Comparison of SNOT‐25 and ENS6Q in evaluating patients with empty nose syndrome

Abstract Objectives Patients with empty nose syndrome (ENS) experience paradoxical nasal obstruction and various psychological burdens. This study aimed to compare ENS‐specific questionnaires of sino‐nasal outcome test‐25 (SNOT‐25) and empty nose syndrome 6‐item questionnaire (ENS6Q) in the peri‐ope...

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Main Authors: Chien‐Chia Huang, Pei‐Wen Wu, Cheng‐Chi Lee, Chi‐Che Huang, Chia‐Hsiang Fu, Po‐Hung Chang, Ta‐Jen Lee
Format: Article
Language:English
Published: Wiley 2022-04-01
Series:Laryngoscope Investigative Otolaryngology
Subjects:
Online Access:https://doi.org/10.1002/lio2.767
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author Chien‐Chia Huang
Pei‐Wen Wu
Cheng‐Chi Lee
Chi‐Che Huang
Chia‐Hsiang Fu
Po‐Hung Chang
Ta‐Jen Lee
author_facet Chien‐Chia Huang
Pei‐Wen Wu
Cheng‐Chi Lee
Chi‐Che Huang
Chia‐Hsiang Fu
Po‐Hung Chang
Ta‐Jen Lee
author_sort Chien‐Chia Huang
collection DOAJ
description Abstract Objectives Patients with empty nose syndrome (ENS) experience paradoxical nasal obstruction and various psychological burdens. This study aimed to compare ENS‐specific questionnaires of sino‐nasal outcome test‐25 (SNOT‐25) and empty nose syndrome 6‐item questionnaire (ENS6Q) in the peri‐operative evaluation of ENS. Methods This was a prospective case series study. Patients with ENS were recruited and evaluated with the SNOT‐25, ENS6Q, beck depression inventory‐II (BDI‐II), and beck anxiety inventory (BAI) before and 6 months after nasal reconstruction surgery. Results Seventy‐four ENS patients were enrolled during the study period. All four evaluations revealed significant improvements after surgery. Pre‐operative SNOT‐25 scores exhibited a significant correlation with pre‐operative ENS6Q (r = 0.682), BDI‐II (r = 0.485), and BAI scores (r = 0.608) (p < 0.001), as well as a weak correlation with post‐operative SNOT‐25 (r = 0.336), BDI‐II (r = 0.266), and BAI scores (r = 0.235) (p < 0.05). Additionally, pre‐operative ENS6Q scores were significantly correlated with pre‐operative BDI‐II (r = 0.434), BAI (r = 0.521) (p < 0.001), and post‐operative ENS6Q scores (r = 0.262, p < 0.05). However, there was no correlation between pre‐operative ENS6Q scores and post‐operative BDI‐II and BAI scores. Conclusions Both SNOT‐25 and ENS6Q were helpful in evaluating peri‐operative symptoms for patients with ENS. Although the ENS6Q score had a good correlation with the BDI‐II and BAI scores preoperatively, it was not associated with post‐operative BDI‐II and BAI scores. Hence, a simultaneous psychological assessment is necessary when evaluating patients using the ENS6Q. Level of Evidence: 2c
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spelling doaj.art-3dd39506c23d44f199c8cfbec5849ac22022-12-22T01:52:08ZengWileyLaryngoscope Investigative Otolaryngology2378-80382022-04-017234234810.1002/lio2.767Comparison of SNOT‐25 and ENS6Q in evaluating patients with empty nose syndromeChien‐Chia Huang0Pei‐Wen Wu1Cheng‐Chi Lee2Chi‐Che Huang3Chia‐Hsiang Fu4Po‐Hung Chang5Ta‐Jen Lee6Division of Rhinology, Department of Otolaryngology Chang Gung Memorial Hospital Linkou TaiwanDivision of Rhinology, Department of Otolaryngology Chang Gung Memorial Hospital Linkou TaiwanSchool of Medicine, Chang Gung University Taoyuan TaiwanDivision of