Validation of the sino-nasal outcome test-23 in septorhinoplasty surgery

Takhar, Arunjit; Stephens, Joanna; Randhawa, Premjit S; Poirrier, Anne‐Lise; Andrews, Peter

doi:10.4193/rhino14.009

Cited by 11 publications

(5 citation statements)

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“…Of the 12 instruments identified, 5 measured symptoms related to nasal obstruction or other rhinologic complaints (hereinafter referred to as functional outcome ); 2 focused on satisfaction or concern with nasal appearance (hereinafter referred to as aesthetic outcome ); and 5 included items on both domains. The general characteristics of the included instruments and articles are summarized in Table 2 and Table 3, respectively. Table 2 also includes interpretability and feasibility aspects of each PROM.…”

Section: Resultsmentioning

confidence: 99%

Evaluation of Measurement Properties of Patient-Reported Outcome Measures After Rhinoplasty

Zijl

Mokkink

Haagsma

et al. 2019

JAMA Facial Plast Surg

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IMPORTANCEThe number of available rhinoplasty outcome measurement instruments has increased rapidly over the past years. A large heterogeneity of instruments of different quality now exists, causing difficulty in pooling and comparing outcome data. OBJECTIVE To critically appraise, summarize, and compare the measurement properties of all patient-reported outcome measures (PROMs) that measure functional or aesthetic symptoms of patients undergoing rhinoplasty, using consensus-based methodology and guidelines. This facilitates an evidence-based recommendation on the most suitable instrument to measure rhinoplasty outcomes and identifies promising instruments worthy of further research.EVIDENCE REVIEW A systematic literature search of Embase, Medline, and Web of Science was conducted from the databases' respective inception dates to May 18, 2018. Thirty-three articles evaluating 1 or more measurement properties of instruments measuring symptoms related to nasal breathing or satisfaction with nasal appearance in patients who had undergone septoplasty and/or rhinoplasty were included. Measurement properties were graded according to the Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) guidelines for systematic reviews of PROMs.FINDINGS The search strategy identified 33 studies that used 12 different measurement instruments. In general, high-quality studies on measurement properties of instruments measuring aesthetic and/or functional symptom-specific outcome of rhinoplasty are scarce. The Nasal Obstruction Symptom Evaluation (NOSE) scale demonstrated high-quality evidence for sufficient structural validity, internal consistency, reliability, construct validity, and responsiveness, along with favorable interpretability and feasibility aspects, and was therefore selected as the most suitable instrument to measure functional outcome. Among instruments measuring aesthetic outcome, the FACE-Q and Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) aesthetic subscale are recommended for further study. Future studies on the measurement properties of the identified PROMs, in particular content validity studies, are necessary.CONCLUSIONS AND RELEVANCE Three instruments with high potential for further use were identified in a systematic review of rhinoplasty outcome instruments using a standardized, consensus-based methodology: the NOSE, FACE-Q, and SCHNOS. These findings may contribute to standardized collection of outcome data in rhinoplasty.

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Section: Resultsmentioning

confidence: 99%

Evaluation of Measurement Properties of Patient-Reported Outcome Measures After Rhinoplasty

Zijl

Mokkink

Haagsma

et al. 2019

JAMA Facial Plast Surg

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show abstract

“…As such, surgeons should know this difference to improve their pre-operative/post-operative counseling and surgical planning. As summarized by Takhar et al, 22 the surgeon may make the assessment, but the "patient's subjective and qualitative satisfaction will dictate the success of the surgical outcome. "…”

Section: Discussionmentioning

confidence: 99%

Characterizing the Rhinoplasty Outcomes Most Important to Patients, Surgeons, and the General Population

