Widodo Dini Widiarni, Asmoro Satria Dipo Putra, Wardani Retno Sulistyo, Affandi Dewo Aksoro, Oriza Imelda Ika Dian
Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine Universitas Indonesia/ Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Department of Otorhinolaryngology-Head and Neck Surgery, Tria Dipa Hospital, Jakarta, Indonesia.
Ann Otol Rhinol Laryngol. 2023 May;132(5):492-496. doi: 10.1177/00034894221100026. Epub 2022 Jun 3.
We investigated the satisfaction and nasal airway function of patients who underwent L-shaped augmentation rhinoplasty using rhinoplasty outcomes evaluation (ROE). Nasal obstruction was evaluated using the nasal obstruction symptom evaluation (NOSE) and peak nasal inspiratory flowmeter (PNIF) score. We explored the correlation between tip projection, ROE, NOSE, and PNIF scores.
We conducted a pre-and post-experimental study of 16 adult Indonesian patients who underwent L-shaped augmentation rhinoplasty. We used the neurotic scale to rule out patients with body dysmorphic disorder (BDD), and patients with low-to-moderate neurotic scores were included as participants.
For all patients who underwent augmentation rhinoplasty, the median score of the NOSE questionnaire decreased from 12.5 to 5 after surgery ( = .005). The ROE median satisfaction scores also increased from 7.00 to 14.00 postoperatively ( = .001). The median PNIF preoperative score increased from 92 (70-130) to 115 (105-155) postoperatively. There was an increase in tip projection from 1.5 (1.1-2) preoperative to 2.05 (1.8-2.5) postoperative. There was a significant correlation between ∆ tip projection and ∆ NOSE ( = .048), with a moderate correlation ( = .502). However, there was no significant correlation between ∆ tip projection and ∆ PNIF ( = .080) and ∆ ROE ( = .302).
The increase in ROE and PNIF, and the decrease in NOSE score after surgery revealed that the augmented L-shaped rhinoplasty technique has high satisfaction rates in both the nasal esthetics and functions of patients. The tip projection increment was proven to elevate nasal function subjectively in a certain range of tip height difference evaluated by the NOSE score.
我们使用鼻整形术效果评估（ROE）来调查接受L型隆鼻术患者的满意度和鼻气道功能。使用鼻阻塞症状评估（NOSE）和鼻吸气峰流速仪（PNIF）评分来评估鼻阻塞情况。我们探讨了鼻尖突出度、ROE、NOSE和PNIF评分之间的相关性。
我们对16名接受L型隆鼻术的成年印度尼西亚患者进行了一项术前和术后的研究。我们使用神经症量表排除身体变形障碍（BDD）患者，神经质得分低至中度的患者被纳入研究。
对于所有接受隆鼻术的患者，NOSE问卷的中位数得分从术前的12.5降至术后的5（P = 0.005）。ROE的中位数满意度得分术后也从7.00提高到14.00（P = 0.001）。PNIF术前中位数得分从92（70 - 130）提高到术后的115（105 - 155）。鼻尖突出度从术前的1.5（1.1 - 2）增加到术后的2.05（1.8 - 2.5）。鼻尖突出度变化量（∆ tip projection）与NOSE变化量（∆ NOSE）之间存在显著相关性（P = 0.048），呈中度相关（r = 0.502）。然而，鼻尖突出度变化量与PNIF变化量（P = 0.080）和ROE变化量（P = 0.302）之间无显著相关性。
术后ROE和PNIF升高，NOSE评分降低，表明L型隆鼻术在患者的鼻美学和功能方面均具有较高的满意度。通过NOSE评分评估，在一定的鼻尖高度差异范围内，鼻尖突出度的增加被证明可主观提高鼻功能。
