Koybasi Serap, Bicer Yusuf Ozgur, Seyhan Sinan, Kesgin Selcan
Department of Otolaryngology, Izzet Baysal Medical Faculty, Abant Izzet Baysal University, 14280, Bolu, Turkey.
Eur Arch Otorhinolaryngol. 2018 Mar;275(3):729-733. doi: 10.1007/s00405-017-4860-9. Epub 2018 Jan 12.
Rhinoplasty is a complex but commonly applied surgical procedure. Patient satisfaction is the least discussed but one of the most important determinants of surgical success.
Evaluation of the patient satisfaction together with surgeon satisfaction were the main goals of this study. The roles of anxiety, gender, age and follow-up period were also studied.
53 eligible patients operated by the first two authors within the previous 2 years were enrolled in the study. The medical records were reviewed for demographic data as well as the details of the surgical procedure. Functional and esthetic satisfactions of the patients were evaluated by VAS and ROE respectively. Surgeon satisfaction was evaluated by VAS in crosswise manner. Anxiety was measured by STAI_s and STAI_t scales.
The analysis concerning esthetic results as well as functional results did not reveal any significant difference between the two surgeons (p = 0.132, p = 0.43 respectively). ROE scores were significantly different among patients with "good" and "very good" functional results. The difference between surgeon satisfaction and patient satisfaction was found to be insignificant (p = 0.273). Correlation analysis yielded a positive correlation between STAI_I and STAI_II (Pearson r = 0.335, p = 0.014) but not between STAI scores and ROE scores. Moreover, there was no relation between anxiety scores and the functional results. Likely, gender as well as age, follow-up, and surgical technique were not found to have any effect on patient satisfaction either.
Patient satisfaction is preferential in rhinoplasty. In our patient series, patient satisfaction was shown to be correlated with functional outcome but not with surgeon satisfaction. Anxiety was not found to have a significant impact on results of rhinoplasty. Our results should be interpreted cautiously keeping in mind that our patients' primary drive for rhinoplasty was functional.
隆鼻术是一种复杂但常用的外科手术。患者满意度是最少被讨论但却是手术成功最重要的决定因素之一。
评估患者满意度以及外科医生满意度是本研究的主要目标。还研究了焦虑、性别、年龄和随访时间的作用。
本研究纳入了由前两位作者在过去2年内进行手术的53例符合条件的患者。查阅病历以获取人口统计学数据以及手术过程的详细信息。分别通过视觉模拟评分法（VAS）和患者总体评估（ROE）评估患者的功能和美学满意度。通过VAS以交叉方式评估外科医生满意度。采用状态特质焦虑问卷（STAI_s和STAI_t量表）测量焦虑。
关于美学效果和功能效果的分析显示，两位外科医生之间没有任何显著差异（分别为p = 0.132，p = 0.43）。“良好”和“非常好”功能效果的患者之间ROE评分存在显著差异。发现外科医生满意度与患者满意度之间的差异不显著（p = 0.273）。相关分析显示STAI_I和STAI_II之间存在正相关（Pearson r = 0.335，p = 0.014），但STAI评分与ROE评分之间不存在正相关。此外，焦虑评分与功能效果之间没有关系。同样，未发现性别、年龄、随访时间和手术技术对患者满意度有任何影响。
在隆鼻术中患者满意度是优先考虑的。在我们的患者系列中，患者满意度与功能结果相关，但与外科医生满意度无关。未发现焦虑对隆鼻术结果有显著影响。鉴于我们的患者进行隆鼻术的主要动机是功能性的，我们的结果应谨慎解读。
