Yağmur Çağlayan, Ak Sertaç, Engin Murat Sinan, Evin Nuh, Kelahmetoğlu Osman, Akbaş Hayati, Demir Ahmet
Department of Plastic, Reconstructive and Aesthetic Surgery, Ondokuz Mayıs University Faculty of Medicine, Kurupelit, 55200, Samsun, Turkey.
Department of Psychiatry, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Aesthetic Plast Surg. 2017 Feb;41(1):153-160. doi: 10.1007/s00266-016-0719-5. Epub 2016 Dec 23.
Open and closed approaches for rhinoplasty have individual advantages and disadvantages; however, the resultant columellar scar of the open approach is directly considered as a disadvantage. This study focuses on the columellar scar awareness and its implications on overall satisfaction of the patients after open rhinoplasty.
A total of 91 patients who have undergone open rhinoplasty were included in this study. A written questionnaire algorithm consisting of 4 sequential questions was applied. Except for the first question [Do you have any scar(s) caused by any trauma, operation or any other reason on your face?], every question was answered on a scale from 1 to 5. The respondents were given the 25-question "Modified Body Cathexis Scale (MBCS)"and their scars graded using the "Columellar Scar Assessment Scale" (CSAS). The data were statistically interpreted.
Of the 91 open rhinoplasty patients, 12 of them responded with a "yes" to the first question reporting their columellar scars. There was no significant difference with regards to patient satisfaction regarding these patients (p > 0.05). However, those who reported the scar yielded a significantly lower MBCS scores. 9 patients declared that they exerted effort to conceal their scars. Those who concealed their scars and those who did not yielded a significant difference in patient satisfaction. The CSAS scores of those who reported the columellar scar were significantly higher than those who did not.
Our study suggests that MBSC can be a valuable tool for determining the impact of outcomes from the patient's standpoint, and awareness of the columellar scar is not related to patient satisfaction but with bodily perception.
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隆鼻手术的开放式和封闭式方法各有优缺点；然而，开放式手术导致的鼻小柱疤痕被直接视为一个缺点。本研究聚焦于鼻小柱疤痕意识及其对开放式隆鼻术后患者总体满意度的影响。
本研究纳入了91例行开放式隆鼻手术的患者。应用了一份由4个连续问题组成的书面问卷算法。除了第一个问题[您脸上是否有因任何创伤、手术或其他原因导致的疤痕？]外，每个问题的回答采用1至5分制。向受访者发放了25个问题的“改良身体自我形象量表（MBCS）”，并使用“鼻小柱疤痕评估量表”（CSAS）对他们的疤痕进行分级。对数据进行统计学解读。
在91例开放式隆鼻患者中，有12人对第一个问题回答“是”，报告了他们的鼻小柱疤痕。这些患者在患者满意度方面没有显著差异（p>0.05）。然而，报告有疤痕的患者MBCS得分显著较低。9名患者表示他们努力隐藏自己的疤痕。隐藏疤痕的患者和未隐藏疤痕的患者在患者满意度上存在显著差异。报告有鼻小柱疤痕的患者的CSAS得分显著高于未报告的患者。
我们的研究表明，MBCS可以成为从患者角度确定手术结果影响的有价值工具，鼻小柱疤痕意识与患者满意度无关，而是与身体感知有关。
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