Refereed journal article or data article (A1)

Natural History of the Standardized Cosmesis and Health Nasal Outcomes Survey After Rhinoplasty




List of AuthorsKandathil Cherian K, Saltychev Mikhail, Patel Priyesh N, Most Sam P

PublisherWILEY

Publication year2021

JournalLaryngoscope

Journal name in sourceLARYNGOSCOPE

Journal acronymLARYNGOSCOPE

Volume number131

Issue number1

Start pageE116

End pageE123

Number of pages8

ISSN0023-852X

eISSN1531-4995

DOIhttp://dx.doi.org/10.1002/lary.28831

URLhttps://doi.org/10.1002/lary.28831


Abstract

Objectives/Hypothesis

To explore the natural history of nasal obstruction and cosmesis following rhinoplasty by utilizing the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS).

Study Design

Retrospective chart study.

Methods

This study was carried out at a tertiary referral center, preoperative and postoperative Nasal Obstruction Symptom Evaluation (NOSE), SCHNOS-Obstruction (SCHNOS-O), and SCHNOS-Cosmesis (SCHNOS-C) scores in patients who underwent rhinoplasty for functional, cosmetic, or both reasons from June 2017 to May 2019 were reviewed and analyzed. Postoperative intervals were defined as <2 months, 2 to 5 months, 5 to 8 months, 8 to 12 months, and >12 months.

Results

A total of 302 patients (67% women), with a mean age (standard deviation [SD]) of 35 (13) years, who underwent rhinoplasty for functional (90, 30%), cosmetic (124, 41%), and combined functional and cosmetic (88, 29%) reasons, met inclusion criteria. The mean follow-up period (SD, range) was 5 months (4.2 months, 13 days-1.8 years). Compared to the preoperative mean NOSE score, SCHNOS- O, and SCHNOS-C scores, postoperative mean scores for the functional and combined subgroup were significantly lower (P < .05) across all five postoperative intervals. In the cosmetic subgroup, postoperative mean SCHNOS-C scores were significantly lower (P < .05) across all postoperative intervals compared to the mean preoperative scores.

Conclusions

The natural history of the SCHNOS-O and SCHNOS-C score in patients who underwent rhinoplasty demonstrates 1) after functional rhinoplasty, an improvement in nasal breathing symptoms is attained as early as <2 months postoperatively; and 2) after cosmetic rhinoplasty, an improvement in nasal cosmesis is seen as early as 12 months.

Level of Evidence

4 Laryngoscope, 131:E116-123, 2021


Last updated on 2022-29-09 at 09:55