Article (Scientific journals)
The need for an objective measure in septorhinoplasty surgery: Are we any closer to finding an answer?
ANDREWS, Peter J; CHOUDHURY, Natasha; TAKHAR, Arun et al.
2015In Clinical Otolaryngology
Peer Reviewed verified by ORBi
 

Files


Full Text
Andrews2015ClinOtol.pdf
Publisher postprint (421.65 kB)
Request a copy

This article is protected by copyright. All rights reserved.


All documents in ORBi are protected by a user license.

Send to



Details



Keywords :
nasal inspiratory peak flow; septorhinoplasty; outcome; rhinoplasty; sinonasal outcome test
Abstract :
[en] OBJECTIVES: To assess the reliability of nasal inspiratory peak flow (NIPF) in providing a clinically accurate objective measure following functional septorhinoplasty by comparing it to the validated disease specific quality of life questionnaire, SNOT-22. Studies so far have demonstrated poor correlation between bilateral NIPF and symptom specific nasal questionnaires following septorhinoplasty.. DESIGN: To perform a prospective comparative analysis between NIPF and the validated disease specific quality of life questionnaire SNOT 22 and to determine if a correlation exists following septorhinoplasty surgery. SETTING: The Royal National Throat Nose and Ear Hospital, London. PARTICIPANTS: A total of 122 patients (78 males, 44 females; mean age 33.5 +/- 12.2 years) were recruited from the senior authors rhinology clinic and underwent functional septorhinoplasty surgery MAIN OUTCOME MEASURES: Pre and post-operative nasal inspiratory peak flow (NIPF) measurements were performed in addition to the completion of three subjective quality of life and symptom assessment tool questionnaires; Sinonasal Outcome Test 22 (SNOT-22), Nasal Obstruction Symptom Evaluation (NOSE) and Visual Analogue Scores (VAS: 0-10). RESULTS: The mean pre-operative NIPF was 88.2L/min, and the post-operative value was 101.6L/min and showed a significant improvement following surgery (P = 0.0064). The mean total SNOT-22 score improved significantly from 48.6 to 26.6 (P<0.0001); the NOSE score from 14.1 to 6.6 (P<0.0001); and the VAS blockage score from 6.9 to 3.2 (P<0.0001). All individual domains assessed showed improvements post-operatively but no correlation was found between the NIPF and SNOT-22 score. Equally, we did not find a correlation between NIPF and the symptom specific NOSE questionnaire and the nasal blockage domain on the VAS scale. CONCLUSION: We have demonstrated that NIPF does not correlate with the SNOT 22 disease specific questionnaire, although both outcomes significantly improve post-operatively. At present we are still lacking a clinically accurate objective measure of nasal function for the evaluation of patients undergoing septorhinoplasty surgery.
Disciplines :
Otolaryngology
Author, co-author :
ANDREWS, Peter J;  Royal National Throat Nose and Ear Hospital, London, UK > Rhinology and Facial Plastic Surgery
CHOUDHURY, Natasha;  Royal National Throat Nose and Ear Hospital, London, UK > Rhinology and Facial Plastic Surgery
TAKHAR, Arun;  Royal National Throat Nose and Ear Hospital, London, UK > Rhinology and Facial Plastic Surgery
POIRRIER, Anne-Lise  ;  Centre Hospitalier Universitaire de Liège - CHU > Service d'O.R.L.
JACQUES, Thomas;  Royal National Throat Nose and Ear Hospital, London, UK > Rhinology and Facial Plastic Surgery
RANDHAWA, Premjot S;  Royal National Throat Nose and Ear Hospital, London, UK > Rhinology and Facial Plastic Surgery
Language :
English
Title :
The need for an objective measure in septorhinoplasty surgery: Are we any closer to finding an answer?
Publication date :
05 May 2015
Journal title :
Clinical Otolaryngology
ISSN :
1749-4478
eISSN :
1749-4486
Publisher :
Blackwell Publishing
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 30 October 2015

Statistics


Number of views
49 (1 by ULiège)
Number of downloads
3 (1 by ULiège)

Scopus citations®
 
45
Scopus citations®
without self-citations
31
OpenCitations
 
42

Bibliography


Similar publications



Contact ORBi