Rhinology, Department of Otolaryngology Chang Gung Memorial Hospital Linkou TaiwanDivision of Rhinology, Department of Otolaryngology Chang Gung Memorial Hospital Linkou TaiwanDivision of Rhinology, Department of Otolaryngology Chang Gung Memorial Hospital Linkou TaiwanDivision of Rhinology, Department of Otolaryngology Chang Gung Memorial Hospital Linkou TaiwanAbstract Objectives Patients with empty nose syndrome (ENS) experience paradoxical nasal obstruction and various psychological burdens. This study aimed to compare ENS‐specific questionnaires of sino‐nasal outcome test‐25 (SNOT‐25) and empty nose syndrome 6‐item questionnaire (ENS6Q) in the peri‐operative evaluation of ENS. Methods This was a prospective case series study. Patients with ENS were recruited and evaluated with the SNOT‐25, ENS6Q, beck depression inventory‐II (BDI‐II), and beck anxiety inventory (BAI) before and 6 months after nasal reconstruction surgery. Results Seventy‐four ENS patients were enrolled during the study period. All four evaluations revealed significant improvements after surgery. Pre‐operative SNOT‐25 scores exhibited a significant correlation with pre‐operative ENS6Q (r = 0.682), BDI‐II (r = 0.485), and BAI scores (r = 0.608) (p < 0.001), as well as a weak correlation with post‐operative SNOT‐25 (r = 0.336), BDI‐II (r = 0.266), and BAI scores (r = 0.235) (p < 0.05). Additionally, pre‐operative ENS6Q scores were significantly correlated with pre‐operative BDI‐II (r = 0.434), BAI (r = 0.521) (p < 0.001), and post‐operative ENS6Q scores (r = 0.262, p < 0.05). However, there was no correlation between pre‐operative ENS6Q scores and post‐operative BDI‐II and BAI scores. Conclusions Both SNOT‐25 and ENS6Q were helpful in evaluating peri‐operative symptoms for patients with ENS. Although the ENS6Q score had a good correlation with the BDI‐II and BAI scores preoperatively, it was not associated with post‐operative BDI‐II and BAI scores. Hence, a simultaneous psychological assessment is necessary when evaluating patients using the ENS6Q. Level of Evidence: 2chttps://doi.org/10.1002/lio2.767Beck anxiety inventoryBeck depression inventory IIempty nose syndromeempty nose syndrome 6‐item questionnaireSino‐nasal outcome test‐25
spellingShingle Chien‐Chia Huang
Pei‐Wen Wu
Cheng‐Chi Lee
Chi‐Che Huang
Chia‐Hsiang Fu
Po‐Hung Chang
Ta‐Jen Lee
Comparison of SNOT‐25 and ENS6Q in evaluating patients with empty nose syndrome
Laryngoscope Investigative Otolaryngology
Beck anxiety inventory
Beck depression inventory II
empty nose syndrome
empty nose syndrome 6‐item questionnaire
Sino‐nasal outcome test‐25
title Comparison of SNOT‐25 and ENS6Q in evaluating patients with empty nose syndrome
title_full Comparison of SNOT‐25 and ENS6Q in evaluating patients with empty nose syndrome
title_fullStr Comparison of SNOT‐25 and ENS6Q in evaluating patients with empty nose syndrome
title_full_unstemmed Comparison of SNOT‐25 and ENS6Q in evaluating patients with empty nose syndrome
title_short Comparison of SNOT‐25 and ENS6Q in evaluating patients with empty nose syndrome
title_sort comparison of snot 25 and ens6q in evaluating patients with empty nose syndrome
topic Beck anxiety inventory
Beck depression inventory II
empty nose syndrome
empty nose syndrome 6‐item questionnaire
Sino‐nasal outcome test‐25
url https://doi.org/10.1002/lio2.767
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