6
Management
Table 4. Cosmetic Assessments
FACE-Q Rhinoplasty
Instrument
Initially 40 questions for patients undergoing facial aesthetic
surgery to assess satisfaction with facial appearance, social
function, psychological well-being, and satisfaction with
the nose with subsequent refinement to 25 questions for
rhinoplasty surgery.
Glasgow Benefit
Inventory (GBI)
18 questions measuring the general perception of well-being
and psychological, social, and physical well-being. Originally
developed for multiple surgeries of the head and face including
rhinoplasty with subsequent validation studies on rhinoplasty
alone.
Rhinoplasty Outcome
Evaluation (ROE)
6 questions examining three major domains: appearance,
functional outcome, and social acceptance following
rhinoplasty.
Table 5. Functional Assessments
Nasal Obstruction
and Septoplasty
Effectiveness Scale
(NOSE)
https://www.entnet.org/
sites/default/files/NOSE-
Instrument.pdf
A 5 question scale developed
specifically to evaluate nasal
obstruction, with frequent
literature citation in septoplasty
and functional rhinoplasty surgery.
Sino-Nasal Outcome
Test (SNOT-22)
www.canvasc.ca/pdf/
SNOT22.pdf
A 22 item questionnaire originally
designed for rhinosinusitis,
adapted to assess nasal patency
in septoplasty, nasal valve, and
functional rhinoplasty surgery.
Table 3. Structures to Assess in Rhinoplasty
Structure Diagnostic Method
Example of an
Abnormality or Problem
Adenoids Nasal endoscopy Adenoidal hypertrophy
Anterior Septum Anterior rhinoscopy, nasal
endoscopy
Caudal septal deviation
Inferior Turbinate Anterior rhinoscopy, nasal
endoscopy
Inferior turbinate hypertrophy
Nasal Septum Anterior rhinoscopy, nasal
endoscopy
Deviated septum
Nasal Valve Cottle maneuver, modified
Cottle maneuver
Nasal valve collapse
Posterior Septum Nasal endoscopy Posterior septal spur
Sinus Ostia Nasal endoscopy Chronic sinusitis, polyps, pus
