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开放式鼻整形术后美学和功能效果评估:使用 ROE 和 RHINO 问卷的准实验研究。

Evaluation of Aesthetic and Functional Outcomes After Open Rhinoplasty: A Quasi-experimental Study by the Aid of ROE and RHINO Questionnaires.

机构信息

Department of Plastic and Reconstructive Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

Department of Plastic and Reconstructive Surgery, Razi Hospital, Tehran University of Medical Sciences, Wahdat-e-Islami St., District 12, Tehran, Tehran Province, 1199663911, Iran.

出版信息

Aesthetic Plast Surg. 2021 Apr;45(2):663-669. doi: 10.1007/s00266-020-01905-w. Epub 2020 Aug 3.

DOI:10.1007/s00266-020-01905-w
PMID:32747985
Abstract

BACKGROUND AND AIMS

Rhinoplasty is one of the common plastic surgery procedures which has a high rate in Iran. There are several tools for assessing the outcomes and quality of life after this surgical procedure which rhinoplasty outcome evaluation (ROE) questionnaire and rhinoplasty health inventory and nasal outcomes are two of them. The aim of this study was to investigate the aesthetic and functional outcomes of rhinoplasty by the aid of ROE and RHINO scales in patients who presented to a referral center in Iran.

MATERIALS AND METHODS

This prospective, quasi-experimental study was performed on patients who referred to the plastic surgery clinic of Imam Khomeini hospital complex during 2017 to 2019 and underwent open rhinoplasty. ROE and RHINO questionnaires were filled by patients before and 6 months after the surgery. Surgical outcomes and aesthetic satisfaction rate were evaluated in different age groups, genders and educational levels. The data were analyzed by version 21 of SPSS software.

RESULTS

ROE score increased from 51.27 ± 10.54 to 79.6 ± 9.67 (P < 0.001). In addition, RHINO score increased from 64.13 ± 11.43 to 83.36 ± 11.03 (P < 0.001). The most common satisfaction factors among patients in this study were "nose feels more natural" in 62% of patients and "tip rotation is good" in 32% of patients. Furthermore, the most common causes of dissatisfaction in patients were "nose too wide" in 25% of patients and "tip bulbous" in 25% of patients.

CONCLUSION

ROE and RHINO scales are effective for assessing rhinoplasty outcomes. The satisfaction rate of rhinoplasty is high in Iran and is related to the natural shape of the nose in addition to the tip rotation.

LEVEL OF EVIDENCE IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

背景与目的

隆鼻术是一种常见的整形手术,在伊朗的发生率较高。有几种工具可用于评估手术结果和生活质量,其中包括隆鼻术结果评估(ROE)问卷和鼻整形健康指数及鼻部结果(RHINO)。本研究旨在通过 ROE 和 RHINO 量表调查伊朗某转诊中心接受隆鼻术患者的美学和功能结果。

材料与方法

本前瞻性准实验研究纳入了 2017 年至 2019 年在伊玛目霍梅尼医院接受开放式隆鼻术的患者。患者在术前和术后 6 个月分别填写 ROE 和 RHINO 问卷。评估不同年龄、性别和教育水平患者的手术结果和美学满意度。数据分析采用 SPSS 软件 21 版。

结果

ROE 评分从 51.27±10.54 增加至 79.6±9.67(P<0.001),RHINO 评分从 64.13±11.43 增加至 83.36±11.03(P<0.001)。本研究中患者最常见的满意度因素为 62%的患者认为“鼻子感觉更自然”,32%的患者认为“鼻尖旋转良好”。此外,患者最常见的不满意原因是 25%的患者认为“鼻子太宽”,25%的患者认为“鼻尖球状”。

结论

ROE 和 RHINO 量表可有效评估隆鼻术结果。伊朗的隆鼻术满意度较高,与鼻尖旋转有关,同时也与鼻子的自然形态有关。

证据等级 IV:本杂志要求作者为每篇文章分配一个证据等级。有关这些循证医学评级的完整描述,请参考目录或在线作者指南 www.springer.com/00266 。

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本文引用的文献

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Satisfaction in Patients After Rhinoplasty Using the Rhinoplasty Outcome Evaluation Questionnaire.使用鼻整形术结果评估问卷评估鼻整形术后患者的满意度。
Cureus. 2019 Jul 30;11(7):e5283. doi: 10.7759/cureus.5283.
2
Injectable Cartilage Shaving: An Autologous and Long Lasting Filler Material for Correction of Minor Contour Deformities in Rhinoplasty.可注射软骨削片:一种用于矫正鼻整形术中轻微轮廓畸形的自体且持久的填充材料。
World J Plast Surg. 2015 Jul;4(2):93-100.
3
Interest in Rhinoplasty and Awareness about its Postoperative Complications Among Female high School Students.
女高中生对隆鼻手术的兴趣及其术后并发症的认知情况
Iran J Otorhinolaryngol. 2012 Summer;24(68):135-42.
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Estimating the frequency and rate of first 50 common types of invasive procedures in iran healthcare system.估算伊朗医疗系统中50种常见侵入性操作的首次执行频率和速率。
Iran J Public Health. 2012;41(10):60-4. Epub 2012 Oct 1.