Goldman Neal D, Alexander Richard, Sandoval Laura F, Feldman Steven R
The Goldman Center for Facial Plastic Surgery, Boone, North Carolina.
Department of Otolaryngology, Wake Forest School of Medicine, Winston Salem, North Carolina.
Craniomaxillofac Trauma Reconstr. 2017 Sep;10(3):175-182. doi: 10.1055/s-0037-1600900. Epub 2017 Mar 22.
Septoplasty alone is not always sufficient to correct nasal obstruction. Various techniques have been employed to repair nasal valve collapse and improve airflow. This article aimed to evaluate outcomes and quality of life following nasal valve reconstruction using a titanium implant in patients with nasal valve collapse. This is a single-center retrospective study that consisted of a telephone questionnaire of 37 quality-of-life measures and questions related to the surgical procedure and recovery process to evaluate postsurgical outcomes. Fifteen patients completed the survey. There was a significant improvement in nasal blockage/obstruction, breathing through the nose, sleeping, breathing through nose during exercise, the need to blow nose, sneezing, facial pain/pressure, fatigue, productivity, and restlessness/irritability after surgery. Overall, 100% of patients were satisfied with the results and would recommend this procedure. The most common postoperative complaints were pain (33%) and difficulty breathing (33%). Patients noticed no increase (20%) or a slight increase (73%) in the size of their nose. Sixty percent of patients cannot see the implant and 13% report the implant is barely noticeable. Nasal valve repair with a titanium implant was successful at improving symptoms of nasal obstruction and other quality-of-life issues. Satisfaction was high among all patients. The implants are palpable, thought to be visible by some patients, yet accepted by the majority of patients. This approach may be especially important in patients with prior nasal surgery but continue to experience refractory symptoms.
单纯鼻中隔成形术并不总是足以纠正鼻塞。人们采用了各种技术来修复鼻瓣塌陷并改善气流。本文旨在评估使用钛植入物对鼻瓣塌陷患者进行鼻瓣重建后的疗效和生活质量。这是一项单中心回顾性研究，通过电话问卷对37项生活质量指标以及与手术过程和恢复过程相关的问题进行调查，以评估术后疗效。15名患者完成了调查。术后，患者在鼻塞、经鼻呼吸、睡眠、运动时经鼻呼吸、擤鼻需求、打喷嚏、面部疼痛/压痛、疲劳、工作效率以及烦躁不安/易怒等方面有显著改善。总体而言，100%的患者对结果满意并会推荐该手术。最常见的术后主诉是疼痛（33%）和呼吸困难（33%）。患者发现鼻子大小没有增加（20%）或略有增加（73%）。60%的患者看不到植入物，13%的患者报告植入物几乎难以察觉。使用钛植入物进行鼻瓣修复成功改善了鼻塞症状和其他生活质量问题。所有患者的满意度都很高。植入物可触及，一些患者认为可以看到，但大多数患者能够接受。这种方法对于既往接受过鼻部手术但仍有难治性症状的患者可能尤为重要。
