Otorhinolaryngology, Fırat University Medical Faculty, Department of Otorhinolaryngology, Elazig, Turkey.
Otorhinolaryngology, Elazig Fethi Sekin City Hospital, Clinic of Otorhinolaryngology, Elazig, Turkey.
Aesthet Surg J. 2021 Sep 14;41(10):NP1295-NP1300. doi: 10.1093/asj/sjab139.
Numbness of the nasal skin is one of the most common complications following rhinoplasty.
The present study investigated postoperative changes in nasal skin sensation among primary and revision rhinoplasty patients and evaluated the recovery outcomes for both groups.
A prospective, randomized blinded study was undertaken involving 100 primary and 34 revision open rhinoplasty patients and 50 volunteers as control group. Semmes-Weinstein monofilament testing was performed on 7 designated nasal points preoperatively and at postoperative months 1, 3, 6, and 12, and the results were evaluated.
Among the primary rhinoplasty patients, the change in reduced sensation on pressure to the tip and infratip over time was significant (P < 0.001), whereas there was no statistically significant difference for the other points. Among the revision rhinoplasty patients, the change in reduced sensation on pressure to the tip, infratip, and base of columella over time was significant (P < 0.001), whereas there was no statistically significant difference at the other points. In a comparison of the revision and primary rhinoplasty patients at all timepoints, a statistically significant reduction in sensation was noted on the application of pressure to all points in the revision patient group (P < 0.001).
This study found that the sense of touch on pressure returned to normal, aside from at the tip and infratip, by the end of month 12 in primary rhinoplasty patients. The revision rhinoplasty patients, in turn, were observed to have reduced sensation on pressure by the end of month 12, with the greatest reduction at the tip, infratip, and columellar base.
鼻部皮肤麻木是鼻整形术后最常见的并发症之一。
本研究调查了初次和修复性开放式鼻整形术患者术后鼻部皮肤感觉的变化，并评估了两组的恢复结果。
采用前瞻性、随机、盲法研究，纳入 100 例初次鼻整形术和 34 例修复性开放式鼻整形术患者及 50 名志愿者作为对照组。在术前和术后 1、3、6 和 12 个月，对 7 个指定的鼻部点进行 Semmes-Weinstein 单丝试验，并评估结果。
在初次鼻整形术患者中，随着时间的推移，鼻尖和下鼻尖受压时感觉减退的变化具有统计学意义（P<0.001），而其他点则无统计学差异。在修复性鼻整形术患者中，随着时间的推移，鼻尖、下鼻尖和鼻中隔基底受压时感觉减退的变化具有统计学意义（P<0.001），而其他点则无统计学差异。在所有时间点对修复性和初次鼻整形术患者进行比较时，在修复组患者中，所有点受压时的感觉均显著降低（P<0.001）。
本研究发现，初次鼻整形术患者在术后 12 个月时，除鼻尖和下鼻尖外，触压感觉恢复正常。而修复性鼻整形术患者在术后 12 个月时，触压感觉下降，其中鼻尖、下鼻尖和鼻中隔基底的感觉下降最为明显。
