title: Assessment of nasal obstruction symptoms using the NOSE scale after surgically assisted rapid maxillary expansion.
abstract: The Nasal Obstruction Symptom Evaluation (NOSE) scale is a reliable and valid instrument used widely in otorhinolaryngology to evaluate nasal obstruction symptoms in patients with nasal disorders. The purpose of this study was to assess nasal obstruction symptoms prospectively in patients undergoing surgically assisted rapid maxillary expansion (SARME) using the NOSE scale. Sixteen patients were studied (mean age 31±7.7 years), 10 women and six men, all with a transverse maxillary deficiency and an indication for SARME. Hyrax type devices were placed preoperatively and SARME was performed using Kraut's technique. The NOSE scale was applied prospectively to assess nasal obstruction symptoms. The results were recorded for each score on a scale ranging from 0 to 4, and these scores were multiplied by 5, generating a balanced scale from 0 to 100. Data were stratified according to NOSE scores, and nasal obstruction was categorized as mild (0-25), moderate (26-50), or severe (>50). The questionnaire was administered twice, first preoperatively and then at 6 months after surgery, and the results compared. Data were analyzed statistically using SAS statistical package software and showed that patients experienced a subjective improvement or did not have a worsening of nasal obstruction symptoms after SARME.
authors.affiliation: Dental School of Piracicaba, FOP - UNICAMP, Piracicaba, São Paulo, Brazil.
authors.forename: F
authors.initials: F
authors.lastname: Menegat
authors.affiliation: Dental School of Araraquara, FOAR-UNESP, Araraquara, São Paulo, Brazil. Electronic address: monnazzi@ig.com.br.
authors.forename: M S
authors.initials: MS
authors.lastname: Monnazzi
authors.affiliation: Dental School of Piracicaba, FOP - UNICAMP, Piracicaba, São Paulo, Brazil.
authors.forename: B N
authors.initials: BN
authors.lastname: Silva
authors.affiliation: Dental School of Piracicaba, FOP - UNICAMP, Piracicaba, São Paulo, Brazil.
authors.forename: M
authors.initials: M
authors.lastname: de Moraes
authors.affiliation: Dental School of Araraquara, FOAR-UNESP, Araraquara, São Paulo, Brazil.
authors.forename: M A C
authors.initials: MA
authors.lastname: Gabrielli
authors.affiliation: Dental School of Araraquara, FOAR-UNESP, Araraquara, São Paulo, Brazil.
authors.forename: V A
authors.initials: VA
authors.lastname: Pereira-Filho
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D015508:Nasal Obstruction / Q000175:diagnosis* / Q000517:prevention & control*; D010155:Palatal Expansion Technique; D011446:Prospective Studies; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: maxillary expansion; nasal obstruction; upper airway