Common Cold Centre, Cardiff University, Cardiff, UK.
Clin Otolaryngol. 2011 Apr;36(2):106-13. doi: 10.1111/j.1749-4486.2011.02279.x.
Nasal septal surgery is a common procedure, but there are concerns that the benefits of this surgery are mainly cosmetic.
The primary aim is to identify any functional benefits of septal surgery and provide any evidence of a change in patency of the nasal airway, as assessed by objective methods such as rhinomanometry, acoustic rhinometry and peak nasal inspiratory flow.
Systematic review.
A systematic search of the available literature was performed, using Pubmed, Medline (1950-November 2010), Embase (1947-November 2010) and the Cochrane Controlled Trials Register. Papers written in English that objectively compared pre- and post-surgical treatment of nasal obstruction in adults because of septal deviation were reviewed. Objective measurements of rhinomanometry, acoustic rhinometry and nasal peak inspiratory flow were specified within the search. Searches were restricted to surgery on the nasal septum, which included septoplasty, submucous resection and septal (deviation) corrective surgery.
Seven studies (460 participants) involving rhinomanometry, six studies (182 participants) with acoustic rhinometry and one study (22 participants) using nasal peak inspiratory flow were included in the review. All the studies reported an objective improvement in nasal patency after septal surgery. Mean unilateral nasal resistance (data from six studies) decreased from preoperative 1.19 Pa/cm(3) /s to postoperative 0.39 Pa/cm(3) /s, mean minimum cross-sectional area (data from five studies) increased from preoperative 0.45 cm(2) to postoperative 0.61 cm(2) , median peak nasal inspiratory flow (data from one study) increased by 35 L/min after surgery.
There is sufficient evidence in the literature to conclude that septal surgery improves objective measures of nasal patency and that improved nasal airflow may have beneficial effects for the patient.
鼻中隔手术是一种常见的手术，但人们担心这种手术的好处主要是美容方面的。
主要目的是确定鼻中隔手术的任何功能益处，并提供任何证据表明鼻中隔气道的通畅性发生变化，通过鼻阻力测量、鼻声反射测量和鼻峰吸气流速等客观方法进行评估。
系统评价。
系统检索了可用的文献，使用 Pubmed、Medline（1950 年-2010 年 11 月）、Embase（1947 年-2010 年 11 月）和 Cochrane 对照试验注册库。评估了用英语撰写的、客观比较鼻中隔偏曲成年患者术前和术后鼻塞治疗的论文。在检索中规定了鼻阻力测量、鼻声反射测量和鼻峰吸气流速的客观测量。搜索仅限于鼻中隔手术，包括鼻中隔成形术、黏膜下切除术和鼻中隔（偏曲）矫正术。
共纳入 7 项涉及鼻阻力测量的研究（460 例患者）、6 项涉及鼻声反射测量的研究（182 例患者）和 1 项涉及鼻峰吸气流速的研究（22 例患者）。所有研究均报告鼻中隔手术后鼻腔通畅性得到客观改善。单侧鼻腔阻力（6 项研究的数据）从术前 1.19 Pa/cm(3) /s 降至术后 0.39 Pa/cm(3) /s，最小横截面积（5 项研究的数据）从术前 0.45 cm(2) 增加至术后 0.61 cm(2)，中值鼻峰吸气流速（1 项研究的数据）术后增加 35 L/min。
文献中有足够的证据表明鼻中隔手术可改善鼻腔通畅性的客观测量，并且改善的鼻气流可能对患者有益。
