{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T17:21:41Z","timestamp":1782321701717,"version":"3.54.5"},"reference-count":23,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T00:00:00Z","timestamp":1742601600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010480","name":"Association of Migraine Disorders","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010480","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Facial pain\/pressure is often non\u2010rhinogenic and migraine\u2010related in etiology. However, this is frequently misdiagnosed as sinusitis, leading to inappropriate antibiotic utilization and unnecessary procedures. We assessed the utility of the 3\u2010Item Identify Migraine (ID Migraine) and the 22\u2010Item Sinonasal Outcomes Test (SNOT\u201022) in differentiating rhinogenic vs. non\u2010rhinogenic facial pain\/pressure (NRFP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients presenting to the rhinology clinic with a complaint of facial pain\/pressure completed the ID Migraine and SNOT\u201022. A diagnosis of CRS or NRFP was given based on imaging criteria. Receiver Operating Characteristics (ROC) were determined to evaluate the ability of the PROMs to identify NRFP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 251 patients enrolled, 114 had CRS and 137 had NRFP. Mean (SD) age was 50 (16), and 69.3% (<jats:italic>n<\/jats:italic>\u2009=\u2009174) were women. The ID Migraine had a positive predictive value of 0.66 (95% CI: 0.57 to 0.74) and a negative predictive value of 0.57 (95% CI: 0.48 to 0.66), with an AUC of 0.64 (95% CI: 0.58 to 0.71). The SNOT\u201022 had an AUC of 0.64 (95% CI: 0.58 to 0.71) using the combined five domain scores, with the function domain score having the highest AUC at 0.60 (95% CI: 0.53 to 0.67).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Existing PROMs have limitations when used to identify NRFP in patients presenting with facial pain\/pressure. A screening questionnaire developed and validated specifically for this purpose would assist clinicians in early diagnosis and appropriate management of these patients. Given the high incidence of NRFP, this measure could significantly improve healthcare efficiency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.32147","type":"journal-article","created":{"date-parts":[[2025,3,23]],"date-time":"2025-03-23T13:04:38Z","timestamp":1742735078000},"page":"2731-2740","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Utility of Existing Patient\u2010Reported Outcome Measures for\u00a0Identifying Non\u2010Rhinogenic Facial Pain"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4200-7174","authenticated-orcid":false,"given":"David W.","family":"Jang","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery &amp; Communication Sciences Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui\u2010Jie","family":"Lee","sequence":"additional","affiliation":[{"name":"Biostatistics, Epidemiology, Research Design Methods Core Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph Abi","family":"Hachem","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery &amp; Communication Sciences Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9612-1696","authenticated-orcid":false,"given":"Bradley J.","family":"Goldstein","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery &amp; Communication Sciences Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David L.","family":"Witsell","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery &amp; Communication Sciences Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Frederick","family":"Godley","sequence":"additional","affiliation":[{"name":"University Otolaryngology  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Neurology Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Coles","sequence":"additional","affiliation":[{"name":"Center for Health Measurement, Department of Population Health Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2006.00688.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.164.16.1769"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21925"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24926"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200104000-00006"},{"issue":"4","key":"e_1_2_7_7_1","first-page":"401","article-title":"Inappropriate Antibiotic Prescription for Respiratory Tract Indications: Most Prominent in Adult Patients","volume":"32","author":"Dekker A. 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