Hellings Peter W, Nolst Trenité Gilbert J
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals, Leuven, Belgium.
Laryngoscope. 2007 Jun;117(6):985-9. doi: 10.1097/MLG.0b013e31804f8152.
In cases of dissatisfaction after rhinoplasty for esthetic or functional reasons, or both, revision rhinoplasty may be advocated to improve the patients' nasal performance. In contrast to studies on primary rhinoplasty, no objective outcome evaluation parameter has been validated in revision rhinoplasty, nor has there been a study specifically looking at long-term satisfaction after revision rhinoplasty. We aim at studying patient satisfaction after a long-term follow-up of revision rhinoplasty performed at an academic referral center.
At a mean period of 2.5 years after revision rhinoplasty, 90 patients who underwent a revision rhinoplasty at the Academic Medical Center in Amsterdam, The Netherlands, were sent a questionnaire on general satisfaction together with the validated rhinoplasty outcome evaluation (ROE) questionnaire.
Of the 46 patients who responded to the questionnaire, 88% experienced a significant improvement in nasal performance by revision rhinoplasty, and 79% would choose to undergo the revision procedure again. Subgroup analysis of the ROE scores demonstrated that good satisfaction was mainly obtained in the young adult and middle-aged groups, without major differences between males and females. Satisfaction was unrelated to the open or closed technique used for revision, or to the graft material used. Interestingly, an inverse correlation was found between satisfaction and the number of previous rhinoplasties.
This retrospective study demonstrates that revision rhinoplasty in an academic practice provides most patients with long-standing satisfaction.
在因美学或功能原因或两者兼而有之的鼻整形术后出现不满意的情况下，可提倡进行鼻整形修复手术以改善患者的鼻部状况。与初次鼻整形手术的研究不同，在鼻整形修复手术中尚未有客观的结果评估参数得到验证，也没有专门针对鼻整形修复手术后长期满意度的研究。我们旨在研究在学术转诊中心进行鼻整形修复手术后的长期随访中患者的满意度。
在鼻整形修复手术后平均2.5年时，向在荷兰阿姆斯特丹学术医疗中心接受鼻整形修复手术的90名患者发送了一份关于总体满意度的问卷以及经过验证的鼻整形手术结果评估（ROE）问卷。
在回复问卷的46名患者中，88%的患者通过鼻整形修复手术在鼻部状况上有显著改善，79%的患者会选择再次接受修复手术。ROE评分的亚组分析表明，主要是年轻成年人和中年人群获得了较高的满意度，男性和女性之间没有重大差异。满意度与用于修复的开放式或封闭式技术无关，也与所使用的移植材料无关。有趣的是，发现满意度与之前鼻整形手术的次数呈负相关。
这项回顾性研究表明，在学术机构进行的鼻整形修复手术能让大多数患者获得长期的满意度。
