Validation of the sino-nasal outcome test-23 in septorhinoplasty surgery
Open accessAbstract
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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Ottaviano, G., & Fokkens, W. J. (2016) · Allergy · doi:10.1111/all.12778 · Cited by 160 · see citing works
Position Paper on Nasal Obstruction: Evaluation and Treatment
SEAIC Rhinoconjunctivitis Committee & SEORL Rhinology, A., Valero, A., Navarro, A., del Cuvillo, A., Alobid, I., Benito, Jr., Colás, C., de los Santos, G., Fernández Liesa, R., García-Lliberós, A., et al. (2018) · Journal of Investigational Allergology and Clinical Immunology · doi:10.18176/jiaci.0232 · Cited by 76 · see citing works
- 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
- Publisher
- Stichting Nase
- 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
- bronze
- doi.org
- 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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