Department of Otorhinolaryngology, Uppsala University Hospital, S-753 19 Uppsala, Sweden.
Rhinology. 2010 Dec;48(4):387-93. doi: 10.4193/Rhino10.072.
To improve results in septal surgery patient selection is the mainstay of a successful outcome. Patient history is the basis as well as clinical examination but both are subjective and must be considered towards a background with a high frequency of septal deviation in the population and a lack of good correlation between function and status. Rhinomanometry and acoustic rhinometry as well as nasal peak inspiratory flow are tests of different nasal parameters as resistance to breathing, nasal dimensions and flow. This article illuminates the use of these more objective tests in selection of patients for septo plasty. Objective tests have in several studies shown to predict postoperative satisfaction while normal values can be a marker for a poor surgical outcome. Pros and cons with objective tests are discussed and the conclusion is: operate when there is a good correlation between the patientA`s status, history and the results of rhinometry!
为了提高鼻中隔手术的效果，患者选择是成功的关键。患者的病史和临床检查都是基础，但两者都是主观的，必须考虑到鼻中隔偏曲在人群中的高发生率以及功能和状态之间缺乏良好相关性的背景。鼻阻力测量、鼻声反射测量和鼻峰吸气流速是对呼吸阻力、鼻腔尺寸和气流等不同鼻腔参数的测试。本文阐述了这些更客观的测试在鼻中隔成形术患者选择中的应用。多项研究表明，客观测试可预测术后满意度，而正常值可作为手术效果不佳的标志。本文讨论了客观测试的优缺点，并得出结论：当患者的状态、病史和鼻阻力测试结果之间存在良好相关性时，即可进行手术！
