Department Of Otolaryngology, Bülent Ecevit University Medical Faculty, Zonguldak.
Department Of Otolaryngology, Dişkapi Yildirim Beyazit Training and Research Hospital, Ankara.
J Craniofac Surg. 2021 Sep 1;32(6):2016-2018. doi: 10.1097/SCS.0000000000007485.
In this study, the authors aimed to investigate the use of spreader and determine the efficacy and superiority of different spreader techniques in septorhinoplasty in terms of nasal and olfactory functions.
A total of 60 patients who had undergone septorhinoplasty with the open technique were included in the study. In addition to open septorhinoplasty, 20 patients also underwent bilateral spreader graft placement and 20 bilateral spreader flap placement. For the remaining 20 patients, open septorhinoplasty was performed without spreader grafts or flaps. The patients completed the Nasal Obstruction Symptom Evaluation (NOSE) scale consisting of five questions, and the Brief Smell Identification Test was used to detect olfactory dysfunction.
The preoperative mean NOSE score of all patients was 10.87 (1-18), while the postoperative mean value was 1.83 (0-10). The preoperative mean olfactory score was 6.23 ± 2.20 in all patients while it was 7.33 ± 1.75 postoperatively. There was a statistically significant difference between the preoperative and postoperative NOSE and olfactory scores in all patients, but no statistically significant difference was observed between the three groups.
Spreader graft or flap techniques used in septorhinoplasty are safe in terms of nasal obstruction and olfactory function, and there is no statistically significant difference between them.
在这项研究中，作者旨在研究扩撑器的使用，并从鼻腔和嗅觉功能方面，评估不同扩撑技术在鼻中隔鼻整形术中的效果和优势。
本研究共纳入 60 例接受开放式鼻中隔鼻整形术的患者。除了开放式鼻中隔鼻整形术外，20 例患者还接受双侧扩撑器移植，20 例患者接受双侧扩撑皮瓣移植。对于其余 20 例患者，采用开放式鼻中隔鼻整形术，不使用扩撑器移植或皮瓣。患者完成了由五个问题组成的鼻腔阻塞症状评估（NOSE）量表，并用简短嗅觉识别测试来检测嗅觉功能障碍。
所有患者术前的平均 NOSE 评分为 10.87（1-18），术后平均评分为 1.83（0-10）。所有患者术前平均嗅觉评分为 6.23±2.20，术后平均评分为 7.33±1.75。所有患者的术前和术后 NOSE 及嗅觉评分均有统计学差异，但三组间无统计学差异。
鼻中隔鼻整形术中使用扩撑器移植或皮瓣技术在缓解鼻腔阻塞和嗅觉功能方面是安全的，且它们之间无统计学差异。
