Pisera Paweł, Antoszewski Bogusław, Fijałkowska Marta, Kasielska Anna, Iljin Aleksandra
Klinika Chirurgii Plastycznej, Rekonstrukcyjnej i Estetycznej, II Katedry Chirurgii Uniwersytetu Medycznego w Łodzi, Poland.
Otolaryngol Pol. 2012 Jul-Aug;66(4):280-4. doi: 10.1016/j.otpol.2012.05.004. Epub 2012 May 4.
Nose as the most projected face structure focuses the biggest people's attention. Nasal localization causes that even its small deformities are visible and subjected to different opinions. Rhinoplasty is one of the most common procedures in plastic surgery and at the same time one of the most difficult operation in facial surgery. The aim of this research is to analyze the long-term aesthetic results of rhinoplasty in congenital nose deformities in evaluation performed by surgeon and patient.
The study was carried out in the group of 50 patients operated on in the Department of Plastic, Reconstructive and Aesthetic Surgery due to congenital nose deformity. The group consisted of 38 women and 12 men, aged from 27 to 56 years. Long-term aesthetic results' evaluation was performed on the basis of clinical examination done by doctor and questionnaire filled in by patients and surgeon.
Evaluation of long-term results after aesthetic rhinoplasty in patients' opinion qualified the effects as very good in 70%. In surgeon's opinion such a result was obtained in 62% of patients. Satisfactory result of performed operation was marked by 92% of patients while surgeon qualified results as a satisfactory in the group of 88%. Reoperation was considered by 12% of patients and doctor such a necessity reflected in 10%.
Satisfactory results of rhinoplasty in congenital nose deformities are possible to obtain while taking the degree and type of deformity into consideration and choosing proper surgical method. Surgical procedures in congenital nose deformities give good aesthetic results in patients' and as well as surgeon's opinions. Doctor evaluates surgical results in more critical way.
鼻子作为面部最突出的结构，最能吸引人们的注意力。鼻子的位置使其即使有微小畸形也很明显，且会引发不同看法。隆鼻术是整形手术中最常见的手术之一，同时也是面部手术中最困难的手术之一。本研究的目的是分析在先天性鼻畸形患者中，由外科医生和患者进行评估的隆鼻术的长期美学效果。
该研究针对50例因先天性鼻畸形在整形、重建与美容外科接受手术的患者展开。该组包括38名女性和12名男性，年龄在27至56岁之间。长期美学效果的评估基于医生进行的临床检查以及患者和外科医生填写的问卷。
在患者看来，隆鼻术后长期效果评估中，70%的患者认为效果非常好。在外科医生看来，62%的患者取得了这样的效果。92%的患者对手术效果表示满意，而外科医生认为88%的患者效果令人满意。12%的患者考虑再次手术，医生认为有这种必要的占10%。
考虑到畸形的程度和类型并选择合适的手术方法，在先天性鼻畸形患者中有可能获得令人满意的隆鼻效果。先天性鼻畸形的手术在患者和外科医生看来都能取得良好的美学效果。医生对手术结果的评估更为严格。
