Kahraman Erkan, Cil Yakup, Incesulu Armagan
Department of Otorhinolaryngology, Eskisehir Military Hospital, Eskisehir, Turkey.
Department of Plastic, Reconstructive and Aesthetic Surgery, Etimesgut Military Hospital, Ankara, Turkey.
World J Plast Surg. 2016 Sep;5(3):236-243.
The efficiency of nasal surgeries can be determined by objective or subjective methods. We have assessed the effect of nasal obstruction after different nasal surgeries using Acoustic Rhinometry (AR) and Nasal Obstruction Symptom Evaluation (NOSE) Scale.
Between May 2011 and May 2012, 40 young adult patients and 10 healthy volunteers as control group who referred to Otorhinolaryngology Clinic in Eskisehir Military Hospital due to nasal obstruction were enrolled. Depending on operation, patients were divided into four equal groups. Group 1: Septoplasty, Group 2: Septoplasty with sprader graft, Group 3: Septorinoplasty and Group 4: Septorhinoplasty with spreader graft. The patients completed NOSE scale, 1 week before and 1 month after the surgery and AR measurements.
There were a significant improvement in mean NOSE scores of patients and statistical difference was found between pre and post-operational values for each group. There was a statistically significant change of the mean minimal cross section areas (MCA) of the deviated side of nasal passages measured by AR between pre and postoperative period.
In patients with nasal obstruction, functional nasal surgeries which were performed after appropriate medical examination and with right operation methods had a positive impact on quality of life and patient satisfaction. We observed that nasal findings were correlated with NOSE scores and MCA values. So, we suggest that NOSE scale and AR to be used for evaluation of the efficiency of functional nasal surgeries.
鼻腔手术的疗效可通过客观或主观方法来确定。我们使用鼻声反射仪（AR）和鼻阻塞症状评估（NOSE）量表评估了不同鼻腔手术后鼻阻塞的影响。
2011年5月至2012年5月，纳入了40例因鼻阻塞转诊至埃斯基谢希尔军事医院耳鼻喉科门诊的年轻成年患者以及10名健康志愿者作为对照组。根据手术方式，将患者平均分为四组。第1组：鼻中隔成形术；第2组：鼻中隔成形术联合撑开植骨；第3组：鼻中隔鼻成形术；第4组：鼻中隔鼻成形术联合撑开植骨。患者在手术前1周、手术后1个月完成NOSE量表评估及AR测量。
患者的平均NOSE评分有显著改善，且每组术前和术后的值之间存在统计学差异。AR测量的鼻腔偏离侧平均最小横截面积（MCA）在术前和术后期间有统计学意义的变化。
对于鼻阻塞患者，经过适当的医学检查并采用正确的手术方法进行功能性鼻腔手术对生活质量和患者满意度有积极影响。我们观察到鼻腔检查结果与NOSE评分和MCA值相关。因此，我们建议使用NOSE量表和AR来评估功能性鼻腔手术的疗效。
