Al Abri Rashid, Al Bassam Wameedh, Al-Balushi Firyal, Hlaiwah Omar, Jaju Sanjay, Al-Adawi Samir
ENT division, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman.
Epidemiology and Biostatistics Section, Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Oman Med J. 2020 Apr 28;35(2):e120. doi: 10.5001/omj.2020.38. eCollection 2020 Mar.
We sought to compare functional and cosmetic satisfaction among male and female patients undergoing open and closed septorhinoplasty within sub-groups of indications for the surgery at a tertiary care hospital in Oman.
We conducted a prospective study in the ear, nose, and throat surgery department at Sultan Qaboos University Hospital from 2010 to 2015. All patients aged above 17 years, without dysmorphic pathologies, and due to be operated through open or endonasal septorhinoplasty based on the appropriate indications (functional or cosmetic or functional and cosmetic), were included in the study.
Out of 215 patients who underwent septorhinoplasty, 30 were lost to follow-up. One-hundred and eighty-five patients (124 males and 61 females) available for postoperative assessment had been allocated to septorhinoplasty by the endonasal approach (n = 89; 59 males and 30 females) or open approach (n = 96; 65 males and 31 females) based on their indications for surgery: functional (n = 98; 64 males and 34 females); cosmetic (n = 39; 23 males and 16 females); and both functional and cosmetic (n = 48; 37 males and 11 females). Sex-wise distribution across different age groups for the specific surgical technique based on indication for surgery did not show any significant differences within any of the respective sub-groups. Both sexes reported no significant difference in satisfaction per their scores on the functional satisfaction scale post open or endonasal intervention. However, in their cosmetic satisfaction scale scores, a significantly higher proportion of males within the functional indication for surgery subgroup (90.9%) expressed satisfaction with the open surgical approach than the 71.0% males operated by the endonasal approach ( 0.041).
Males undergoing septorhinoplasty for functional indications expressed significant satisfaction with the open surgical approach compared with the endonasal approach on the cosmetic satisfaction scale. This study could accrue only 185 patients during the five-year study period and hence was unable to generate any significant evidence to prove any differences in postoperative functional and cosmetic satisfaction outcomes within sub-groups based on other indications for surgery for males and females separately.
我们试图比较阿曼一家三级护理医院中，因不同手术适应证接受开放式和封闭式鼻中隔成形术的男性和女性患者在功能和美容方面的满意度。
2010年至2015年，我们在苏丹卡布斯大学医院的耳鼻喉外科进行了一项前瞻性研究。纳入研究的所有患者年龄均在17岁以上，无畸形病变，且根据适当适应证（功能性或美容性或功能性与美容性兼具）将接受开放式或鼻内鼻中隔成形术。
在215例行鼻中隔成形术的患者中，30例失访。185例可进行术后评估的患者（124例男性和61例女性）根据手术适应证被分配接受鼻内入路（n = 89；59例男性和30例女性）或开放式入路（n = 96；65例男性和31例女性）的鼻中隔成形术：功能性适应证（n = 98；64例男性和34例女性）；美容性适应证（n = 39；23例男性和16例女性）；功能性与美容性兼具的适应证（n = 48；37例男性和11例女性）。基于手术适应证的特定手术技术在不同年龄组中的性别分布在任何各自亚组内均未显示出任何显著差异。在开放式或鼻内干预后，两性在功能满意度量表上的得分显示满意度无显著差异。然而，在美容满意度量表得分方面，功能性手术适应证亚组中的男性（90.9%）对开放式手术方法的满意度显著高于接受鼻内入路手术的男性（71.0%）（P = 0.041）。
因功能性适应证接受鼻中隔成形术的男性在美容满意度量表上对开放式手术方法的满意度显著高于鼻内入路。本研究在五年研究期间仅招募到185例患者，因此无法产生任何显著证据来证明基于男性和女性其他手术适应证的亚组在术后功能和美容满意度结果上存在任何差异。
