Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Stanford University School of Medicine, Stanford, California, USA.
Facial Plast Surg Aesthet Med. 2022 Jul-Aug;24(4):305-309. doi: 10.1089/fpsam.2021.0054. Epub 2021 Jun 29.
The Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) is a validated patient-reported outcome measure that evaluates subjective cosmetic and functional complaints. The goal of this study was to compare scores between patients with and without nasal complaints. This is a retrospective review of SCHNOS-O (obstructive) and SCHNOS-C (cosmetic) scores in patients presenting for functional or cosmetic concerns between 2019 and 2020. Receiver operating characteristic curve analysis was used to determine the score that best separated symptomatic from asymptomatic patients. SCHNOS scores were also subdivided to define severity of presenting complaints. In total, 414 patients were included. A SCHNOS-O score of 40 differentiated patients with and without nasal obstruction. Patients may be categorized as having mild (<40), moderate (45-70), and severe (75-100) nasal obstruction based on the SCHNOS-O score. A score of 30 on the SCHNOS-C differentiated patients with and without aesthetic concerns. Patients may be categorized as having mild (<33.3), moderate (33.3-66.6), and severe (>66.6) aesthetic distress based on the SCHNOS-C. An understanding of SCHNOS scores that differentiate symptomatic for asymptomatic patients can aid in the preoperative evaluation of rhinoplasty patients.
标准化美容和健康鼻部结局调查 (SCHNOS) 是一种经过验证的患者报告结局测量工具，用于评估主观美容和功能投诉。本研究的目的是比较有和无症状患者之间的评分。 这是一项对 2019 年至 2020 年因功能或美容问题就诊的患者进行的 SCHNOS-O（阻塞性）和 SCHNOS-C（美容）评分的回顾性研究。使用接收者操作特征曲线分析来确定最佳区分有症状和无症状患者的评分。SCHNOS 评分也进行了细分，以定义当前症状的严重程度。 共有 414 名患者入组。SCHNOS-O 评分为 40 可区分有和无鼻阻塞的患者。根据 SCHNOS-O 评分，患者可能被归类为轻度 (<40)、中度 (45-70) 和重度 (75-100) 鼻阻塞。SCHNOS-C 评分为 30 可区分有和无美学问题的患者。根据 SCHNOS-C，患者可能被归类为轻度 (<33.3)、中度 (33.3-66.6) 和重度 (>66.6) 美学困扰。了解区分有症状和无症状患者的 SCHNOS 评分可以帮助评估鼻整形术患者的术前情况。
