Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Leuven, Belgium.
Int Forum Allergy Rhinol. 2011 May-Jun;1(3):167-72. doi: 10.1002/alr.20023. Epub 2011 Apr 28.
We surveyed the subjective outcome of secondary rhinoplasty in cleft lip patients.
Questionnaires were sent to 38 patients who had undergone a secondary rhinoplasty. A total of 30 questionnaires were returned and analyzed. Patients were asked to score their preoperative and postoperative nasal function and form. The validated Rhinoplasty Outcome Evaluation (ROE) questionnaire was supplemented with questions on the subjective burden of the procedure and general satisfaction. In parallel, the objective aesthetic outcome was judged by 2 surgeons using preoperative and postoperative photographs.
There was a significant subjective improvement in ROE scores (from 39.3 ± 3.1 to 73.1 ± 2.0, p < 0.001), and in specific scores for nasal aesthetical appearance (from 3.6 ± 0.3 to 7.9 ± 0.2, p < 0.0001) and breathing capacity (from 4.9 ± 0.4 to 6.8 ± 0.3, p < 0.01). Subjective improvement in nasal aesthetics was generally evaluated to be better than improvement in nasal breathing. In retrospect, all patients would undergo the procedure again. Patient satisfaction did not correlate with the surgeon's appreciation of the aesthetic outcome of the rhinoplasty.
Patient satisfaction after secondary rhinoplasty in cleft lip patients is high and comparable to that of non-cleft lip rhinoplasty patients.
我们调查了唇裂患者二次鼻整形术的主观结果。
我们向 38 名接受过二次鼻整形术的患者发送了问卷。共收回 30 份问卷并进行了分析。患者被要求对术前和术后的鼻部功能和形态进行评分。我们使用经过验证的鼻整形术结果评估（ROE）问卷，并补充了有关手术主观负担和总体满意度的问题。同时，两位外科医生使用术前和术后的照片来判断客观美学结果。
ROE 评分（从 39.3 ± 3.1 分提高到 73.1 ± 2.0 分，p < 0.001）和鼻外观（从 3.6 ± 0.3 分提高到 7.9 ± 0.2 分，p < 0.0001）和呼吸能力（从 4.9 ± 0.4 分提高到 6.8 ± 0.3 分，p < 0.01）的特定评分均有显著的主观改善。患者对鼻美学改善的评价普遍优于对鼻呼吸改善的评价。回顾性分析，所有患者均愿意再次接受该手术。患者满意度与外科医生对鼻整形术美学结果的评价无关。
唇裂患者二次鼻整形术后的患者满意度高，与非唇裂鼻整形患者相似。
