Faculty of Medicine, Department of Otorhinolaryngology, Istanbul Medeniyet University, Istanbul, Turkey.
Faculty of Medicine, Department of Otorhinolaryngology, Istanbul Medeniyet University, Istanbul, Turkey.
J Plast Reconstr Aesthet Surg. 2020 Jul;73(7):1331-1337. doi: 10.1016/j.bjps.2020.02.020. Epub 2020 Feb 18.
Rhinoplasty is a frequently performed surgical procedure. Besides an aesthetically successful outcome, determination of additional nasal pathologies and making a simultaneous intervention on these are also essential for a successful functional outcome. This study aims to determine the rates of accompanying nasal pathologies in patients undergoing rhinoplasty and reveals whether any additional interventions were performed during operation.
In this cross-sectional study, 496 Caucasian Turkish patients who underwent rhinoplasty at the Plastic, Reconstructive & Aesthetic Surgery and Otorhinolaryngology clinics of our research hospital between 2015 and 2018 were retrospectively examined. Among them, the results of 271 patients who had preoperative paranasal computerized tomography scans were evaluated.
The mean age of the 271 patients was 28.8 years (Range: 17-55). Among them, 156 (57%) were female and 115 (42%) were male. The numbers of patients with septal deviation, inferior concha hypertrophy, unilateral/bilateral concha bullosa, nasal polyp, mucosal thickening, and retention cysts at the Otorhinolaryngology clinic were found to be 126 (82%), 77 (50%), 20 (13%), 10 (6.5%), 77 (50%), and 41 (27%), respectively, and these numbers were respectively 97 (82%), 60 (51%), 11 (9.3%), 2 (1.7%), 57 (48%), and 17 (14%) at the Plastic, Reconstructive & Aesthetic Surgery clinic. A statistically significant difference was found in terms of the presence of retention cysts between the clinics (95% CI -0.11% to 0.16%; P=.014; P<.005), and the presence of retention cysts was significantly higher at the Otorhinolaryngology clinic. A total of 18 (12%) patients were found to have additional surgical interventions.
This study showed that additional nasal pathologies were frequently present in patients undergoing rhinoplasty operations. Hence, for a successful operation, it is essential to have Otorhinolaryngology consultation and detect accompanying pathologies in rhinoplasty cases which will be performed by Plastic, Reconstructive & Aesthetic Surgery specialists.
隆鼻术是一种常见的手术。除了获得理想的美学效果外，确定其他鼻部病变并同时进行干预，对于获得成功的功能效果也很重要。本研究旨在确定行隆鼻术患者的伴随鼻部病变发生率，并揭示手术中是否进行了任何额外的干预。
在这项回顾性的横断面研究中，对 2015 年至 2018 年期间在我们研究医院的整形、重建和美容外科以及耳鼻喉科诊所接受隆鼻术的 496 例白种土耳其患者进行了检查。其中，评估了 271 例术前行副鼻窦计算机断层扫描的患者的结果。
271 例患者的平均年龄为 28.8 岁（范围：17-55 岁）。其中，156 例（57%）为女性，115 例（42%）为男性。在耳鼻喉科就诊的鼻中隔偏曲、下鼻甲肥大、单侧/双侧鼻甲泡、鼻息肉、黏膜增厚和潴留囊肿患者分别为 126 例（82%）、77 例（50%）、20 例（13%）、10 例（6.5%）、77 例（50%）和 41 例（27%），而在整形、重建和美容外科就诊的患者分别为 97 例（82%）、60 例（51%）、11 例（9.3%）、2 例（1.7%）、57 例（48%）和 17 例（14%）。两个科室之间在潴留囊肿的存在方面存在统计学显著差异（95%CI-0.11%至 0.16%；P=.014；P<.005），耳鼻喉科就诊的潴留囊肿发生率明显更高。共有 18 例（12%）患者需要额外的手术干预。
本研究表明，在接受隆鼻手术的患者中，常伴有其他鼻部病变。因此，为了获得成功的手术效果，耳鼻喉科会诊以及在由整形、重建和美容外科专家进行的隆鼻病例中检测伴随的病变是非常重要的。
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