Kim Ji Heui, Cho Gye Song, Cheang Pei-Pei, Jang Yong Ju
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Ann Otol Rhinol Laryngol. 2014 Apr;123(4):240-6. doi: 10.1177/0003489414524172.
Several studies have advocated concurrent endoscopic sinus surgery and rhinoplasty. However, concerns about increased surgical risk, complications, and unsuccessful cosmetic outcomes following the concurrent procedures have been reported. The aim of this study was to investigate the overall safety of concurrent endoscopic sinus surgery and rhinoplasty and to specifically examine the effect of endoscopic sinus surgery on cosmetic outcomes.
We retrospectively reviewed 57 patients who underwent concurrent open rhinoplasty and endoscopic sinus surgery (ESS). We then selected a control group of patients, who underwent rhinoplasty only and were matched with a study group for age, sex, external nose deformity, and implant graft material. The postoperative outcomes of the 2 groups were compared.
Fifty-seven patients underwent concurrent open rhinoplasty and ESS. Postoperative assessment showed that a successful outcome was achieved in 82.5% of the patients who underwent concurrent procedures and in 87.7% of the patients who underwent rhinoplasty only (P = .56). The rate of revision due to a dissatisfied outcome was 5 patients (8.7%) in the concurrent surgery group and 3 patients (5.3%) in the rhinoplasty-only group (P = .36). Minor complications occurred in 6 patients (10.5%) from the group who underwent the concurrent procedures and 5 patients (8.8%) from the rhinoplasty-only group (P = .76).
Combined rhinoplasty and endoscopic sinus surgery achieves a similar aesthetic outcome to rhinoplasty only, with no significant increase in rates of revision or complication.
多项研究提倡同期进行鼻内镜鼻窦手术和鼻整形术。然而，有报道称人们担心同期手术会增加手术风险、并发症以及导致美容效果不佳。本研究的目的是调查同期鼻内镜鼻窦手术和鼻整形术的总体安全性，并特别研究鼻内镜鼻窦手术对美容效果的影响。
我们回顾性分析了57例行同期开放式鼻整形术和鼻内镜鼻窦手术（ESS）的患者。然后我们选择了一组仅接受鼻整形术的患者作为对照组，并在年龄、性别、鼻外形畸形和植入移植物材料方面与研究组进行匹配。比较两组的术后结果。
57例患者接受了同期开放式鼻整形术和ESS。术后评估显示，同期手术患者中有82.5%取得了成功结果，仅接受鼻整形术的患者中有87.7%取得了成功结果（P = 0.56）。同期手术组因效果不满意而进行修复手术的比例为5例（8.7%），仅行鼻整形术组为3例（5.3%）（P = 0.36）。同期手术组有6例患者（10.5%）发生轻微并发症，仅行鼻整形术组有5例患者（8.8%）发生轻微并发症（P = 0.76）。
鼻整形术联合鼻内镜鼻窦手术与单纯鼻整形术的美学效果相似，修复率或并发症发生率均无显著增加。
