Mengi Erdem, Cukurova Ibrahim, Yalçın Yusuf, Yiğitbaşı Orhan Gazi, Karaman Yücel
İzmir Tepecik Eğitim ve Araştırma Hastanesi, İzmir, Türkiye.
Kulak Burun Bogaz Ihtis Derg. 2011 Jul-Aug;21(4):184-91. doi: 10.5606/kbbihtisas.2011.024.
In this study we aimed to evaluate the quality of life during, before and after septoplasty in patients who were diagnosed with nasal septal deviation and also to demonstrate the role and importance of acoustic rhinometry and rhinomanometry methods in objectively demonstrating surgical success.
This study was carried out in 44 patients undergoing septoplasty surgery. Patients' preoperative complaints were evaluated by Nasal Obstruction Symptom Evaluation (NOSE) scale. The pre- and post-decongestion acoustic rhinometry and rhinomanometry data of the patients were recorded simultaneously. One month after Cottle's septoplasty performed as the septal surgery method, patients were re-evaluated by NOSE scale, acoustic rhinometry and rhinomanometry and the findings were compared with the preoperative data.
Compared to the patients' preoperative values, a significant decrease in NOSE scores (p<0.05); a significant increase in the minimal cross-sectional area (MCA1, MCA2) and volume values measured by acoustic rhinometry (p<0.05) and a significant decrease in the nasal resistance values measured by rhinomanometry (p<0.05) were observed. No significant relationship was found between the change in patients' pre- and postoperative NOSE score values and the change in their acoustic rhinometry and rhinomanometry data (p>005).
Nowadays, evidence-based medical practices are increasingly gaining importance and acoustic rhinometry and rhinomanometry are methods that can be used in objective evaluation of operation success.
在本研究中，我们旨在评估鼻中隔偏曲患者鼻中隔成形术期间、术前和术后的生活质量，并证明鼻声反射和鼻阻力测量方法在客观证明手术成功方面的作用和重要性。
本研究对44例行鼻中隔成形术的患者进行。采用鼻塞症状评估（NOSE）量表评估患者术前的症状。同时记录患者在使用减充血剂前后的鼻声反射和鼻阻力测量数据。采用Cottle鼻中隔成形术作为鼻中隔手术方法，术后1个月，通过NOSE量表、鼻声反射和鼻阻力测量对患者进行重新评估，并将结果与术前数据进行比较。
与患者术前值相比，NOSE评分显著降低（p<0.05）；鼻声反射测量的最小横截面积（MCA1、MCA2）和容积值显著增加（p<0.05），鼻阻力测量的鼻阻力值显著降低（p<0.05）。患者术前和术后NOSE评分值的变化与鼻声反射和鼻阻力测量数据的变化之间未发现显著相关性（p>0.05）。
如今，循证医学实践越来越重要，鼻声反射和鼻阻力测量是可用于客观评估手术成功与否的方法。
