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Invited Commentary
Sept/Oct 2015

Comparing Methods for Repair of the External Valve: One More Step Toward a Unified View of Lateral Wall Insufficiency

Author Affiliations
  • 1Division of Facial Plastic & Reconstructive Surgery, Stanford University School of Medicine, Stanford, California

Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Facial Plast Surg. 2015;17(5):345-346. doi:10.1001/jamafacial.2015.0790

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.