objective and patient‐reported outcome measures in sinonasal disorders: recommendations for use in research and clinical practice

Philpott

2021

Int Forum Allergy Rhinol

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Background Common sinonasal disorders include chronic rhinosinusitis (CRS), allergic rhinitis (AR), and a deviated nasal septum (DNS), which often coexist with shared common symptoms including nasal obstruction, olfactory dysfunction, and rhinorrhea. Various objective outcome measures and patient‐reported outcome measures (PROMs) are used to assess disease severity; however, there is limited evidence in the literature on the correlation between them. This systematic review aims to examine the relationship between them and provide recommendations. Methods A search of MEDLINE and EMBASE identified studies quantifying correlations between objective outcome measures and PROMs for the sinonasal conditions using a narrative synthesis. Results In total, 59 studies met inclusion criteria. For nasal obstruction, rhinomanometry shows a lack of correlation whereas peak nasal inspiratory flow (PNIF) shows the strongest correlation with PROMs (r > 0.5). The Sniffin’ Stick test shows a stronger correlation with PROMs (r > 0.5) than the University of Pennsylvania Smell Identification Test (UPSIT) (r < 0.5). Computed tomography (CT) sinus scores show little evidence of correlation with PROMs and nasal endoscopic ratings (weak correlation, r < 0.5). Conclusion Overall, objective outcome measures and PROMs assessing sinonasal symptoms are poorly correlated, and we recommend that objective outcome measures be used with validated PROMs depending on the setting. PNIF should be used in routine clinical practice for nasal obstruction; rhinomanometry and acoustic rhinometry may be useful in research. The Sniffin’ Sticks test is recommended for olfactory dysfunction with UPSIT as an alternative. CT scores should be excluded as a routine CRS outcome measure, and endoscopic scores should be used in combination with PROMs until further research is conducted.

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Evaluation of nasal patency by visual analogue scale/nasal obstruction symptom evaluation questionnaires and anterior active rhinomanometry after septoplasty: a retrospective one‐year follow‐up cohort study

Cited by 50 publications

References 20 publications

Clinical Importance of Acoustic Rhinometry, Rhinomanometry and NOSE Scale in Nasal Septum Deviation and Internal Nasal Valve Surgery

Clinical Importance of Acoustic Rhinometry, Rhinomanometry and NOSE Scale in Nasal Septum Deviation and Internal Nasal Valve Surgery

The correlation between active anterior rhinomanometry results and nasal obstruction symptoms scores after inferior turbinate reduction: A prospective cohort study about sixty‐five patients

A systematic review to examine the relationship between objective and patient‐reported outcome measures in sinonasal disorders: recommendations for use in research and clinical practice

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