Salehi,

Shah,

Torabi

et al. 2024

Journal of Craniofacial Surgery

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Understanding rhinoplasty characteristics important to patients, physicians, and society is essential for evaluating outcomes and designing optimal treatment plans. The authors aimed to elucidate specific rhinoplasty-related outcomes that are most important to patients, surgeons, and the general population. A cross-sectional survey comprising 11 rhinoplasty-specific characteristics, was distributed to patients, facial plastic surgeons, and the general population. Adult patients presenting for rhinoplasty consideration or follow-up after undergoing rhinoplasty were recruited. Characteristics rankings were compared between the 3 respondent groups using Spearman’s rank correlation coefficient (ρ). Responses from 150 surgeons, 111 patients, and 102 lay individuals from the general population were included for analysis. When ranking rhinoplasty-specific characteristics in order of importance, patients and the general population ranked “ability to breathe through nose while awake” first and “overall appearance of nose” as second. Surgeons ranked “overall appearance of nose” first and “ability to breathe through nose while awake” second. There were strong correlations between patients’ and surgeons’ rankings (Spearman’s ρ=0.836, P=0.002), between patients’ and the general population’s rankings (Spearman’s ρ=0.773, P=0.007), and between surgeons’ and the general population’s rankings (Spearman’s ρ=0.782, P=0.006). Our results highlight a significant correlation between characteristics of the “ideal” nose as determined by patients, surgeons, and the general population.

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“…Controls were assessed at baseline only. Clinical assessment included thorough medical history taking (including duration of OD) and completion of patient reported outcome measures “SNOT23” ( 11 ), “NOSE” score ( 12 ) and VAS ( 13 ). Clinical examination included three-pass rigid nasendoscopy and bilateral peak nasal inspiratory flow rate (PNIF).…”

Section: Methodsmentioning

confidence: 99%

Functional septorhinoplasty alters brain structure and function: Neuroanatomical correlates of olfactory dysfunction

et al. 2023

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IntroductionWe previously demonstrated functionally significant structural plasticity within the central olfactory networks, in association with improved olfaction after surgical treatment of chronic rhinosinusitis (CRS). In order to confirm and expand on these findings, the primary aim of this study was to determine whether these same regions undergo functionally significant structural plasticity following functional septorhinoplasty (fSRP), in patients with non-CRS olfactory dysfunction (OD) of mixed cause. fSRP has previously been shown to improve olfactory function, and the secondary aim of this study was to provide initial insights into the mechanism by which fSRP affects olfaction.MethodsWe performed a pilot prospective, multimodal neuroimaging study in 20 participants undergoing fSRP, including patients with non-CRS OD of mixed cause, as well as normosmic surgical controls. Participants underwent psychophysical olfactory testing, assessment of nasal airway, structural and functional neuroimaging. This was performed pre- and postoperatively in patients, and preoperatively in controls.ResultsThere was a statistically and clinically significant improvement in mean psychophysical olfactory scores after surgery. This was associated with structural and functional plasticity within areas of the central olfactory network (anterior cingulate, orbitofrontal cortex, insula, temporal pole). Improved psychophysical scores were significantly correlated with change in bilateral measures of nasal airflow, not measures of airflow symmetry, suggesting that improved overall airflow was more important than correction of septal deviation.ConclusionThis work highlights the importance of these neuroanatomical regions as potential structural correlates of olfactory function and dysfunction. Our results also provide initial insight into the mechanistic effects of fSRP on olfaction. Further work could investigate the utility of these regions as personalised biomarkers of OD, as well as the role of fSRP in treating OD.

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Validation of the sino-nasal outcome test-23 in septorhinoplasty surgery

Cited by 11 publications

References 0 publications

Evaluation of Measurement Properties of Patient-Reported Outcome Measures After Rhinoplasty

Evaluation of Measurement Properties of Patient-Reported Outcome Measures After Rhinoplasty

Characterizing the Rhinoplasty Outcomes Most Important to Patients, Surgeons, and the General Population

Functional septorhinoplasty alters brain structure and function: Neuroanatomical correlates of olfactory dysfunction

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