Quality of Life After Endoscopic Skull Base Surgery: Validation and Reliability of the Italian Version of the Sino-Nasal Outcome Test for Neurosurgery (SNOT-NC)

Riva, Giuseppe; Zenga, Francesco; Motatto, Gian Marco; Perna, Giuseppe Di; Castelli, Michela Delli; Tavassoli, Marco; Baldassarre, Bianca Maria; Caria, Matteo; Pecorari, Giancarlo

doi:10.1016/j.wneu.2022.04.005

Cited by 4 publications

(5 citation statements)

References 15 publications

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“…The grade of olfactory loss can be easily and rapidly assessed by a VAS in a subjective manner. On the other hand, some questionnaires that evaluate QoL in patients affected by chronic sinonasal diseases, like SNOT-22 and SNOT for Neurosurgery (SNOT-NC), have been validated into Italian, but fail to effectively capture OD 11 , 23 . Globally, we need a more specific questionnaire to assess olfactory loss in Italian language, which is valid, easy to perform and more informative than VAS.…”

Section: Discussionmentioning

confidence: 99%

Validation and reliability of the Italian version of the Self-reported Mini Olfactory Questionnaire (Self-MOQ)

Riva,

Pecorari,

Motatto

et al. 2024

Acta Otorhinolaryngol Ital

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Objective. Olfactory dysfunction (OD) represents a frequent complaint in general population and especially in patients with chronic sinonasal diseases. The aim of this study was the cross-cultural adaptation and validation of the Self-reported Mini Olfactory Questionnaire (Self-MOQ) into Italian. Methods. One hundred fifty patients affected by chronic sinonasal diseases and reporting hyposmia were enrolled. Other 150 normosmic subjects without inflammatory or neoplastic sinonasal disorders were used as a control group. The Short-form 36 (SF-36) questionnaire was used for clinical validity. Results. Cronbach's alpha coefficient was 0.825. The test-retest reliability was excellent. The good correlation between the Self-MOQ and the Visual Analogue Scale scores (p < 0.05) demonstrated the construct validity of the questionnaire. The Self-MOQ was able to distinguish between subjects with or without OD (p < 0.05). Higher Self-MOQ score was found in case of nasal obstruction and posterior rhinorrhoea (p < 0.05). Self-MOQ showed significant correlation with SF-36 general health, SF-36 role functioning/physical, and SF-36 pain (p < 0.05). Conclusions. The Italian version of the Self-MOQ showed good internal consistency, testretest reliability, construct, and clinical validity.

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Section: Discussionmentioning

confidence: 99%

Validation and reliability of the Italian version of the Self-reported Mini Olfactory Questionnaire (Self-MOQ)

Riva,

Pecorari,

Motatto

et al. 2024

Acta Otorhinolaryngol Ital

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“…Riva et al utilized the Sino-Nasal Outcome Test for Neurosurgery (SNOT-NC) for 300 patients with anterior skull base disease and demonstrated that those undergoing transtuberculum and transplanum approaches had greater olfactory disturbances compared with other approaches such as the transsphenoidal, transclival, or transpterygoid approach. 8 However, the authors did not delineate which specific risk factors are associated with worse olfactory outcomes with the two approaches. Rioja et al used the Barcelona Smell Test 24 (BAST-24) to compare olfactory outcomes 1 year after the transsphenoidal approach versus EEAs such as the transplanum and transtuberculum.…”

Section: Discussionmentioning

confidence: 99%

Self-Reported Olfactory Outcomes in Transplanum and Transtuberculum Approaches

Balogun,

Dharmarajan,

Kanwar

et al. 2023

J Neurol Surg B Skull Base

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Objectives The aim of this study was to determine the clinical characteristics and cephalometric risk factors associated with decreased postoperative olfaction in patients in whom the transplanum and transtuberculum expanded endonasal approach (EEA) was performed. Methods A retrospective cohort of 41 patients treated with the transplanum and transtuberculum EEA was divided into two groups based on the maximum change in the postoperative 22-item Sino-Nasal Outcome Test (SNOT22) olfaction score: prolonged olfactory loss group (n = 5) with a ΔSNOT22 olfaction score of ≥ 4 without a return to baseline and a preserved olfaction group (n = 36) with a ΔSNOT22 olfaction score ≤ 3 with return to baseline on follow-up of at least 3 months. Demographics, operative details, and cephalometric measurements were compared between the two groups. Results There were no differences in terms of the type of surgical approach (transplanum and transtuberculum), resection of turbinates (middle and superior), use of reconstructive flap (nasoseptal flap and reverse flap), or tumor pathology between the two groups. In the prolonged olfactory loss group, there was a smaller angle between the planum and the face of the sella (89.75 ± 9.18 vs. 107.17 ± 16.57 degrees, p = 0.05) and a smaller angle between the anterior nasal spine and the sphenoid sinus face (21.20 ± 2.49 vs. 25.89 ± 4.90 degrees, p = 0.047) compared with the preserved olfaction group. Conclusions Patients with a narrow angle between the planum and the face of the sella or that between the anterior nasal spine and the sphenoid sinus face are at a higher risk of prolonged olfactory dysfunction with the transplanum and transtuberculum approaches. Level of Evidence IV.

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“…As EEA continues to be utilized for complex tumors, assessment of outcomes should include both oncologic and quality of life (QOL) assessments. Many centers have begun to report long-term patient morbidity and evaluation or development of validated QOL instruments for a variety of tumors undergoing EEA [ 20 , 21 , 22 , 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Mayo Clinic Clival Chordoma Case Series: Impact of Endoscopic Training on Clinical Care

Hong

Laack

Mahajan

et al. 2022

Cancers

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The management of clival chordoma in our group shifted around 2013 to mostly endoscopic, and proton beam was introduced for our multidisciplinary team. Consecutive patients who had surgical resection from 1987 to 2021 were reviewed. A total of 58 patients (39 patients after 2013) were analyzed. The mean tumor size was 3.7 cm, and the most common location was the upper clivus (43%). Compared to before 2013, after 2013, the endoscopic endonasal approach was more common (90%, p < 0.001), and more gross or near total resections (64%, p = 0.002) were attained. Ten cases (17%) were revision surgeries referred from elsewhere, and three cases (5%) underwent additional surgery elsewhere before adjuvant radiation. The postoperative cerebrospinal fluid leak occurred in 7%. Post-operative new cranial nerve deficits occurred in 32% before 2013, compared to 2.6% after 2013 (p = 0.004). For cases before 2013, 10 patients (53%) recurred during the median follow-up of 144 months (mean, 142 months), whereas for cases after 2013, seven patients (18%) recurred with a median follow-up of 35 months (mean, 42 months). 5-year progression-free survival was 58%, and 5-year overall survival was 87%. A specialized multidisciplinary team improved the resection rate compared to a historical cohort with an excellent morbidity profile.

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Quality of Life After Endoscopic Skull Base Surgery: Validation and Reliability of the Italian Version of the Sino-Nasal Outcome Test for Neurosurgery (SNOT-NC)

Cited by 4 publications

References 15 publications

Validation and reliability of the Italian version of the Self-reported Mini Olfactory Questionnaire (Self-MOQ)

Validation and reliability of the Italian version of the Self-reported Mini Olfactory Questionnaire (Self-MOQ)

Self-Reported Olfactory Outcomes in Transplanum and Transtuberculum Approaches

Mayo Clinic Clival Chordoma Case Series: Impact of Endoscopic Training on Clinical Care

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