Baykal Bahadir, Erdim Ibrahim, Kayhan Fatma Tulin, Oghan Fatih
Consultant, Department of Otorhinolaryngology, Bakırkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
Professor, Department of Otorhinolaryngology, Bakırkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
J Oral Maxillofac Surg. 2014 Mar;72(3):603.e1-7. doi: 10.1016/j.joms.2013.11.025. Epub 2013 Dec 3.
The study aim was to compare patient satisfaction levels among patient groups with nasal hump deformity (NHD), nasal axis deviation (NAD), and NHD plus NAD using the Rhinoplasty Outcomes Evaluation Questionnaire (ROEQ) pre- and postoperatively.
Forty-seven patients were divided into the NHD (n = 16), NAD (n = 13), and NHD + NAD (n = 18) groups according to the patients' physical examination results. Deviation angles were measured using frontal views and the AutoCAD 2012 computer program. Levels of patient satisfaction were assessed by the ROEQ pre- and postoperatively.
The preoperative ROE scores were 6 in the NAD group and 4.9 in the NHD group. In the NAD + NHD group, the preoperative ROE score was 6.6. The postoperative ROE scores were 17.4, 21.4, and 19.1, respectively. The pre- and postoperative ROEQ scores were significantly different for all groups. The preoperative ROE score was 5.6 in women. The score was 18.6 at 6 months after surgery. In male patients, the preoperative ROE score was 6.2. The score was 20.4 at 6 months after surgery. The preoperative ROE score was 6.3 in patients younger than 30 years; the score was 19.4 in the postoperative period for this group. Preoperatively, the ROE score was 5.2 for patients older than 30 years. Postoperatively, the ROE score was 19.3 (P < .05).
Patient satisfaction and quality of life should improve after rhinoplasty. Patient satisfaction ranged from high to low for patients, with the NHD group the most satisfied, followed by the NAD + NHD group and the NAD group.
本研究旨在使用鼻整形术效果评估问卷（ROEQ），比较术前和术后鼻驼峰畸形（NHD）、鼻轴偏斜（NAD）以及NHD合并NAD患者组之间的患者满意度水平。
根据患者的体格检查结果，将47例患者分为NHD组（n = 16）、NAD组（n = 13）和NHD + NAD组（n = 18）。使用正位视图和AutoCAD 2012计算机程序测量偏斜角度。术前和术后通过ROEQ评估患者满意度水平。
NAD组术前ROE评分为6分，NHD组为4.9分。在NAD + NHD组中，术前ROE评分为6.6分。术后ROE评分分别为17.4分、21.4分和19.1分。所有组术前和术后的ROEQ评分均有显著差异。女性术前ROE评分为5.6分，术后6个月评分为18.6分。男性患者术前ROE评分为6.2分，术后6个月评分为20.4分。年龄小于30岁的患者术前ROE评分为6.3分，术后该组评分为19.4分。术前，年龄大于30岁的患者ROE评分为5.2分。术后，ROE评分为19.3分（P <.05）。
鼻整形术后患者满意度和生活质量应有所改善。患者满意度从高到低依次为NHD组、NAD + NHD组和NAD组。
