鼻中隔成形术后面部及眶周区域轻微皮肤和软组织并发症的发生率
Frequency of minor skin and soft tissue complications in facial and periorbital area after septorhinoplasty.
作者信息
Nemati Shadman, Golchay Javad, Alizadeh Arsalan
机构信息
Otolaryngology, head and neck surgery department and research center, Amiralmomenin Hospital, Guilan University of Medical Sciences, Rasht, Iran.
出版信息
Iran J Otorhinolaryngol. 2012 Summer;24(68):119-24.
INTRODUCTION
High prevalence of rhinoplasty in the community and lack of structured studies about its minor skin and soft tissue complications, point out the necessity of performing precise and comprehensive studies. The aim of this study was to determine the frequency of minor cutaneous and soft tissue complications of rhinoplasty.
MATERIALS AND METHODS
110 patients (30 Male and 80 Female, Mean age: 26.3± 6.8) participated in this study. Before surgery all of them were checked for having each of intended complications, and 1 and 3 months after the surgery, they underwent serial visits for monitoring skin & soft tissue complications. The software used for data analysis was SPSS ver.16.
RESULTS
Acne exacerbation was seen in 27% of cases in first post-surgical visit. Nasal tip paresthesia was the most frequent complication in both postsurgical visits (49.6% in first and 36.3% in second visit), followed by eyebrow loss (31.8%), complaint of increased yawning (31.8%), periorbital hyperpigmentation (21.8%) in first visit, and, hyperpigmentation (19.1%), complaint of increased yawning (10%) and surgical site scar (7.2%) in second visit respectively. The frequency of complications was highest in younger than 25 year old age group.
CONCLUSION
Having knowledge about these complications helps us to know which of them needs prompt medical intervention and which of them will resolve with time and just needs giving reassurance to the patient.
引言
隆鼻手术在人群中的高发病率以及缺乏关于其轻微皮肤和软组织并发症的系统性研究，凸显了开展精确且全面研究的必要性。本研究的目的是确定隆鼻手术轻微皮肤和软组织并发症的发生率。
材料与方法
110名患者（30名男性和80名女性，平均年龄：26.3±6.8岁）参与了本研究。术前对所有患者进行了每种预期并发症的检查，术后1个月和3个月，他们接受了系列随访以监测皮肤和软组织并发症。用于数据分析的软件是SPSS 16版。
结果
术后首次随访时，27%的病例出现痤疮加重。鼻尖感觉异常是两次术后随访中最常见的并发症（首次随访为49.6%，第二次随访为36.3%），其次是眉毛脱落（31.8%）、打哈欠增多主诉（31.8%）、首次随访时眶周色素沉着（21.8%），以及第二次随访时色素沉着（19.1%）、打哈欠增多主诉（10%）和手术部位瘢痕（7.2%）。并发症发生率在25岁以下年龄组最高。
结论
了解这些并发症有助于我们知晓哪些需要及时的医疗干预，哪些会随时间自行缓解，仅需向患者提供安慰即可。
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