Satisfaction Outcomes in Open Functional Septorhinoplasty

Balikci, Hasan Huseyin; Gurdal, M. Mustafa

doi:10.1097/scs.0000000000000638

Cited by 22 publications

(11 citation statements)

References 11 publications

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“…Age can be an important factor determining the patient satisfaction score. Balıkçı et al and Litner et al found lower satisfaction scores in younger patients and interpreted that this group had higher expectations and thus had difficulty accepting changes in their own image [15,16]. Arima et al reported that satisfaction scores in patients under 30 years were lower than those aged over 30 years [17].…”

Section: Discussionmentioning

confidence: 98%

Assessment of Patient Satisfaction With Primary Septorhinoplasty Using the Rhinoplasty Outcome Evaluation Questionnaire

Bilgin¹,

Say²,

Baklacı³

2020

Cureus

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Section: Discussionmentioning

confidence: 98%

Assessment of Patient Satisfaction With Primary Septorhinoplasty Using the Rhinoplasty Outcome Evaluation Questionnaire

Bilgin¹,

Say²,

Baklacı³

2020

Cureus

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“…The NOSE questionnaire was selected as it is the most widely used validated questionnaire; [ 12 ] it is a responsive and disease-specific assessment tool that can quantitatively assess nasal obstructive symptoms in our study cohort [ 4 , 5 , 25 – 27 ]. The NOSE instrument been recently used in patients undergoing nasal valve correction surgery in evaluating for subjective improvements in nasal obstructive symptoms [ 7 , 8 , 28 – 31 ].…”

Section: Discussionmentioning

confidence: 99%

Reliability and construct validity of the Ottawa valve collapse scale when assessing external nasal valve collapse

Ziai

Bonaparte

2018

J of Otolaryngol - Head & Neck Surg

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BackgroundNasal valve collapse is a common cause of nasal obstruction in otolaryngology practice. Common examination methods, such as the Cottle Maneuver and modified Cottle Maneuver are available. However, these methods are dichotomous and do not provide ordinal severity information. The Ottawa Valve Collapse Scale (OVCS) is a grading system for assessing and easily grading external nasal valve collapse in patients with a septal deviation. The primary objective was to assess the test-retest reliability and construct validity of the OVCS grading scale. A secondary objective was to perform the same assessments on the Cottle Maneuver.MethodsPatients with a septal deviation who were requesting surgical correction were prospectively enrolled in the study. All patients were assessed using both the Cottle Maneuver and the OVCS by one otolaryngologist at two visits separated by one month. The phi coefficient was calculated to assess the test-retest reliability of the instruments. Results of the Nasal Obstruction Symptom Evaluation (NOSE) Score was compared to determine construct validity.ResultsNinety-two patients met our inclusion criteria. The phi coefficient was 0.62 for the OVCS and 0.32 for the Cottle Maneuver. The scores on the NOSE instrument were positively associated with the OVCS scores (p = 0.01) while there was no association with the Cottle Maneuver (p = 047).ConclusionThis current preliminary analysis suggests that the novel Ottawa Valve Collapse Scale has good test-retest reliability and construct validity. This scale may help clinicians grade external nasal valve collapse in patients with a septal deviation. Future studies are required to determine if this scale assists surgeons in determining which patients need formal nasal valve surgery in addition to a standard septoplasty.

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“…Earlier studies [14][15][16][17][18] reported on subjective and rhinometric improvement with spreader and alarbatten grafts in patients with NVI. Subsequent single-center studies [19][20][21][22] have also demonstrated improvement in patientreported outcomes using the validated NOSE scale. The primary objective of this study was to evaluate the improvement in nasal obstruction symptoms after cartilage graft reconstruction (spreader and alar grafts) in patients with NVI.…”

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confidence: 97%

Outcome of Nasal Valve Obstruction After Functional and Aesthetic-Functional Rhinoplasty

Yeung

Hassouneh

Kim

2016

JAMA Facial Plast Surg

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INTRODUCTION Nasal valve insufficiency is distinct from other anatomic causes of nasal obstruction. Functional rhinoplasty refers to the collective techniques used to reconstruct the lateral nasal wall, typically achieved with the use of spreader and alar grafts. Patients undergoing functional rhinoplasty can also have aesthetic desires and goals achievable with combined aesthetic-functional rhinoplasty. OBJECTIVE To evaluate the improvement in nasal obstruction symptoms after cartilage graft reconstruction in patients with nasal valve insufficiency and to compare the postoperative improvement between patients undergoing functional and aesthetic-functional rhinoplasty. DESIGN, SETTING, AND PARTICIPANTS In this prospective multicenter cohort study, 12 participating surgeons enrolled 79 consecutive patients diagnosed as having nasal valve insufficiency as the primary cause of nasal obstruction. Patients underwent functional or aesthetic-functional rhinoplasty. The study collected demographic, clinical, and surgical data from March 2006 to September 2008. Nasal symptoms were evaluated using a validated, disease-specific, quality-of-life instrument. The Nasal Obstruction Symptom Evaluation (NOSE) scale was administered to participants at baseline and 3, 6, and 12 months postoperatively. Follow-up was completed on September 2008, and data were analyzed in September 2009 and in September 2013. MAIN OUTCOMES AND MEASURES Changes in NOSE scale score (range, 0 to 100, with a higher score indicating greater severity of obstruction) at 3 months between the functional and aesthetic-functional groups. RESULTS Of the 79 patients, 31 underwent functional and 48 underwent aesthetic-functional rhinoplasty. Overall, an improvement was found in nasal breathing, with a mean decrease of 48.6 points (95% CI, 41.9-55.2; P < .001) at the 3-month assessment compared with the preoperative baseline NOSE scale score (mean [SD], 67.1 [19.7]). The improvement in nasal breathing was similar whether patients underwent functional or aesthetic-functional rhinoplasty (mean [95% CI] NOSE scale score change, 51.4 [42.1-60.7] and 46.6 [37.1-56.1], respectively; P = .49). CONCLUSIONS AND RELEVANCE Nasal valve reconstruction with spreader and alar grafts is effective in treating patients with nasal valve insufficiency. Combining aesthetic interventions with functional rhinoplasty did not seem to affect the magnitude of improvement in nasal breathing outcome. LEVEL OF EVIDENCE 2.

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Satisfaction Outcomes in Open Functional Septorhinoplasty

Cited by 22 publications

References 11 publications

Assessment of Patient Satisfaction With Primary Septorhinoplasty Using the Rhinoplasty Outcome Evaluation Questionnaire

Assessment of Patient Satisfaction With Primary Septorhinoplasty Using the Rhinoplasty Outcome Evaluation Questionnaire

Reliability and construct validity of the Ottawa valve collapse scale when assessing external nasal valve collapse

Outcome of Nasal Valve Obstruction After Functional and Aesthetic-Functional Rhinoplasty

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