Department of Plastic Surgery and Hand Surgery, Technical University of Munich, Munich, Germany.
Department of Plastic Surgery and Burns, Democritus University of Thrace, Alexandroupoli, Greece.
Facial Plast Surg. 2021 Oct;37(5):639-645. doi: 10.1055/s-0041-1725174. Epub 2021 Mar 11.
As our previous studies have shown, cosmetic surgery has a positive correlation with postoperative well-being. The aim of this study was to prospectively examine the postoperative changes in quality of life (QoL) after a rhinoplasty. Thirty-four patients who underwent septorhinoplasty performed by a single surgeon from July 2015 to October 2018 reported in indication-specific self-developed and different validated questionnaires (FLZM or Fragen zur Lebenszufriedenheit Module, Freiburg Personality Inventor, Rosenberg self-esteem scale, Functional Rhinoplasty Outcome Inventory 17 [FROI-17], and Glasgow Benefit Inventory [GBI]) on the status of their QoL preoperatively (T0) and 6 months' follow-up (T1). Our goal was to assess the difference in psyche and self-esteem and to get objective insights into the effect of the operation. Significant improvements in QoL in terms of general module, health, and appearance were noted. The general part of the FLZM showed increasing T1 values in the sum scores ( = 0.005). With regard to the item "health," T1 was better than the norm data ( = 0.003). The statistically significant improvement for the item nose appearance ( < 0.0001) after operation and T1 versus reference data ( < 0.010) should be highlighted. The subjective patient ratings showed statistically significant T1 improvements for all items of the FROI-17: overall nose ( < 0.0001), nasal function ( = 0.001), general/further symptoms ( = 0.006), and confidence increased by aesthetic changes ( < 0.0001). Furthermore, the GBI score shows an improved QoL after rhinoplasty ( < 0.0001). Based on the assessment of a variety of disease- and nondisease-specific validated questionnaires, numerous improvements in the QoL of the patients were observed. Therefore, we support septorhinoplasty as a meaningful procedure regarding QoL improvement. The level of evidence is Level II prospective cohort study.
正如我们之前的研究表明，美容手术与术后幸福感呈正相关。本研究旨在前瞻性研究鼻整形术后生活质量（QoL）的变化。2015 年 7 月至 2018 年 10 月，由同一位外科医生进行鼻中隔成形术的 34 名患者根据具体适应症使用自我开发的和不同的经过验证的问卷（FLZM 或 Lebenszufriedenheit Module 问卷、Freiburg 人格量表、Rosenberg 自尊量表、功能性鼻整形术后结果问卷 17（FROI-17）和格拉斯哥效益指数（GBI））报告了他们在术前（T0）和 6 个月随访（T1）时的 QoL 状况。我们的目标是评估心理和自尊的差异，并客观了解手术的效果。在 QoL 方面，一般模块、健康和外观都有显著改善。FLZM 的一般部分在总分上显示出 T1 值增加（ = 0.005）。关于“健康”这一项，T1 优于常模数据（ = 0.003）。手术后，鼻子外观这一项的统计学显著改善（ < 0.0001），T1 与参考数据（ < 0.010）相比，也应该被强调。FROI-17 的所有项目的主观患者评分均显示 T1 有统计学显著改善：整体鼻子（ < 0.0001）、鼻功能（ = 0.001）、一般/进一步症状（ = 0.006）和因美容变化而增加的自信心（ < 0.0001）。此外，GBI 评分显示鼻整形术后 QoL 提高（ < 0.0001）。基于对多种疾病和非疾病特异性经过验证的问卷的评估，观察到患者的 QoL 有了许多改善。因此，我们支持鼻中隔成形术作为改善 QoL 的有意义的手术。证据水平为 II 级前瞻性队列研究。
