What are the clinically important outcome measures in the surgical management of nasal obstruction?

What are the clinically important outcome measures in the surgical management of nasal obstruction? KeypointsPatients who rate being either “satisfied” or “very satisfied” demonstrated significant improvement in NOSE and PNIF following their nasal surgery; the 3 magnitude being twice the calculated minimal clinically important difference.A combination of brief and easy to complete measurements can be obtained to provide meaningful data for benchmarking, professional appraisal and improve patients expectations of surgery.We support the use of NOSE and PNIF in routine outpatient clinics for the assessment and treatment evaluation of patients with nasal obstruction.INTRODUCTIONNasal obstruction is among the most common ear, nose and throat (ENT) presentations in clinical practice. Septoplasty and inferior turbinate reduction surgery are often performed for patients presenting with a primary complaint of nasal obstruction. Despite a long history of septoplasty as a procedure, there remains no consensus for the diagnosis and treatment of nasal obstruction secondary to septal deviation and inferior turbinate hypertrophy. For example, the role of objective tests such as acoustic rhinometry or rhinomanometry in the diagnosis of nasal obstruction is unclear. This is compounded by the lack of high‐quality studies assessing the health benefit of these patients. It is thus unsurprising that healthcare service commissioners have arbitrarily imposed restrictions for selected ENT surgery in the absence of appropriate http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Otolaryngology Wiley

What are the clinically important outcome measures in the surgical management of nasal obstruction?

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 John Wiley & Sons Ltd
ISSN
1749-4478
eISSN
1749-4486
D.O.I.
10.1111/coa.13023
Publisher site
See Article on Publisher Site

Abstract

KeypointsPatients who rate being either “satisfied” or “very satisfied” demonstrated significant improvement in NOSE and PNIF following their nasal surgery; the 3 magnitude being twice the calculated minimal clinically important difference.A combination of brief and easy to complete measurements can be obtained to provide meaningful data for benchmarking, professional appraisal and improve patients expectations of surgery.We support the use of NOSE and PNIF in routine outpatient clinics for the assessment and treatment evaluation of patients with nasal obstruction.INTRODUCTIONNasal obstruction is among the most common ear, nose and throat (ENT) presentations in clinical practice. Septoplasty and inferior turbinate reduction surgery are often performed for patients presenting with a primary complaint of nasal obstruction. Despite a long history of septoplasty as a procedure, there remains no consensus for the diagnosis and treatment of nasal obstruction secondary to septal deviation and inferior turbinate hypertrophy. For example, the role of objective tests such as acoustic rhinometry or rhinomanometry in the diagnosis of nasal obstruction is unclear. This is compounded by the lack of high‐quality studies assessing the health benefit of these patients. It is thus unsurprising that healthcare service commissioners have arbitrarily imposed restrictions for selected ENT surgery in the absence of appropriate

Journal

Clinical OtolaryngologyWiley

Published: Jan 1, 2018

Keywords: ; ; ; ; ;

References

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