Kim Hyo Seong, Son Ji Hwan, Chung Jee Hyeok, Kim Kyung Sik, Choi Joon, Yang Jeong Yeol
Department of Plastic and Reconstructive Surgery, Myongji Hospital, Goyang, Korea.
Division of Pediatric Plastic Surgery, Seoul National University Children's Hospital, Seoul, Korea.
Arch Plast Surg. 2021 Jan;48(1):61-68. doi: 10.5999/aps.2020.01431. Epub 2021 Jan 15.
This study evaluated changes in nasal airway function following Le Fort I osteotomy with maxillary impaction according to the Nasal Obstruction Symptom Evaluation (NOSE) scale.
This cohort study included 13 patients who underwent Le Fort I osteotomy with maxillary impaction. Nasal airway function was evaluated based on the NOSE scale preoperatively and at 3 months postoperatively. The change in the NOSE score was calculated as the preoperative score minus the postoperative score. If the normality assumptions for changes in the NOSE score were not met, a nonparametric test (the Wilcoxon signed-rank test) was used. Differences in NOSE score changes according to patient characteristics and surgical factors were evaluated using the Kruskal-Wallis test and the Mann-Whitney test.
Patients ranged in age from 18 to 29 years (mean±standard deviation [SD], 23.00±3.87 years). Three were men and 10 were women. Eleven patients (84%) had an acquired dentofacial deformity with skeletal class III malocclusion. The preoperative NOSE scores ranged from 40 to 90 (mean±SD, 68.92±16.68), and the postoperative NOSE scores ranged from 25 to 80 (53.84±18.83). The cohort as a whole showed significant improvement in nasal airway function following maxillary impaction (P=0.028). Eleven patients (84%) had either improved (n=8) or unchanged (n=3) postoperative NOSE scores. However, nasal airway function deteriorated in two patients. Patient characteristics and surgical factors were not correlated with preoperative or postoperative NOSE scores.
Nasal airway function as evaluated using the NOSE scale improved after maxillary impaction.
本研究根据鼻阻塞症状评估（NOSE）量表，评估了Le Fort I型截骨术联合上颌骨前徙术后鼻气道功能的变化。
这项队列研究纳入了13例行Le Fort I型截骨术联合上颌骨前徙术的患者。术前及术后3个月根据NOSE量表评估鼻气道功能。NOSE评分的变化计算为术前评分减去术后评分。如果NOSE评分变化不满足正态性假设，则使用非参数检验（Wilcoxon符号秩检验）。使用Kruskal-Wallis检验和Mann-Whitney检验评估根据患者特征和手术因素的NOSE评分变化差异。
患者年龄在18至29岁之间（平均±标准差[SD]，23.00±3.87岁）。3例为男性，10例为女性。11例患者（84%）患有后天性牙颌面畸形伴骨性III类错牙合。术前NOSE评分范围为40至90（平均±SD，68.92±16.68），术后NOSE评分范围为25至80（53.84±18.83）。整个队列在上颌骨前徙术后鼻气道功能有显著改善（P = 0.028）。11例患者（84%）术后NOSE评分改善（n = 8）或不变（n = 3）。然而，2例患者的鼻气道功能恶化。患者特征和手术因素与术前或术后NOSE评分均无相关性。
使用NOSE量表评估，上颌骨前徙术后鼻气道功能有所改善。
