Sadeghi Mohammad, Saedi Babak, Mahdkhah Aydin, Tabaree Azin
Department of Otolaryngology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Acta Med Iran. 2013;51(11):765-70.
To evaluate results of concurrent functional endoscopic sinus surgery (FESS) and nasal plastic surgery in terms of safety, efficacy and patient satisfaction, and compare them with the results of single procedures. We conducted a prospective case control study in three groups of patients with chronic sinusitis and nasal deformity; 25 cases had concurrent FESS and rhinoplasty, 25 controls had FESS, and 25 controls had rhinoplasty alone. The patients preoperative and postoperative sino-nasal outcome test (SNOT22) and also patients' satisfaction using the visual analogue scale were evaluated after one year. There were no significant differences between aesthetic indexes of concurrent surgery and control groups. Also, we found no significant inter-group difference between SNOT22 scores. There was no major complication in the studied patients. Conducting nasal plastic surgery and FESS concurrently can be a feasible surgery with functional and aesthetic results comparable to those with individual FESS or rhinoplasty.
为了评估同期功能性鼻内镜鼻窦手术（FESS）和鼻整形手术在安全性、有效性及患者满意度方面的结果，并将其与单独手术的结果进行比较。我们对三组慢性鼻窦炎和鼻畸形患者进行了前瞻性病例对照研究；25例患者接受了同期FESS和鼻成形术，25例对照组患者接受了FESS，另有25例对照组患者仅接受了鼻成形术。术后一年评估患者术前和术后的鼻窦鼻结局测试（SNOT22）以及使用视觉模拟量表评估患者的满意度。同期手术组和对照组的美学指标之间无显著差异。此外，我们发现SNOT22评分在组间也无显著差异。研究患者中未出现重大并发症。同期进行鼻整形手术和FESS是一种可行的手术，其功能和美学效果与单独进行FESS或鼻成形术相当。
