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双侧鼻甲成形术鼻中隔成形术前后患者的鼻腔空气调节

Nasal air conditioning in patients before and after septoplasty with bilateral turbinoplasty.

作者信息

Wiesmiller Kerstin, Keck Tilman, Rettinger Gerhard, Leiacker Richard, Dzida Rene, Lindemann Joerg

机构信息

Department of Otorhinolaryngology, University of Ulm, Ulm, Germany.

出版信息

Laryngoscope. 2006 Jun;116(6):890-4. doi: 10.1097/01.mlg.0000201995.02171.ea.

Abstract

OBJECTIVE

Septoplasty is one of the most frequently performed surgical procedures by ear, nose, and throat surgeons. Yet the objective control of success concerning septal surgery still is very difficult and causes controversy. Data concerning one of the main functions of the nose, namely the heating and humidification of inspired air, before and after nasal surgery, are still missing. Therefore, the aim of this study was to compare intranasal air temperature and humidity values before and after septoplasty with bilateral turbinoplasty.

METHODS

Sixteen patients were included in this prospective study. Intranasal temperature and humidity were measured in the anterior turbinate area close to the head of the middle turbinate. A miniaturized thermocouple and a humidity sensor were applied for continuous intranasal detection.

RESULTS

Significant differences between temperature and humidity values before and after septoplasty could be observed, including absolute temperature, increase in temperature, absolute humidity, and increase in humidity. The postoperative values were significantly higher than the preoperative ones (P < .05).

CONCLUSIONS

According to the results of our study, patients seem to profit from septoplasty as heating and humidification as one of the most important nasal functions are restored and even improved after surgery. We therefore conclude that properly performed septoplasty is able to main its importance within the variety of nasal surgical procedures ensuring improved nasal function as well as patient contentment.

摘要

目的

鼻中隔成形术是耳鼻喉科医生最常开展的外科手术之一。然而,鼻中隔手术成功与否的客观控制仍然非常困难,且存在争议。关于鼻腔手术前后鼻子的主要功能之一,即对吸入空气的加热和加湿的数据仍然缺失。因此,本研究的目的是比较鼻中隔成形术联合双侧鼻甲成形术前和术后的鼻内空气温度和湿度值。

方法

本前瞻性研究纳入了16例患者。在靠近中鼻甲头部的前鼻甲区域测量鼻内温度和湿度。应用微型热电偶和湿度传感器进行鼻内连续检测。

结果

鼻中隔成形术前和术后的温度和湿度值存在显著差异,包括绝对温度、温度升高、绝对湿度和湿度升高。术后值显著高于术前值(P <.05)。

结论

根据我们的研究结果,患者似乎从鼻中隔成形术中获益,因为作为鼻腔最重要功能之一的加热和加湿在手术后得到恢复甚至改善。因此,我们得出结论,正确实施的鼻中隔成形术在各种鼻腔手术中能够保持其重要性,确保改善鼻腔功能以及患者满意度。

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