Research Article

Predictors of Nasal Obstruction: Quantification and Assessment Using Multiple Grading Scales

Table 4

Association of nasal physical exam findings with NO-VAS scores at time of exam.

Percent total
( = number of patients)
NO-VAS score by subgroup
(mean ± SD)
value
(one-way ANOVA)
= statistical significance

External nasal deformityNO-VAS: bilateral
 Grade 1: none88.6% ()20.6 ± 23.9 = 0.0099
 Grade 2: mild0%N/A
 Grade 3: moderate11.4% ()36.3 ± 18.2
 Grade 4: severe0%N/A

Nasal septum deviation
 Grade 1: 0 to 25% deflection60.4% ()No significant difference between groups = 0.0612
 Grade 2: 26–50% deflection 21.4% ()
 Grade 3: 51–75% deflection12.1% ()
 Grade 4: 76–100% deflection6.0% ()

Internal nasal valve angleRightLeftNO-VAS: rightNO-VAS: leftRightLeft
 Grade 1: <5 degrees4.1% ()6.1% ()54.8 ± 29.948.2 ± 34.2 = 0.0023 = 0.0014
 Grade 2: 5 to <10 degrees17.8% ()17.8% ()24.9 ± 20.139.7 ± 24.5
 Grade 3: 10 to <15 degrees43.8% ()45.8% ()23.8 ± 26.125.6 ± 26.1
 Grade 4: 15 or more degrees34.2% ()30.1% ()15.6 ± 23.018.3 ± 27.2

Internal nasal valve collapseRightLeftRightLeftRightLeft
 Grade 1: no collapse86.5% ()86.6% ()No significant difference between groups = 0.6166 = 0.2666
 Grade 2: mild collapse ≤ 33%4.0% ()3.4% ()
 Grade 3: moderate collapse = 34–66%10.0% ()9.4% ()
 Grade 4: severe collapse ≥ 67% 0%0.7% ()

Inferior turbinate sizeRightLeftRightLeftRightLeft
 Grade 1: 0–25% AP nasal airway space26.8% ()22.1% ()No significant difference between groups = 0.1487 = 0.9494
 Grade 2: 26–50% AP nasal airway space24.8% ()22.8% ()
 Grade 3: 51–75% AP nasal airway space30.2% ()40.9% ()
 Grade 4: 76–100% AP nasal airway space18.1% ()14.0% ()