鼻中隔成形术后患者对鼻外观满意度与嗅觉功能的关系。
Association Between Satisfaction with Nasal Appearance and Olfactory Function in Patients Undergoing Septorhinoplasty Surgery.
机构信息
ENT and Head and Neck Research Center and Department, The Five Senses Institute, Hazrat Rasool Hospital, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Arch Iran Med. 2022 May 1;25(5):314-318. doi: 10.34172/aim.2022.51.
BACKGROUND
Any surgery has some complications, and septorhinoplasty is not an exception. The aim of this study was to highlight the relationship between satisfaction with nasal appearance and olfactory function in patients undergoing septorhinoplasty.
METHODS
This is a cohort study. In this study, 384 patients aged 18 to 45 years who referred to the Ear, Nose and Throat department at Rasoul Akram hospital and private clinics in 2019 underwent septorhinoplasty. All patients were tested by the Persian Smell Identification Test (PSIT) or Rapid Smell Test (RST) before surgery. They were also reassessed one and three months after surgery. Those patients with dissatisfaction with olfactory function after surgery were also followed up for three months and assessed by PSIT or RST to determine their olfactory dysfunction.
RESULTS
One month after surgery, 73.5% of patients who were not satisfied with their nasal appearance also complained about the olfactory sense. In addition, 1.5% of patients who were satisfied with their nasal appearance also complained about the olfactory sense. There was a significant difference regarding complaints of the olfactory sense between patients satisfied with their nasal appearance and those not satisfied with their appearance (<0.05). Three months after surgery, 78.9% patients who were not pleased with their nasal appearance also had an olfactory complaint. Besides, 0.9% of patients who were pleased with their nasal shape also had an olfactory complaint. There was a significant difference regarding olfactory complaints between patients who were pleased with their nasal shape and those who were not (<0.05).
CONCLUSION
One and three months after septorhinoplasty, most patients who are satisfied with their nasal appearance have no complaints about their olfactory sense, and most patients who are not satisfied with their nasal appearance complain about the olfactory sense. An appropriate outcome of septorhinoplasty with regard to improving olfactory functional status is accompanied by patients' satisfaction level of achieving good nasal appearance.
背景
任何手术都有一些并发症，鼻中隔成形术也不例外。本研究旨在强调鼻中隔成形术患者对鼻外观和嗅觉功能满意度之间的关系。
方法
这是一项队列研究。在这项研究中，2019 年，384 名年龄在 18 至 45 岁之间的患者前往 Rasoul Akram 医院和私人诊所的耳鼻喉科就诊，进行鼻中隔成形术。所有患者在手术前均接受了波斯嗅觉识别测试（PSIT）或快速嗅觉测试（RST）。他们还在手术后一个月和三个月进行了重新评估。对术后嗅觉功能不满意的患者，还进行了三个月的随访，并通过 PSIT 或 RST 评估，以确定其嗅觉障碍。
结果
手术后一个月，73.5%对鼻外观不满意的患者也抱怨嗅觉。此外，1.5%对鼻外观满意的患者也抱怨嗅觉。对鼻外观满意和不满意的患者在嗅觉抱怨方面存在显著差异（<0.05）。手术后三个月，78.9%对鼻外观不满意的患者也有嗅觉抱怨。此外，0.9%对鼻外形满意的患者也有嗅觉抱怨。对鼻外形满意和不满意的患者在嗅觉抱怨方面存在显著差异（<0.05）。
结论
鼻中隔成形术后一个月和三个月，大多数对鼻外观满意的患者对嗅觉没有抱怨，而大多数对鼻外观不满意的患者抱怨嗅觉。鼻中隔成形术改善嗅觉功能状态的适当结果伴随着患者对获得良好鼻外观的满意度水平。
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