Cited by 26Nasal Surgery and Airway StudiesSinusitis and nasal conditionsCleft Lip and Palate Research

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

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Takhar, A., Stephens, J., Randhawa, P.S., Poirrier, A.L., Andrews, P.·2014·Rhinology journal

Abstract

Background: There has been a great expansion in patient-based outcome measures to face the ever-increasing demand to demonstrate surgical efficacy. However, surgeons have not adopted until now any systematic outcome instrument. The 22-item Sino-Nasal Outcome Test (SNOT-22) is a validated sinonasal outcome score in sinonasal and septorhinoplasty surgery but does not measure aesthetic outcome. The aim of this paper is to validate a modification to the Sino-Nasal Outcomes Test-22 (SNOT-22) with a new question regarding the shape of the nose (SNOT-23). Methodology: We conducted a prospective cohort study on 69 consecutive patients undergoing septorhinoplasty and a control group of healthy volunteers. Reproducibility, responsiveness to treatment, known group differences and validity of the SNOT-23 were analysed. Scores were compared to visual analogue scales, nasal obstruction symptoms evaluation (NOSE) score and nasal inspiratory peak flow. Results: SNOT-23 has good test-retest reliability and is a valid outcome measure for assessing response to surgery especially with regards to shape of the nose and nasal obstruction when compared to other patient reported measures. Conclusion: SNOT-23 is a valid and reliable tool that can be easily used in routine clinical practice to assess the functional and aesthetic outcomes from septorhinoplasty surgery. The SNOT-23 could be adopted as a universal, easy to use tool in rhinology clinics for the assessment of response to septorhinoplasty and sinus surgery.

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  • PNIF relationship seems to improve when compared with validated questionnaires such as SNOT-22 and NOSE.

    “although it seems to improve when compared with validated questionnaires such as the Sino-Nasal Outcome Test (SNOT-22) and NOSE [65,68,70-73].”

    From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [71]

    The ‘Comparison to nasal inspiratory peak flow’ section reports that PNIF improved after surgery, but explicitly finds no correlation between improvement in PNIF and total SNOT-23 scores. The high correlation reported for NOSE is with SNOT-23, not PNIF; this paper does not establish an improved PNIF relationship with SNOT-22 or NOSE. The supplied copy gives no page numbers for these passages. (LLM, conf=0.87)

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Research works printed but not linked: 25

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Authors
Takhar, A., Stephens, J., Randhawa, P. S., Poirrier, A. L., & Andrews, P.
Affiliations
Royal National Throat Nose and Ear Hospital (GB)
Venue
Rhinology journal
Published
2014-12-01
Volume
52
Issue
4
Pages
301-304
ISSN
0300-0729 (ISSN-L)
OpenAlex
W4239815122
Cited by
26
References
0
Citations by year
2024: 2 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 5 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 3 · 2014: 2
FWCI
2.64
Type
journal article
Language
en
Open access
Locations
  • Rhinology Journal (publishedVersion)
  • PubMed (publishedVersion)
  • ORBi (University of Liège) (submittedVersion)
Funders
Washington University in St. Louis
Topics
  • Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
  • Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Cleft Lip and Palate Research
Keywords
Sino-Nasal Outcome Test, septorhinoplasty, patient-reported outcome measures, nasal aesthetic outcomes, nasal obstruction, test-retest reliability, treatment response, nasal shape, NOSE score
MeSH terms
Humans, Nasal Septum, Prospective Studies, Quality of Life, Surveys and Questionnaires, Rhinoplasty, Nasal Obstruction, Outcome Assessment, Health Care, Nasal Surgical Procedures

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