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Research Letter |

Creation of an Electronic Data Repository for Patients With Nasal Obstruction Undergoing Functional Rhinoplasty

Kate Horstkotte, BA1; Michelle Brooks, MS, RD2; Robin W. Lindsay, MD1
[+] Author Affiliations
1Division of Facial Plastic and Reconstructive Surgery, Massachusetts Eye and Ear Infirmary, Boston
2Partners Research Information Services and Computing, Massachusetts General Hospital, Boston
JAMA Facial Plast Surg. 2016;18(1):73-75. doi:10.1001/jamafacial.2015.1589.
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The data collection tool described herein contains a standardized nasal examination, operative details, and patient-reported outcomes measures for patients with nasal obstruction.

Outcomes research for patients with nasal obstruction has been hampered by infrequent objective and quantitative evaluation of nasal function.1 The Nasal Obstruction Symptom Evaluation (NOSE) questionnaire, a validated patient-reported outcomes measure (PROM), allows for prospective evaluation of patients with nasal obstruction.25 However, in practice, PROMs are underused in the field of nasal valve dysfunction, and surgical treatments are still supported only by level 4 evidence.6

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Figure.
Nasal Anatomical Worksheet

Nasal valve function is documented in the nasal anatomical worksheet. This sample worksheet documents a patient with mild turbinate hypertrophy, severe left superior and inferior septal deviation, left internal and external nasal valve narrowing, and external nasal valve collapse. Improvement in symptoms was noted with both Cottle and Q-tip maneuvers. This standardized examination permits clinicians to prospectively and efficiently document a complete, scaled, functional nasal examination.

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