Claes G, Claes J, Wuyts F L
ENT Department, Antwerp University Hospital, University of Antwerp, Edegem, Belgium.
B-ENT. 2009;5(4):203-11.
The aim of septo-rhinoplasty and the outcome were evaluated by the patient and the surgeon. The assessment focused on six well-defined characteristics of the nose: profile, width of the osteocartilaginous dorsum, symmetry, nasal tip, nostrils and nasal patency. Patient and surgeon assessments were compared.
Both patient and surgeon opinions were obtained using a self-designed questionnaire covering the aim of the surgery, the most important positive and negative post-operative results, a general rating of the postoperative result and a rating of the pre-operative information given by the surgeon. We compared patient and surgeon views about the late (between 6 and 18 months) post-operative result of septorhinoplasty using Kappa statistics.
Sixty-nine patients were studied; 44 responded. The match between patient and surgeon views was closest in respect of the pre-operative aims and negative post-operative results. Patient and surgeon opinions differed most in terms of why a result was positive: nasal width was a more important issue for patients, and nasal symmetry was more important to the surgeon. Nasal patency and profile were equally important to both. The general rating on a visual analogue scale was a mean of 7.05 out of 10. The quality of the pre-operative information was found to be good by most patients.
Using a self-designed questionnaire for septorhinoplasty, we mainly found significant differences between patient and surgeon opinions in the post-operative evaluation of why results of the surgery are positively appreciated.
由患者和外科医生对鼻中隔鼻成形术的目的及结果进行评估。评估聚焦于鼻子六个明确界定的特征：外形、鼻背骨软骨部宽度、对称性、鼻尖、鼻孔及鼻腔通畅度。比较患者和外科医生的评估结果。
通过一份自行设计的问卷获取患者和外科医生的意见，问卷内容涵盖手术目的、术后最重要的正面和负面结果、对术后结果的总体评分以及对医生术前提供信息的评分。我们使用卡方统计法比较患者和外科医生对鼻中隔鼻成形术术后晚期（6至18个月）结果的看法。
对69例患者进行了研究；44例做出了回应。患者和外科医生在术前目的和术后负面结果方面的看法最为接近。患者和外科医生在手术结果为何为正面这一问题上看法差异最大：鼻腔宽度对患者来说是更重要的问题，而鼻对称性对外科医生来说更重要。鼻腔通畅度和外形对两者同样重要。视觉模拟量表的总体评分平均为10分中的7.05分。大多数患者认为术前信息质量良好。
通过使用自行设计的鼻中隔鼻成形术问卷，我们主要发现患者和外科医生在术后评估手术结果为何得到正面评价时意见存在显著差异。
