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In the current issue, Barham and colleagues1 present data comparing 2 techniques for repair of external valve dysfunction (EVD). These data represent the latest in a line of new studies designed to examine treatments for EVD using various quality-of-life (QOL) instruments, objective measurements of the nasal airway, physician-derived measurements, or some combination thereof.2 In particular, this study is the latest to include the Nasal Obstruction Symptom Evaluation (NOSE) questionnaire as part of its analysis of patient-reported outcomes.3 Over the past 10 years, the NOSE scale has been a mainstay of many studies of functional rhinoplasty maneuvers.2-5 Barham and colleagues are correct that correlation between objection measures of the nasal airway, clinician findings, and patient-reported findings often do not correlate, as pointed out nicely by Lam et al.6 To that end, they note similar findings in the current study.
Most SP. Comparing Methods for Repair of the External Valve: One More Step Toward a Unified View of Lateral Wall Insufficiency. JAMA Facial Plast Surg. 2015;17(5):345–346. doi:10.1001/jamafacial.2015.0790
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