Yu Kathy, Kim Alyn, Pearlman Steven J
Department of Otolaryngology/Head and Neck Surgery, Columbia College, New York, NY 10065, USA.
Arch Facial Plast Surg. 2010 Sep-Oct;12(5):291-7. doi: 10.1001/archfacial.2010.62.
To assess the subjective aesthetic and functional concerns of patients seeking revision rhinoplasty and to compare them with objective deformities found on evaluation by the surgeon.
This prospective study used a questionnaire to systematically target the aesthetic and functional concerns of 104 consecutive patients seeking revision rhinoplasty. Analysis of the subjective data revealed the frequency of each concern, which was then compared with objective deformities found on evaluation by the surgeon.
The most common patient and surgeon aesthetic concerns were (1) tip asymmetry, (2) crooked middle third of the nose, and (3) upper third irregularity. A mean of 79% of patient concerns were also reported by the surgeon. Of the 64 patients describing subjective nasal obstruction, 60 (94%) had objective physical findings related to obstruction. The 3 most troublesome patient concerns were (1) tip asymmetry, (2) difficulty breathing or nasal blockage, and (3) crooked middle third of the nose.
Tip asymmetry was the most common deformity noted. Symptomatic nasal obstruction was the second most frequent reason for seeking revision rhinoplasty. Differences in patient and surgeon findings were largely due to differences in assessment skills and should be addressed by thorough explanation of nasal aesthetics.
评估寻求鼻整形修复术患者的主观美学和功能问题，并将其与外科医生评估时发现的客观畸形进行比较。
这项前瞻性研究使用问卷调查，系统地针对104例连续寻求鼻整形修复术患者的美学和功能问题。对主观数据的分析揭示了每个问题的出现频率，然后将其与外科医生评估时发现的客观畸形进行比较。
患者和外科医生最常见的美学问题是：（1）鼻尖不对称，（2）鼻中部弯曲，（3）鼻上部不规则。外科医生也报告了平均79%的患者问题。在描述主观鼻塞的64例患者中，60例（94%）有与鼻塞相关的客观体征。患者最困扰的3个问题是：（1）鼻尖不对称，（2）呼吸困难或鼻塞，（3）鼻中部弯曲。
鼻尖不对称是最常见的畸形。有症状的鼻塞是寻求鼻整形修复术的第二常见原因。患者和外科医生评估结果的差异主要是由于评估技能的差异，应通过全面解释鼻美学来解决。
