Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Republic of Korea.
Otolaryngol Head Neck Surg. 2013 Sep;149(3):500-5. doi: 10.1177/0194599813491223. Epub 2013 May 31.
The objective of this study was to evaluate the outcomes of endonasal microplasty in treating empty nose syndrome by comparing the use of costal and conchal cartilage implants to construct neoturbinates.
Case series with chart review.
Tertiary referral center.
A total of 31 patients who were diagnosed with empty nose syndrome and underwent endonasal microplasty with conchal cartilage (n = 17) or costal cartilage implants (n = 14) were included. Each patient's clinico-demographic profile was reviewed to compare the conchal cartilage group and the costal cartilage groups. Pre- and postoperative Sino-Nasal Outcome Test (SNOT-25) scores were also compared.
Both groups showed a significant improvement in SNOT-25 scores following surgery (P < .05). The group who received costal cartilage implants demonstrated more significant improvements than the conchal cartilage group in terms of the mean difference between pre- and postoperative SNOT-25 scores (P = .023). Symptom outcomes related to depression demonstrated significant improvements in the conchal cartilage group (P < .05), while in the costal cartilage group, in addition to these 3 variables, 7 items related to functional problems also demonstrated significant improvements (P < .05).
Costal cartilage is a more useful material than conchal cartilage as implants for the treatment of empty nose syndrome patients.
本研究旨在通过比较使用肋软骨和耳软骨植入物来构建新鼻甲，评估经鼻内镜微整形术治疗空鼻综合征的疗效。
病例系列，病历回顾。
三级转诊中心。
共纳入 31 例被诊断为空鼻综合征并接受经鼻内镜微整形术的患者，其中 17 例采用耳软骨植入物，14 例采用肋软骨植入物。回顾每位患者的临床人口统计学特征，比较耳软骨组和肋软骨组。比较术前和术后的鼻窦结局测试（SNOT-25）评分。
两组患者术后 SNOT-25 评分均显著改善（P<.05）。肋软骨组在 SNOT-25 评分的术前和术后差值方面的改善程度明显大于耳软骨组（P=.023）。耳软骨组与抑郁相关的症状结局显著改善（P<.05），而肋软骨组除了这 3 个变量外，还有 7 个与功能问题相关的项目也显著改善（P<.05）。
肋软骨作为植入物治疗空鼻综合征患者比耳软骨更有用。
