{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T03:26:06Z","timestamp":1789788366783,"version":"4.0.1"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T00:00:00Z","timestamp":1595289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives\/Hypothesis<\/jats:title>\n                    <jats:p>To explore the natural history of nasal obstruction and cosmesis following rhinoplasty by utilizing the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective chart study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was carried out at a tertiary referral center, preoperative and postoperative Nasal Obstruction Symptom Evaluation (NOSE), SCHNOS\u2010Obstruction (SCHNOS\u2010O), and SCHNOS\u2010Cosmesis (SCHNOS\u2010C) scores in patients who underwent rhinoplasty for functional, cosmetic, or both reasons from June 2017 to May 2019 were reviewed and analyzed. Postoperative intervals were defined as &lt;2\u2009months, 2 to 5\u2009months, 5 to 8\u2009months, 8 to 12\u2009months, and &gt;12\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 302 patients (67% women), with a mean age (standard deviation [SD]) of 35 (13) years, who underwent rhinoplasty for functional (90, 30%), cosmetic (124, 41%), and combined functional and cosmetic (88, 29%) reasons, met inclusion criteria. The mean follow\u2010up period (SD, range) was 5 months (4.2\u2009months, 13\u2009days\u20131.8\u2009years). Compared to the preoperative mean NOSE score, SCHNOS\u2010 O, and SCHNOS\u2010C scores, postoperative mean scores for the functional and combined subgroup were significantly lower (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.05) across all five postoperative intervals. In the cosmetic subgroup, postoperative mean SCHNOS\u2010C scores were significantly lower (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.05) across all postoperative intervals compared to the mean preoperative scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The natural history of the SCHNOS\u2010O and SCHNOS\u2010C score in patients who underwent rhinoplasty demonstrates 1) after functional rhinoplasty, an improvement in nasal breathing symptoms is attained as early as &lt;2\u2009months postoperatively; and 2) after cosmetic rhinoplasty, an improvement in nasal cosmesis is seen as early as &lt;2\u2009months postoperatively. These improvements in nasal breathing and cosmesis are sustained through a follow\u2010up interval\u2009&gt;12\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      4\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 131:E116\u2013E123, 2021\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.28831","type":"journal-article","created":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T14:54:40Z","timestamp":1595343280000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Natural History of the Standardized Cosmesis and Health Nasal Outcomes Survey After Rhinoplasty"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2897-9946","authenticated-orcid":false,"given":"Cherian K.","family":"Kandathil","sequence":"first","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\u2013Head and Neck Surgery Stanford University School of Medicine  Stanford California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikhail","family":"Saltychev","sequence":"additional","affiliation":[{"name":"Department of Physical and Rehabilitation Medicine Turku University Hospital and University of Turku  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5850-2172","authenticated-orcid":false,"given":"Priyesh N.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\u2013Head and Neck Surgery Stanford University School of Medicine  Stanford California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7385-3149","authenticated-orcid":false,"given":"Sam P.","family":"Most","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\u2013Head and Neck Surgery Stanford University School of Medicine  Stanford California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,7,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816683156"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2017.1083"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjz029"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2018.1639"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2018.0626"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005248"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjz070"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005357"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000002153"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2018.1163"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2003.09.016"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.02.007"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1606097"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27578"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2003.12.004"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1262313"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2015.1445"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.3.3.198"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001404"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001159"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-019-01484-5"}],"container-title":["The 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