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Assessment of nasal obstruction symptoms using the NOSE scale after surgically assisted rapid maxillary expansion.

Abstract
The Nasal Obstruction Symptom Evaluation (NOSE) scale is a reliable and valid instrument used widely in otorhinolaryngology to evaluate nasal obstruction symptoms in patients with nasal disorders. The purpose of this study was to assess nasal obstruction symptoms prospectively in patients undergoing surgically assisted rapid maxillary expansion (SARME) using the NOSE scale. Sixteen patients were studied (mean age 31±7.7 years), 10 women and six men, all with a transverse maxillary deficiency and an indication for SARME. Hyrax type devices were placed preoperatively and SARME was performed using Kraut's technique. The NOSE scale was applied prospectively to assess nasal obstruction symptoms. The results were recorded for each score on a scale ranging from 0 to 4, and these scores were multiplied by 5, generating a balanced scale from 0 to 100. Data were stratified according to NOSE scores, and nasal obstruction was categorized as mild (0-25), moderate (26-50), or severe (>50). The questionnaire was administered twice, first preoperatively and then at 6 months after surgery, and the results compared. Data were analyzed statistically using SAS statistical package software and showed that patients experienced a subjective improvement or did not have a worsening of nasal obstruction symptoms after SARME.
AuthorsF Menegat, M S Monnazzi, B N Silva, M de Moraes, M A C Gabrielli, V A Pereira-Filho
JournalInternational journal of oral and maxillofacial surgery (Int J Oral Maxillofac Surg) Vol. 44 Issue 11 Pg. 1346-50 (Nov 2015) ISSN: 1399-0020 [Electronic] Denmark
PMID26187045 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2015 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
Topics
  • Adult
  • Female
  • Humans
  • Male
  • Nasal Obstruction (diagnosis, prevention & control)
  • Palatal Expansion Technique
  • Prospective Studies
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Treatment Outcome

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