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下鼻甲成形术在鼻整形术中对鼻腔气流的影响。

The effects of inferior turbinoplasty on nasal airflow during cosmetic rhinoplasty.

作者信息

Zojaji R, Keshavarzmanesh M, Bakhshaee M, Behdani R, Esmaeelzadeh S, MazloumFarsiBaf M

机构信息

Otorhinolaryngology Department, Mashhad Branch, Islamic Azad University, Mashhad, Iran;

Otolaryngologist, Mashhad, Iran;

出版信息

Acta Otorhinolaryngol Ital. 2016 Apr;36(2):97-100. doi: 10.14639/0392-100X-410. Epub 2016 Apr 29.

Abstract

Rhinoplasty is one of the most common and challenging cosmetic procedures. One of the complications of rhinoplasty associated with dissatisfaction is nasal obstruction, which is often due to narrowing of the nasal valve area. Application of certain procedures such as turbinoplasty can prevent and correct this problem. This study aim was to investigate the effect of inferior turbinoplasty in reduction of airflow resistance and nasal obstruction. Using active anterior rhinomanometry, nasal airflow was measured in 50 patients who underwent cosmetic rhinoplasty and bilateral turbinoplasty before and 6 months after surgery. None of the patients subjectively complained of nasal obstruction before or after surgery. According to rhinomanometry results, improvement in nasal airflow was seen both in inspiration and expiration, although only expiration was significant (p = 0.034). Airflow changes in males and females and in different age groups was not significant (p > 0.05). It appears that rhinoplasty does not adversely affect nasal airflow when it is accompanied by simple adjuvant procedure inferior turbinoplasty.

摘要

隆鼻术是最常见且具挑战性的美容手术之一。与隆鼻术相关的不满意并发症之一是鼻阻塞,这通常是由于鼻瓣膜区变窄所致。应用某些手术如鼻甲成形术可预防和纠正此问题。本研究旨在探讨下鼻甲成形术在降低气流阻力和鼻阻塞方面的效果。使用主动前鼻测压法,对50例行美容隆鼻术及双侧鼻甲成形术的患者在手术前和术后6个月进行鼻气流测量。所有患者在手术前后均无主观鼻阻塞主诉。根据鼻测压结果,吸气和呼气时鼻气流均有改善,尽管仅呼气时差异有统计学意义(p = 0.034)。男性和女性以及不同年龄组的气流变化无统计学意义(p > 0.05)。似乎当隆鼻术伴有简单辅助手术下鼻甲成形术时,不会对鼻气流产生不利影响。

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