Department of Otolaryngology, Bayrampasa State Hospital, Atakoy 4. Kisim O119 D:6, Bakirkoy, Istanbul, Turkey.
Eur Arch Otorhinolaryngol. 2013 Feb;270(2):609-13. doi: 10.1007/s00405-012-2102-8. Epub 2012 Jul 10.
Septorhinoplasty aims to improve not only the esthetic appearance but also breathing function of the nose. Although the esthetic improvement can be judged by the patient and the surgeon easily, evaluation of nasal breathing is more complicated. Besides the subjective symptom scores given by the patient, some objective methods have been developed. One of the most widely used of these objective methods is acoustic rhinometry, which gives valuable information about the cross-sectional areas and volumes of the nasal airway as a function of distance from the nostril. Since the introduction of acoustic rhinometry, many papers were reported regarding its efficiency with some conflicting conclusions. Septorhinoplasty has the potential to narrow the nasal airway, especially if it includes lateral osteotomies and hump reduction. We aimed to evaluate the role of rhinoplasty on nasal obstruction with the help of subjective symptom scores and acoustic rhinometry. The study consisted of 26 patients who underwent septorhinoplasty. Before and after surgery, the symptom scores and findings of acoustic rhinometry were collected both before and after decongestion of the nasal mucosa. Symptom scores decreased on both sides, which were statistically significant (p < 0.05), however, the changes in cross-sectional areas of the nasal airway were not statistically significant (p > 0.05). The correlation between the symptom scores and acoustic rhinometry findings was not significant for all levels. The effect of septorhinoplasty on nasal airway and some important maneuvers to protect against nasal obstruction are discussed.
鼻整形术的目的不仅在于改善鼻部的美观外观，还在于改善呼吸功能。虽然患者和外科医生可以轻松判断美容改善，但评估鼻呼吸更为复杂。除了患者给出的主观症状评分外，还开发了一些客观方法。这些客观方法中最广泛使用的方法之一是鼻声反射测量术，它可以提供有关鼻腔气道的横截面积和体积随距离鼻孔变化的有价值信息。自鼻声反射测量术问世以来，已有许多论文报道了其有效性，但结论存在一些冲突。鼻整形术有可能使鼻腔气道变窄，尤其是如果它包括外侧骨切开术和驼峰减少术。我们旨在通过主观症状评分和鼻声反射测量术评估鼻整形术对鼻塞的作用。该研究包括 26 名接受鼻整形术的患者。在手术前后，在鼻黏膜充血消退前后收集了症状评分和鼻声反射测量术的结果。两侧的症状评分均降低，具有统计学意义（p < 0.05），但是鼻腔气道的横截面积变化没有统计学意义（p > 0.05）。对于所有水平，症状评分和鼻声反射测量术结果之间的相关性均不显著。讨论了鼻整形术对鼻腔气道的影响以及一些防止鼻塞的重要措施。
