Warner Jeremy, Gutowski Karol, Shama Liat, Marcus Benjamin
Division of Plastic Surgery, Department of Surgery, University of Wisconsin, Madison, WI, USA.
Aesthet Surg J. 2009 Jul-Aug;29(4):295-301. doi: 10.1016/j.asj.2009.04.005.
Rhinoplasty is a complex and multifaceted operation. There are great differences in methodologies between practitioners. Examining the preoperative, operative, and postoperative techniques employed by different practitioners will provide rhinoplasty surgeons with benchmarks by which they can evaluate their own practice.
To assess current trends in rhinoplasty surgery.
A comprehensive questionnaire was sent to 7368 members of the following societies: the American Society of Plastic Surgeons (ASPS), the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), and the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). Subgroup statistical analysis was performed.
The overall response rate was 26%. Plastic surgeons accounted for 68% of the response rate and ear, nose, and throat-affiliated physicians accounted for 28%, with a small minority (4%) being members of both groups. Sixty-five percent of respondents have been in practice 11 or more years. Fifty-two percent of respondents are in private practice, 19% are in academic practice, and the rest are in single- or multispecialty practices. The number of rhinoplasties performed per year is spread fairly evenly up to 50 per year; however, only 9% of respondents perform 50 to 100 rhinoplasties per year, and only 5% perform more than 100 rhinoplasties per year. Most prefer the open approach over the closed approach, with 33% performing open only and 42% using both approaches, but primarily open.
There is no uniform consensus regarding general rhinoplasty trends. Subanalysis shows that, overall, there are statistically significant similarities and differences amongst different specialties.
隆鼻手术是一项复杂且多方面的手术。不同从业者的手术方法存在很大差异。研究不同从业者采用的术前、术中及术后技术，将为隆鼻外科医生提供可用于评估自身手术操作的基准。
评估隆鼻手术的当前趋势。
向以下学会的7368名成员发送了一份综合问卷：美国整形外科医师协会（ASPS）、美国耳鼻咽喉 - 头颈外科学会（AAO - HNS）以及美国面部整形与重建外科学会（AAFPRS）。进行了亚组统计分析。
总体回复率为26%。整形外科医生占回复率的68%，耳鼻喉科附属医生占28%，一小部分（4%）是两个学会的成员。65%的受访者已从业11年或更长时间。52%的受访者从事私人执业，19%从事学术执业，其余从事单专科或多专科执业。每年进行的隆鼻手术数量在每年50例以内分布较为均匀；然而，只有9%的受访者每年进行50至100例隆鼻手术，只有5%的受访者每年进行超过100例隆鼻手术。大多数人更喜欢开放式手术而非封闭式手术，33%的人仅进行开放式手术，42%的人同时使用两种方法，但主要是开放式手术。
关于隆鼻手术的总体趋势没有统一的共识。亚分析表明，总体而言，不同专科之间在统计学上存在显著的异同。
