The relationship between the Ottawa Valve Collapse Scale (OVCS) and clinical outcomes in septoplasty patients

Abstract The Ottawa Valve Collapse scale (OVCS) was developed to classify the severity of nasal valve collapse (NVC) in patients with nasal obstruction. The goal of this study was to determine, in patients who have nasal obstruction due to a septal deviation, whether those with a higher OVCS grade w...

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Main Authors: Phillip Staibano, James P. Bonaparte
Format: Article
Language:English
Published: SAGE Publishing 2020-03-01
Series:Journal of Otolaryngology - Head and Neck Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40463-020-00407-8
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author Phillip Staibano
James P. Bonaparte
author_facet Phillip Staibano
James P. Bonaparte
author_sort Phillip Staibano
collection DOAJ
description Abstract The Ottawa Valve Collapse scale (OVCS) was developed to classify the severity of nasal valve collapse (NVC) in patients with nasal obstruction. The goal of this study was to determine, in patients who have nasal obstruction due to a septal deviation, whether those with a higher OVCS grade will have a reduced improvement in patient-centered clinical outcomes at one-year following septoplasty with inferior turbinate diathermy compared to those with a normal or lower OVCS grade. This study was a prospective study of 78 patients who completed an assessment using the NOSE questionnaire before and at one-year following the surgical intervention. A repeated-measures ANOVA was used to asses for differences in scores between OVCS groups. There was a significant improvement in NOSE scores one year post-septoplasty (p < 0.01). There was no difference in NOSE score improvement when comparing the grades of the OVCS at one-year (F = 0.09, p = 0.968). Though the OVCS was designed to categorize the severity of NVC preoperatively, there is no evidence that it is helpful in predicting which patients will demonstrate poor results following septoplasty. Future studies are required to further evaluate the OVCS and whether complimentary assessments will improve its clinical utility.
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spelling doaj-art-c7089583cc4a41cdabd3d7e7a26104a92025-02-03T00:22:57ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162020-03-014911410.1186/s40463-020-00407-8The relationship between the Ottawa Valve Collapse Scale (OVCS) and clinical outcomes in septoplasty patientsPhillip Staibano0James P. Bonaparte1Faculty of Medicine, University of OttawaDepartment of Otolaryngology—Head & Neck Surgery, University of OttawaAbstract The Ottawa Valve Collapse scale (OVCS) was developed to classify the severity of nasal valve collapse (NVC) in patients with nasal obstruction. The goal of this study was to determine, in patients who have nasal obstruction due to a septal deviation, whether those with a higher OVCS grade will have a reduced improvement in patient-centered clinical outcomes at one-year following septoplasty with inferior turbinate diathermy compared to those with a normal or lower OVCS grade. This study was a prospective study of 78 patients who completed an assessment using the NOSE questionnaire before and at one-year following the surgical intervention. A repeated-measures ANOVA was used to asses for differences in scores between OVCS groups. There was a significant improvement in NOSE scores one year post-septoplasty (p < 0.01). There was no difference in NOSE score improvement when comparing the grades of the OVCS at one-year (F = 0.09, p = 0.968). Though the OVCS was designed to categorize the severity of NVC preoperatively, there is no evidence that it is helpful in predicting which patients will demonstrate poor results following septoplasty. Future studies are required to further evaluate the OVCS and whether complimentary assessments will improve its clinical utility.http://link.springer.com/article/10.1186/s40463-020-00407-8Ottawa valve collapse scale (OVCS)Nasal obstructionNasal valveSeptoplastyPatient outcomes
spellingShingle Phillip Staibano
James P. Bonaparte
The relationship between the Ottawa Valve Collapse Scale (OVCS) and clinical outcomes in septoplasty patients
Journal of Otolaryngology - Head and Neck Surgery
Ottawa valve collapse scale (OVCS)
Nasal obstruction
Nasal valve
Septoplasty
Patient outcomes
title The relationship between the Ottawa Valve Collapse Scale (OVCS) and clinical outcomes in septoplasty patients
title_full The relationship between the Ottawa Valve Collapse Scale (OVCS) and clinical outcomes in septoplasty patients
title_fullStr The relationship between the Ottawa Valve Collapse Scale (OVCS) and clinical outcomes in septoplasty patients
title_full_unstemmed The relationship between the Ottawa Valve Collapse Scale (OVCS) and clinical outcomes in septoplasty patients
title_short The relationship between the Ottawa Valve Collapse Scale (OVCS) and clinical outcomes in septoplasty patients
title_sort relationship between the ottawa valve collapse scale ovcs and clinical outcomes in septoplasty patients
topic Ottawa valve collapse scale (OVCS)
Nasal obstruction
Nasal valve
Septoplasty
Patient outcomes
url http://link.springer.com/article/10.1186/s40463-020-00407-8
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