Simsek Gokce, Demirtas Erol
From the *Otolaryngology Head and Neck Surgery Department, School of Medicine, Kirikkale University, Kirikkale; and †ENT Clinic, Malatya State Hospital, Ministry of Health, Malatya, Turkey.
J Craniofac Surg. 2014 Jul;25(4):1284-6. doi: 10.1097/SCS.0000000000000587.
Various methods of surgical treatment are defined in nasal deformities that cause nasal obstruction. Open technique septorhinoplasty is a method that is frequently used for this purpose. This study aims to compare surgical results of open technique septorhinoplasty operations with and without osteotomies. In addition, changes in the quality of life of patients before and after treatment were investigated, and the effects of the 2 methods on patients' quality of life were compared.
Patients with nasal deformity were included in the study. Forty patients with wide nasal dorsum and a prominent hump underwent septorhinoplasty with lateral osteotomy (group 1), and 35 patients with a narrow nasal dorsum and a minimal hump underwent septorhinoplasty without osteotomy (group 2). A Nasal Obstruction Symptom Evaluation (NOSE) questionnaire was used to evaluate disease-specific quality of life for patients in both groups. Basic characteristics, operative parameters, and preoperative and postoperative NOSE scores were compared between the groups.
Demographic properties of the groups were similar. Intraoperative parameters and postoperative complications were not different between the groups, with the exception of operation time (which was significantly longer in group 1) and ecchymosis (which was seen in whole cases of group 1 and none of the group 2). Preoperative NOSE scores were similar in both groups. Postoperative NOSE scores were 5 (0-45) in group 1 and 10 (0-45) in group 2 (P > 0.05). The NOSE scores were significantly decreased after the operation in both groups (P < 0.001). The 2 groups were not significantly different when comparing the change in preoperative and postoperative NOSE scores.
Rhinoplasty with or without osteotomy is an effective treatment for alleviating nasal obstruction symptoms. Osteotomy is an integral but not obligatory part of the operation. The addition of the osteotomy procedure in selected cases prolonged the operation time and significantly enhanced patient satisfaction.
在导致鼻阻塞的鼻畸形中定义了各种手术治疗方法。开放式鼻中隔鼻成形术是常用于此目的的一种方法。本研究旨在比较开放式鼻中隔鼻成形术在有或无截骨术情况下的手术效果。此外，调查了患者治疗前后生活质量的变化，并比较了这两种方法对患者生活质量的影响。
将鼻畸形患者纳入研究。40例鼻背宽且有明显驼峰的患者接受了伴有外侧截骨术的鼻中隔鼻成形术（第1组），35例鼻背窄且驼峰轻微的患者接受了无截骨术的鼻中隔鼻成形术（第2组）。使用鼻阻塞症状评估（NOSE）问卷评估两组患者特定疾病的生活质量。比较两组之间的基本特征、手术参数以及术前和术后的NOSE评分。
两组的人口统计学特征相似。除手术时间（第1组明显更长）和瘀斑（第1组全部病例出现，第2组均未出现）外，两组之间的术中参数和术后并发症无差异。两组术前NOSE评分相似。第1组术后NOSE评分为5（0 - 45），第2组为10（0 - 45）（P > 0.05）。两组术后NOSE评分均显著降低（P < 0.001）。比较术前和术后NOSE评分的变化时，两组无显著差异。
有或无截骨术的鼻成形术都是缓解鼻阻塞症状的有效治疗方法。截骨术是手术的一个组成部分，但不是必需的部分。在选定病例中增加截骨术会延长手术时间并显著提高患者满意度。
