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Normative Values of the Nasal Obstruction Symptom Evaluation Scale
Karthik Shastri1, Yue Gao2, Seth J Davis3
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
The Nasal Obstruction Symptom Evaluation (NOSE) scale provides normative values for nasal airway obstruction (NAO) in the U.S. general population. Age influences scores, but gender, race, and location do not significantly impact results.
Area of Science:
- Otolaryngology
- Rhinology
- Medical device evaluation
Background:
- The Nasal Obstruction Symptom Evaluation (NOSE) scale is a standard clinical tool for assessing nasal airway obstruction (NAO).
- Establishing normative data is crucial for accurate interpretation of NOSE scale scores in diverse populations.
Purpose of the Study:
- To establish normative values for the NOSE scale in a general U.S. population.
- To investigate the influence of demographics and symptomatology on NOSE scores.
Main Methods:
- A survey assessing NAO symptoms was administered to 2333 adults aged 18 years and older.
- NOSE scale score distributions were analyzed.
- The impact of age, gender, race, location, and symptoms on scores was evaluated.
Main Results:
- Mean NOSE scores were 11 (SD 11) for asymptomatic and 28 (SD 22) for symptomatic individuals (p < 0.0001).
- Age showed a non-linear association with scores, increasing until age 45 and then decreasing.
- No significant differences in scores were observed based on gender, race, or geographic location.
Conclusions:
- Normative ranges for the NOSE scale have been established and align with existing literature.
- NOSE scale interpretation should consider age, as other demographic factors do not significantly influence scores.
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