Awan Nukhbat-Ullah, Azeem Muhammad, Cheema Khalid Muneer
Department of ENT, Mayo Hospital/K.E.M.U, Lahore, Pakistan.
J Coll Physicians Surg Pak. 2021 Jan;31(1):51-54. doi: 10.29271/jcpsp.2021.01.51.
To compare endonasal and external septoplasty for type 2 caudal septal deviations in terms of operative time, aesthetic and functional outcome.
Descriptive Analysis.
ENT Department, Mayo Hospital/ K.E.M.U, Lahore, from October 2019 to October 2020.
Record of patients operated for septal deviations in 2019 were retrospectively reviewed. All patients, diagnosed with type 2 caudal septal deviations, were included; while those with marked inferior turbinate hypertrophy, deviated nasal septum after trauma, and those who could not be followed-up, were excluded. Twenty-eight patients, operated by external approach, were placed in group A; and 32 patients, who had endonasal surgery, were placed in group B. Functional outcome was assessed by nasal obstruction symptom evaluation (NOSE) scale; and cosmetic deformity was assessed by visual analog scale (VAS) pre- and postoperatively at six months. Operative time was measured for both the groups.
Sixty patients were included. Mean preoperative NOSE scale score for group A was 67.36 ± 8.07 and postoperative was 15.82 ± 3.62 (p<0.001). Mean preoperative NOSE score for group B was 69.40 ± 5.80 and postoperative it was 18.00 ± 3.75 (p<0.001). Mean VAS score for group A preoperative and postoperative was 18.93 ± 7.86 and 76.07 ± 6.85 (p<0.001), respectively. Mean VAS score for group B preoperative and postoperative was 19.69 ± 7.82 and 71.56 ± 8.84, respectively (p<0.001). Mean operative time for group B was 52.25 ± 3.37 minutes, and for group A 115.00 ± 9.91 minutes (p<0.001). The difference in preoperative and postoperative NOSE and VAS scores compared for both groups revealed p-value of 0.952 and 0.044, respectively.
Extracorporeal septoplasty resulted in better aesthetic outcome; though endonasal septoplasty had shorter operative time. Both surgical techniques resulted in good functional outcome. Key Words: Nasal septum, Nasal surgical procedures, Deviated nasal septum, Caudal deviation septum, Septoplasty, Septorhinoplasty, Nasal obstruction symptoms evaluation (NOSE) score, Visual analogue scale (VAS).
比较经鼻内和鼻外鼻中隔成形术治疗2型鼻中隔尾端偏曲的手术时间、美学效果和功能结果。
描述性分析。
拉合尔梅奥医院/卡拉奇爱德华国王医科大学耳鼻喉科，2019年10月至2020年10月。
回顾性分析2019年接受鼻中隔偏曲手术患者的记录。纳入所有诊断为2型鼻中隔尾端偏曲的患者；排除下鼻甲明显肥大、外伤后鼻中隔偏曲以及无法进行随访的患者。28例接受鼻外手术的患者被纳入A组；32例接受鼻内手术的患者被纳入B组。通过鼻阻塞症状评估（NOSE）量表评估功能结果；通过视觉模拟量表（VAS）在术前及术后6个月评估美容畸形情况。测量两组的手术时间。
共纳入60例患者。A组术前NOSE量表平均评分为67.36±8.07，术后为15.82±3.62（p<0.001）。B组术前NOSE平均评分为69.40±5.80，术后为18.00±3.75（p<0.001）。A组术前和术后VAS平均评分分别为18.93±7.86和76.07±6.85（p<0.001）。B组术前和术后VAS平均评分分别为19.69±7.82和71.56±8.84（p<0.001）。B组平均手术时间为52.25±3.37分钟，A组为115.00±9.91分钟（p<0.001）。两组术前和术后NOSE及VAS评分差异比较，p值分别为0.952和0.044。
体外鼻中隔成形术美学效果更佳；尽管鼻内鼻中隔成形术手术时间更短。两种手术技术功能效果均良好。关键词：鼻中隔；鼻外科手术；鼻中隔偏曲；鼻中隔尾端偏曲；鼻中隔成形术；鼻整形术；鼻阻塞症状评估（NOSE）评分；视觉模拟量表（VAS）
