{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T05:42:25Z","timestamp":1785822145387,"version":"3.56.0"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T00:00:00Z","timestamp":1493164800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The objective was to assess the reliability of a new standardised scale for evaluating nasal anomalies in order to compare the surgeon's assessment and patient satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Monocentric prospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Settings<\/jats:title><jats:p>First, we validated the reliability of the MiRa scale; then, we compared the surgeon's assessment and patient satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Fifty\u2010two patients underwent septorhinoplasty surgery and gave their written consent before inclusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measurements<\/jats:title><jats:p>Primary outcome measurement was to validate the reliability of the MiRa scale: two observers analysed all records twice. Intra\u2010observer reproducibility and interobserver reproducibility were evaluated using the intraclass correlation coefficient (<jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content>). Secondary outcome measurement was to compare the surgeon's assessment and patient satisfaction: MiRa and <jats:styled-content style=\"fixed-case\">ROE<\/jats:styled-content> (Rhinoplasty Outcome Evaluation) scores were established for each patient prior to and 6 months after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Using the MiRa scale, <jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content> for intra\u2010 and interobserver reproducibility was, respectively, 95.4% and 96%, showing no statistical difference (<jats:italic>P<\/jats:italic>=.70, <jats:italic>P<\/jats:italic>=.45). Good correlation scores were, respectively, 93% and 92%. Mean <jats:styled-content style=\"fixed-case\">ROE<\/jats:styled-content> scores were 7.1\/24 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>=11.3) before and 19.3\/24 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>=17.3) after surgery (<jats:italic>P<\/jats:italic>&lt;.05). We found an increase in MiRa and <jats:styled-content style=\"fixed-case\">ROE<\/jats:styled-content> scores of +19.75% and +51.25% (<jats:italic>P<\/jats:italic>&lt;.05), respectively. The average postoperative <jats:styled-content style=\"fixed-case\">ROE<\/jats:styled-content> score in the primary septorhinoplasty group was 20.4 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>=14.4) and 17.2 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>=23.1) in the secondary septorhinoplasty group (<jats:italic>P<\/jats:italic>&lt;.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>MiRa scale is a reliable, standardised tool to evaluate surgical outcome in septorhinoplasty surgery. It provides an objective and reproducible score. The surgeon's assessment was more critical than patient satisfaction. Patient satisfaction is more difficult to achieve in cases involving a secondary septorhinoplasty.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.12885","type":"journal-article","created":{"date-parts":[[2017,4,5]],"date-time":"2017-04-05T16:42:48Z","timestamp":1491410568000},"page":"1350-1357","source":"Crossref","is-referenced-by-count":17,"title":["The MiRa scale, a new standardised scale for evaluating nasal deformities before and after septorhinoplasty: A prospective study comparing patient satisfaction and the surgeon's assessment"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5939-5372","authenticated-orcid":false,"given":"T.","family":"Radulesco","sequence":"first","affiliation":[{"name":"Department of Oto\u2010Rhino\u2010Laryngology and Head and Neck Surgery Assistance Publique H\u00f4pitaux de Marseille La Conception University Hospital Marseille Cedex France"},{"name":"Aix\u2010Marseille University Marseille Cedex 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Marseille Cedex France"},{"name":"Aix\u2010Marseille University Marseille Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Dessi","sequence":"additional","affiliation":[{"name":"Department of Oto\u2010Rhino\u2010Laryngology and Head and Neck Surgery Assistance Publique H\u00f4pitaux de Marseille La Conception University Hospital Marseille Cedex France"},{"name":"Aix\u2010Marseille University Marseille Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Michel","sequence":"additional","affiliation":[{"name":"Department of Oto\u2010Rhino\u2010Laryngology and Head and Neck Surgery Assistance Publique H\u00f4pitaux de Marseille La Conception University Hospital Marseille Cedex France"},{"name":"Aix\u2010Marseille University Marseille Cedex 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