Spataro Emily, Most Sam P
Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94305, USA.
Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94305, USA.
Otolaryngol Clin North Am. 2018 Oct;51(5):883-895. doi: 10.1016/j.otc.2018.05.013. Epub 2018 Jun 22.
Methods of measuring nasal obstruction outcomes include both objective anatomic and physiologic measurements, as well as subjective patient-reported measures. Anatomic measurements include acoustic rhinometry, imaging studies, and clinician-derived examination findings. Physiologic measures include rhinomanometry, nasal peak inspiratory flow, and computational fluid dynamics. Patient-reported outcome measures (PROMs) are self-reported assessments of disease-specific quality-of-life outcomes. Several studies attempted correlation of these outcome measures; however, few show strong correlation. Expert opinion favors determining successful surgical outcomes using PROMs. This review provides a summary of current nasal obstruction outcome measures.
测量鼻阻塞结果的方法包括客观的解剖学和生理学测量,以及患者主观报告的测量方法。解剖学测量包括鼻声反射、影像学研究以及临床医生得出的检查结果。生理学测量包括鼻阻力测量、鼻吸气峰流量和计算流体动力学。患者报告结局测量(PROMs)是对特定疾病生活质量结局的自我报告评估。几项研究试图将这些结局测量方法进行关联;然而,很少有研究显示出强相关性。专家意见倾向于使用PROMs来确定手术是否成功。本综述总结了当前鼻阻塞结局测量方法。