Bulut O C, Wallner F, Hohenberger R, Plinkert P K, Baumann I
Department of Otolaryngology, University of Heidelberg, Germany.
Rhinology. 2017 Mar 1;55(1):75-80. doi: 10.4193/Rhino16.243.
Quality of life measurements are gaining in importance. The present study was conducted with the aim to compare patient satisfaction after septorhinoplasty according to their preoperative nasal deformity.
The patients completed two disease-specific questionnaires before their surgery: the Functional Rhinoplasty Outcome Inventory (FROI-17), the Rhinoplasty Outcome Evaluation (ROE) and as a general instrument, the Short Form 36 Health Survey (SF-36). The second measurement was taken during an outpatient examination 12 months after their primary septorhinoplasty. Patients were grouped in nasal axis deviation (NAD), nasal hump deformity (NHD) and NAD plus NHD. Additionally the patients with preoperative NAD and NAD+NHD were combined as deviated nose and compared to the non-deviation group.
One hundred and two patients (51 male and 51 female) underwent primary septorhinoplasty. The ROE- and the FROI-17 overall score including all three subgroups showed significant postoperative improvements. Regarding the SF-36, the postoperative score improved significantly only in two scales (role-functioning physical and mental health). Looking at the the different QoL questionnaires, there were significant postoperative differences in regards to deviated versus non-deviated nose in the FROI-17 overall- and FROI-17 subscores (nasal and general symptoms) and in three scales of the SF-36 (vitality, social functioning, role-functioning emotional), showing a greater postoperative satisfaction in the deviated-nose patient.
Patients with and without nasal deviation showed improved QoL after their surgery, as measured with the ROE, the FROI-17 and the SF-36. The patients with a nasal deviation showed a significantly better outcome, as measured with the FROI-17, in comparison with the non-deviated group.
生活质量测量的重要性日益增加。本研究旨在根据术前鼻畸形情况比较鼻中隔成形术后患者的满意度。
患者在手术前完成两份特定疾病问卷：功能性鼻整形结果量表（FROI - 17）、鼻整形结果评估（ROE），以及作为通用工具的简短健康调查问卷36项（SF - 36）。第二次测量在初次鼻中隔成形术后12个月的门诊检查时进行。患者被分为鼻轴偏斜（NAD）、鼻驼峰畸形（NHD）和NAD加NHD组。此外，将术前有NAD和NAD + NHD的患者合并为鼻偏斜组，并与无偏斜组进行比较。
102例患者（51例男性和51例女性）接受了初次鼻中隔成形术。包括所有三个亚组的ROE和FROI - 17总分术后均有显著改善。关于SF - 36，术后评分仅在两个量表（身体和心理健康的角色功能）上有显著改善。查看不同的生活质量问卷，FROI - 17总分和FROI - 17子评分（鼻部和一般症状）以及SF - 36的三个量表（活力、社会功能、情绪角色功能）在鼻偏斜与无偏斜鼻方面术后存在显著差异，表明鼻偏斜患者术后满意度更高。
无论有无鼻偏斜，患者术后生活质量均有改善，这通过ROE、FROI - 17和SF - 衡量。与无偏斜组相比，鼻偏斜患者在FROI - 17测量中显示出明显更好的结果。
