Slupchynskyj Oleh, Gieniusz Marzena
Aesthetic Facial Surgery Center of New York and New Jersey, 44 E 65th St, Ste 1A, New York, NY 10065, USA.
Arch Facial Plast Surg. 2008 Jul-Aug;10(4):232-6. doi: 10.1001/archfaci.10.4.232.
To determine satisfaction, change in self-esteem, and maintenance of ethnic characteristics in African American patients after rhinoplasty. Patients African American male (n = 21) and female (n = 54) patients aged 14 through 58 years (mean, 33.8 years) who underwent rhinoplasty.
Open structure rhinoplasty, using the 3-tiered approach, was performed on all 75 patients. An anonymous questionnaire addressed postoperative patient satisfaction, maintenance of ethnic characteristics, self-esteem, and nasofacial harmony. The rate of complications was determined by medical record review.
On a scale of 1 to 5 (1, no change; 5, complete change), patients reported a significant degree of preservation of ethnic characteristics (mean, 2.3), high self-esteem (mean, 4.3), and very high satisfaction (mean, 4.6) and facial harmony (mean, 4.3) postoperatively (P < .001 for all). The overall complication rate was 2.7%.
In African American patients, 3-tiered open structure rhinoplasty yields high patient satisfaction with a minimal rate of major complications.
确定非裔美国患者隆鼻术后的满意度、自尊的变化以及种族特征的保持情况。
年龄在14至58岁（平均33.8岁）之间接受隆鼻手术的非裔美国男性患者（n = 21）和女性患者（n = 54）。
对所有75例患者采用三层开放式隆鼻术。一份匿名问卷涉及术后患者满意度、种族特征的保持、自尊以及鼻面部协调性。通过病历回顾确定并发症发生率。
在1至5分的量表上（1分表示无变化；5分表示完全改变），患者报告术后种族特征得到显著保留（平均2.3分）、自尊较高（平均4.3分）、满意度非常高（平均4.6分）以及面部协调性良好（平均4.3分）（所有P <.001）。总体并发症发生率为2.7%。
对于非裔美国患者，三层开放式隆鼻术能使患者满意度较高，且主要并发症发生率极低。
