Neumann A, Lehmann N, Stange T, Unkel C, Pearson M D, Gostian T, Jahnke K, Schultz-Coulon H-J
Universitäts-Hals-Nasen-Ohrenklinik Essen.
Laryngorhinootologie. 2007 Oct;86(10):706-13. doi: 10.1055/s-2007-966196.
Regarding the satisfaction of patients efficiency and outcome of surgery on the nasal septum and the turbinates regularly is the topic of controversial discussion and occasionally some health authorities doubt there is an indication for these procedures in general. Subjective and objective evaluation of surgical outcome do not necessarily match in all cases.
A standardized questionnaire was sent to patients having undergone surgery on the nasal septum and the turbinates 33-45 months ago at a university hospital and a non-university hospital. Topics (10 all together) were e. g.: nasal aeration, sense of smell, rhinorrhea, snoring, general condition. Statistic significance of each parameter was verified.
138 questionnaires were reviewed. 82% of the candidates reported better aeration of the nose after surgery. 71% stated to have benefited from the operation. A relevant positive effect on snoring, rhinorrhea, headache and sense of smell could not be proved. The results did no different whether surgery was performed at a university hospital or at a non-university-hospital. Older patients seem to profit more from the procedure than younger ones.
The survey clearly shows, that surgery on the nasal septum with turbinoplasty has a positive effect on the nasal aeration and the general condition. Therefore its performance is well justified when after careful verification of the pre-conditions the indication for surgery is given.
定期探讨鼻中隔和鼻甲手术患者的满意度、手术效率及手术效果是一个存在争议的话题,一些卫生当局偶尔会质疑这些手术总体上是否有指征。手术效果的主观评估和客观评估在所有情况下不一定相符。
向一所大学医院和一所非大学医院33至45个月前接受过鼻中隔和鼻甲手术的患者发送标准化问卷。共有10个主题,例如:鼻腔通气、嗅觉、鼻漏、打鼾、总体状况。对每个参数的统计学意义进行了验证。
共审查了138份问卷。82%的受试者报告术后鼻腔通气改善。71%的受试者表示从手术中获益。未证实对打鼾、鼻漏、头痛和嗅觉有显著的积极影响。手术在大学医院还是非大学医院进行,结果并无差异。老年患者似乎比年轻患者从该手术中获益更多。
该调查清楚地表明,鼻中隔手术加鼻甲成形术对鼻腔通气和总体状况有积极影响。因此,在仔细核实前提条件并给出手术指征后,进行该手术是完全合理的。