Kırıkkale Yüksek Ihtisas Hospital Otorhinolaryngology Clinic, Kırıkkale, Turkey.
Mersin Province Training and Research Hospital Otorhinolaryngology Clinic, Mersin, Turkey.
Eur Arch Otorhinolaryngol. 2021 Feb;278(2):371-377. doi: 10.1007/s00405-020-06270-7. Epub 2020 Aug 13.
This study aimed to compare open technique rhinoplasty with spreader graft and Let Down rhinoplasty using Nasal Symptom Obstruction Evaluation (NOSE), Sinonasal Outcome Test-22 (SNOT-22), and Visual Analog Scale (VAS).
A total of 50 patients were included in the study. Patients with a hump greater than 4 mm and mild septal deviation participated in the study. The patients were divided into two groups. Group 1 consisted of 26 patients who underwent Let Down rhinoplasty, while Group 2 consisted of 24 patients who underwent open rhinoplasty with spreader graft. NOSE, SNOT-22, and VAS scales were completed by both groups preoperatively and postoperatively.
There was no significant difference between the groups in terms of age and gender. Postoperative values of scales were significantly lower than preoperative values in Group 1 (p < 0.001). In Group 2, postoperative values were significantly lower than preoperative values (p < 0.001). There was no significant difference between the two groups according to NOSE, SNOT-22 and VAS scores.
According to the comparison of scale scores, both Let Down rhinoplasty and open technique rhinoplasty using spreader graft improved nasal functional results such as nasal obstruction.
本研究旨在通过鼻部症状评估量表（NOSE）、鼻-鼻窦炎结局测试-22 项（SNOT-22）和视觉模拟量表（VAS）比较开放式鼻整形术与鼻中隔扩张器置入术及放下鼻整形术的效果。
共纳入 50 例患者，纳入标准为驼峰大于 4mm 且鼻中隔偏曲程度较轻的患者。患者被分为两组，第 1 组 26 例患者行放下鼻整形术，第 2 组 24 例行开放式鼻中隔扩张器置入鼻整形术。两组患者术前和术后均完成 NOSE、SNOT-22 和 VAS 量表评估。
两组患者的年龄和性别无统计学差异。第 1 组术后各量表评分均显著低于术前（p<0.001），第 2 组术后各量表评分亦显著低于术前（p<0.001）。两组间 NOSE、SNOT-22 和 VAS 评分无显著差异。
根据量表评分比较，放下鼻整形术和开放式鼻中隔扩张器置入术均能改善鼻塞等鼻部功能结果。
