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Lebret M, Arnol N, Martinot JB, Tamisier R, Deschaux C, Pépin JL, Borel JC. Nasal Obstruction Symptom Evaluation Score to Guide Mask Selection in CPAP-Treated Obstructive Sleep Apnea. Otolaryngol Head Neck Surg 2018; 159:590-592. [PMID: 29865942 DOI: 10.1177/0194599818773993] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Nasal obstruction is frequently reported by patients with sleep apnea and complicates the choice of a nasal or oronasal mask for continuous positive airway pressure (CPAP) therapy. However, the type of interface used for the delivery of CPAP is crucial to ensure tolerance and compliance. The aim of this prospective pilot study was to identify whether the validated Nasal Obstruction Symptom Evaluation (NOSE) score rated at CPAP initiation was associated with the type of mask used after 4 months of treatment. Patients completed the NOSE questionnaire before initiation with automatic CPAP. The mask used (nasal/oronasal) after 4 months was documented. In total, 198 consecutive patients with sleep apnea were included. NOSE score (>50/100) was independently associated with the use of an oronasal mask at 4 months (sensitivity, 34.8%; specificity, 87.5%). The NOSE questionnaire could be a simple decision-making tool to guide the choice of mask during CPAP initiation.
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Affiliation(s)
- Marius Lebret
- 1 HP2, INSERM U1042, Grenoble Alpes University, Grenoble, France.,2 AGIR à dom. Association, Meylan, France
| | - Nathalie Arnol
- 1 HP2, INSERM U1042, Grenoble Alpes University, Grenoble, France.,2 AGIR à dom. Association, Meylan, France
| | | | - Renaud Tamisier
- 1 HP2, INSERM U1042, Grenoble Alpes University, Grenoble, France.,4 Sleep Laboratory, Thorax and Vessels Division, Grenoble Alpes University Hospital, Grenoble, France
| | - Chrystèle Deschaux
- 1 HP2, INSERM U1042, Grenoble Alpes University, Grenoble, France.,2 AGIR à dom. Association, Meylan, France
| | - Jean-Louis Pépin
- 1 HP2, INSERM U1042, Grenoble Alpes University, Grenoble, France.,4 Sleep Laboratory, Thorax and Vessels Division, Grenoble Alpes University Hospital, Grenoble, France
| | - Jean-Christian Borel
- 1 HP2, INSERM U1042, Grenoble Alpes University, Grenoble, France.,2 AGIR à dom. Association, Meylan, France.,4 Sleep Laboratory, Thorax and Vessels Division, Grenoble Alpes University Hospital, Grenoble, France
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Radulesco T, Penicaud M, Santini L, Thomassin JM, Dessi P, Michel J. Outcomes of septorhinoplasty: a new approach comparing functional and aesthetic results. Int J Oral Maxillofac Surg 2017; 47:175-179. [PMID: 28967532 DOI: 10.1016/j.ijom.2017.09.002] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Revised: 07/16/2017] [Accepted: 09/08/2017] [Indexed: 01/09/2023]
Abstract
The aim of this study was to compare objective and subjective functional results of septorhinoplasty with subjective aesthetic results. A prospective study was performed including global and subgroup analyses (primary versus secondary septorhinoplasty). Three instruments were used to evaluate pre- and postoperative results: rhinomanometry for the objective functional analysis, the Nasal Symptom Obstruction Evaluation (NOSE) scale for the subjective functional analysis, and the Rhinoplasty Outcome Evaluation (ROE) scale for the subjective aesthetic analysis. A septorhinoplasty was performed in all cases. Thirty-five patients were included (22 female), of whom 74% underwent primary septorhinoplasty. The correlation between rhinomanometry, NOSE and ROE scores was analysed. Mean resistance of the two nasal cavities was 4.9 (standard deviation (SD) 8.35) sPa/ml before surgery and 0.8 (SD 0.7) sPa/ml after surgery. NOSE and ROE scores were, respectively, 72.5/100 (SD 21.7) and 7.5/24 (SD 11.3) before surgery and 22/100 (SD 20.6) and 18/24 (SD 17.3) after surgery. Patients complaining of postoperative nasal obstruction had a worse aesthetic evaluation. Correction of the functional disease appears to be as important as aesthetic correction. This study comparing functional and aesthetic results after septorhinoplasty could provide a basis for future studies.
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Affiliation(s)
- T Radulesco
- Department of Otorhinolaryngology and Head and Neck Surgery, Assistance Publique Hôpitaux de Marseille, La Conception University Hospital, Marseille, France; Aix-Marseille Univ, Marseille, France.
| | - M Penicaud
- Department of Otorhinolaryngology and Head and Neck Surgery, Assistance Publique Hôpitaux de Marseille, La Conception University Hospital, Marseille, France
| | - L Santini
- Department of Otorhinolaryngology and Head and Neck Surgery, Assistance Publique Hôpitaux de Marseille, La Conception University Hospital, Marseille, France
| | - J-M Thomassin
- Department of Otorhinolaryngology and Head and Neck Surgery, Assistance Publique Hôpitaux de Marseille, La Conception University Hospital, Marseille, France; Aix-Marseille Univ, Marseille, France
| | - P Dessi
- Department of Otorhinolaryngology and Head and Neck Surgery, Assistance Publique Hôpitaux de Marseille, La Conception University Hospital, Marseille, France; Aix-Marseille Univ, Marseille, France
| | - J Michel
- Department of Otorhinolaryngology and Head and Neck Surgery, Assistance Publique Hôpitaux de Marseille, La Conception University Hospital, Marseille, France; Aix-Marseille Univ, Marseille, France
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