Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, Massachusetts, U.S.A.
Department of Otolaryngology-Head and Neck Surgery, New York-Presbyterian Hospital-Columbia and Weill Cornell, New York, New York, U.S.A.
Laryngoscope. 2022 Nov;132(11):2157-2161. doi: 10.1002/lary.30054. Epub 2022 Feb 21.
This study aimed to evaluate functional and aesthetic patient-reported outcomes using validated metrics after component dorsal hump reduction (DHR) with spreader graft placement, which have not been previously reported.
Prospective cohort study.
This prospective cohort study was conducted in a tertiary care medical center. Participants underwent septorhinoplasty (SRP) with spreader graft placement with cosmetic, component DHR (cosmetic DHR), or SRP with spreader graft placement without dorsal hump reduction (noncosmetic, non-DHR). The Nasal Obstruction Symptom Evaluation (NOSE) scale and the FACE-Q Satisfaction with Nose, Nostrils, and Social Functioning scales were administered to patients preoperatively and postoperatively (at 2, 4, 6, and/or 12 months). Pre- and postoperative NOSE and FACE-Q scores were compared.
A total of 226 patients underwent SRP with spreader graft placement; 113 (50.0%) with cosmetic DHR and 113 (50.0%) noncosmetic, non-DHR (control). Patients who completed the NOSE and FACE-Q surveys preoperatively and at least at one postoperative time point were included. Both cohorts had a statistically and clinically significant improvement in NOSE and FACE-Q scores. There were similar improvements in NOSE scores in both cohorts. Postoperative FACE-Q scores were higher in the cosmetic DHR cohort despite lower preoperative FACE-Q scores when compared to the control cohort.
Although there are multiple techniques for DHR, component DHR with spreader graft placement has long been considered the standard. Therefore, it is important to note the significant postoperative cosmetic and functional improvements reported by patients who have undergone this procedure to compare to newer techniques as they evolve.
3 Laryngoscope, 132:2157-2161, 2022.
本研究旨在使用已验证的指标评估使用撑开移植物进行骨块性驼峰去除（DHR）后的功能和美学患者报告结果，此前尚未有相关报道。
前瞻性队列研究。
本前瞻性队列研究在一家三级护理医疗中心进行。参与者接受鼻中隔成形术（SRP）伴撑开移植物置入，如果存在美容性、骨块性 DHR（美容性 DHR）则行该术式，如果不存在美容性、骨块性 DHR（非美容性、非 DHR）则不行该术式。在术前和术后（2、4、6 和/或 12 个月时），使用鼻腔阻塞症状评估量表（NOSE）和面部残疾指数-鼻部、鼻孔和社交功能满意度量表（FACE-Q）对患者进行评估。比较术前和术后的 NOSE 和 FACE-Q 评分。
共有 226 例患者接受了 SRP 伴撑开移植物置入术；其中 113 例（50.0%）接受了美容性 DHR，113 例（50.0%）接受了非美容性、非 DHR（对照组）。纳入了完成术前和至少一次术后 NOSE 和 FACE-Q 调查的患者。两个队列的 NOSE 和 FACE-Q 评分均有统计学和临床意义上的显著改善。两个队列的 NOSE 评分改善情况相似。与对照组相比，尽管美容性 DHR 队列的术前 FACE-Q 评分较低，但术后 FACE-Q 评分更高。
尽管有多种 DHR 技术，但使用撑开移植物进行骨块性 DHR 长期以来一直被认为是标准术式。因此，当新技术不断发展时，与这些新技术相比，重要的是要注意到接受该手术的患者报告的术后显著美容和功能改善。
3《喉镜》，132：2157-2161，2022 年。
