Kunming, Yunnan, People's Republic of China.
From the Department of Plastic Surgery, The Second Affiliated Hospital of Kunming Medical University.
Plast Reconstr Surg. 2018 Mar;141(3):603-611. doi: 10.1097/PRS.0000000000004102.
Improvement of nasal aesthetics by means of rhinoplasty is a highly sought-after procedure and leads to increased patient confidence. The aim of the study was to provide a quantitative synthesis of existing data regarding the ability of cosmetofunctional rhinoplasty to improve patient satisfaction and quality of life measured by the Rhinoplasty Outcomes Evaluation scale.
Electronic databases were searched for studies evaluating quality of life following aesthetic rhinoplasty. Study results were pooled and analyzed using a random effects model. Effect size was estimated using standardized mean difference at a 95 percent confidence interval. Heterogeneity and benefit were assessed and reported using the I and standard mean difference. Subgroup analyses were performed based on follow-up period and age group segregation.
A total of 377 articles were retrieved, of which eight studies were included in the final analysis. Overall, patient satisfaction analyzed by pooling eight observational studies improved following cosmetofunctional rhinoplasty (standard mean difference, 5.87; 95 percent CI, 3.55 to 8.19; I = 100 percent). In addition, further subgroup analyses revealed that maximum benefit was derived by younger patients (standard mean difference, 6.69; 95 percent CI, 3.65 to 9.74; I = 99 percent) compared with older patients (standard mean difference, 3.48; 95 percent CI, 3.01 to 3.96; I = 0 percent). Postoperative patient satisfaction levels showed maximum improvement during a follow-up period of 6 to 12 months (standard mean difference, 11.07; 95 percent CI, -8.79 to 32.12; I = 100 percent).
Cosmetofunctional rhinoplasty improves patients' quality of life as evidenced by an improvement in Rhinoplasty Outcomes Evaluation scores.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
通过隆鼻术改善鼻美学是一项备受追捧的手术，可以提高患者的自信心。本研究旨在对现有的关于美容功能性隆鼻术改善 Rhinoplasty Outcomes Evaluation（ROE）评分测量的患者满意度和生活质量的能力数据进行定量综合。
电子数据库中检索了评估美容鼻整形术后生活质量的研究。使用随机效应模型对研究结果进行汇总和分析。使用 95%置信区间的标准化均数差估计效应大小。使用 I ² 和标准均数差评估和报告异质性和获益。根据随访时间和年龄组进行亚组分析。
共检索到 377 篇文章，其中 8 项研究纳入最终分析。总体而言，通过对 8 项观察性研究进行汇总分析，美容功能性隆鼻术后患者满意度提高（标准化均数差，5.87；95%置信区间，3.55 至 8.19；I² = 100%）。此外，进一步的亚组分析表明，年轻患者（标准化均数差，6.69；95%置信区间，3.65 至 9.74；I² = 99%）比老年患者（标准化均数差，3.48；95%置信区间，3.01 至 3.96；I² = 0%）获益最大。术后患者满意度在 6 至 12 个月的随访期间显示出最大改善（标准化均数差，11.07；95%置信区间，-8.79 至 32.12；I² = 100%）。
美容功能性隆鼻术改善了患者的生活质量，表现在 Rhinoplasty Outcomes Evaluation 评分的提高。
临床问题/证据水平：治疗性，IV。
