Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, U.S.A.
Department of Physical and Rehabilitation Medicine, Turku University Hospital and University of Turku, Turku, Finland.
Laryngoscope. 2021 Jan;131(1):E116-E123. doi: 10.1002/lary.28831. Epub 2020 Jul 21.
OBJECTIVES/HYPOTHESIS: To explore the natural history of nasal obstruction and cosmesis following rhinoplasty by utilizing the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS).
Retrospective chart study.
This study was carried out at a tertiary referral center, preoperative and postoperative Nasal Obstruction Symptom Evaluation (NOSE), SCHNOS-Obstruction (SCHNOS-O), and SCHNOS-Cosmesis (SCHNOS-C) scores in patients who underwent rhinoplasty for functional, cosmetic, or both reasons from June 2017 to May 2019 were reviewed and analyzed. Postoperative intervals were defined as <2 months, 2 to 5 months, 5 to 8 months, 8 to 12 months, and >12 months.
A total of 302 patients (67% women), with a mean age (standard deviation [SD]) of 35 (13) years, who underwent rhinoplasty for functional (90, 30%), cosmetic (124, 41%), and combined functional and cosmetic (88, 29%) reasons, met inclusion criteria. The mean follow-up period (SD, range) was 5 months (4.2 months, 13 days-1.8 years). Compared to the preoperative mean NOSE score, SCHNOS- O, and SCHNOS-C scores, postoperative mean scores for the functional and combined subgroup were significantly lower (P < .05) across all five postoperative intervals. In the cosmetic subgroup, postoperative mean SCHNOS-C scores were significantly lower (P < .05) across all postoperative intervals compared to the mean preoperative scores.
The natural history of the SCHNOS-O and SCHNOS-C score in patients who underwent rhinoplasty demonstrates 1) after functional rhinoplasty, an improvement in nasal breathing symptoms is attained as early as <2 months postoperatively; and 2) after cosmetic rhinoplasty, an improvement in nasal cosmesis is seen as early as <2 months postoperatively. These improvements in nasal breathing and cosmesis are sustained through a follow-up interval >12 months.
4 Laryngoscope, 131:E116-E123, 2021.
目的/假设：利用标准化美容和健康鼻结果调查（SCHNOS）探讨鼻整形术后鼻塞和美容的自然史。
回顾性图表研究。
本研究在一家三级转诊中心进行，对 2017 年 6 月至 2019 年 5 月期间因功能、美容或两者原因接受鼻整形术的患者进行术前和术后鼻阻塞症状评估（NOSE）、SCHNOS 阻塞（SCHNOS-O）和 SCHNOS 美容（SCHNOS-C）评分的回顾性分析。术后间隔定义为<2 个月、2-5 个月、5-8 个月、8-12 个月和>12 个月。
共纳入 302 例（67%为女性）患者，平均年龄（标准差[SD]）为 35（13）岁，因功能（90 例，30%）、美容（124 例，41%）和功能联合美容（88 例，29%）原因接受鼻整形术，符合纳入标准。平均随访时间（SD，范围）为 5 个月（4.2 个月，13 天-1.8 年）。与术前平均 NOSE 评分、SCHNOS-O 和 SCHNOS-C 评分相比，功能性和联合亚组的术后平均评分在所有五个术后间隔均显著降低（P<.05）。在美容亚组中，与术前平均评分相比，所有术后间隔的术后平均 SCHNOS-C 评分均显著降低（P<.05）。
接受鼻整形术患者的 SCHNOS-O 和 SCHNOS-C 评分的自然史表明，1）在功能性鼻整形术后，术后<2 个月即可获得改善鼻呼吸症状；2）在美容性鼻整形术后，术后<2 个月即可改善鼻美容。通过随访间隔>12 个月，这些改善鼻呼吸和美容的效果得以维持。
4 级喉镜，131：E116-E123，2021 年。
