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隆鼻术后患者的不满情绪:伊朗的十年经验

Patient dissatisfaction following rhinoplasty: a 10-year experience in Iran.

作者信息

Ghorbani Farhad, Ahmadi Hanie, Davar Ghazal

机构信息

Department of Oral and Maxillofacial Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Maxillofac Plast Reconstr Surg. 2023 Jan 26;45(1):7. doi: 10.1186/s40902-022-00369-z.

DOI:10.1186/s40902-022-00369-z
PMID:36697991
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9877265/
Abstract

BACKGROUND

The nose is one of the most prominent parts of the face and plays a significant role in peoples' self-satisfaction as well as quality of life. Rhinoplasty is considered as one of the most numerous and delicate cosmetic surgeries all around the world that can be performed for functional issues, esthetic issues, or both. In this study, we aimed to evaluate the dissatisfaction of patients who had undergone rhinoplasty surgery and inform the surgeons to improve the surgical techniques to prevent probable future complaints.

METHOD

This retrospective cross-sectional study was conducted to report various aspects of dissatisfaction of patients following rhinoplasty. All available files in the Fars Forensic Medicine Department between 2011 and 2020 were reviewed, and the required information was extracted.

RESULTS

Out of 117 patients, 68.4% were females and 31.6% were males. Most of the patients were in the age range of 30-34 years. In terms of educational attainment, the highest frequency is associated with academically educated patients and the lowest with a diploma. The majority of cases filed for litigation less than 6 months after their rhinoplasty. The first rank among the factors of dissatisfaction with surgeries belonged to "respiratory problems" (36.8%) followed by "dissatisfaction with the general shape of the nose" (34.2%).

CONCLUSION

Our study shows that middle-aged female patients may be more difficult to satisfy. In general, at younger ages, patients complain about esthetics, and with aging, most patients feel dissatisfied with nasal function.

摘要

背景

鼻子是面部最突出的部位之一,在人们的自我满意度和生活质量方面起着重要作用。隆鼻术被认为是全球开展数量最多且精细的整形手术之一,可用于解决功能问题、美学问题或两者兼顾。在本研究中,我们旨在评估接受隆鼻手术患者的不满之处,并告知外科医生改进手术技术,以预防未来可能出现的投诉。

方法

本回顾性横断面研究旨在报告隆鼻术后患者不满的各个方面。对2011年至2020年法尔斯法医部门所有可用档案进行了审查,并提取了所需信息。

结果

在117名患者中,68.4%为女性,31.6%为男性。大多数患者年龄在30 - 34岁之间。在教育程度方面,学历最高的患者投诉频率最高,文凭学历的患者投诉频率最低。大多数诉讼案件是在隆鼻术后不到6个月提起的。手术不满因素中,“呼吸问题”占首位(36.8%),其次是“对鼻子整体形状不满意”(34.2%)。

结论

我们的研究表明,中年女性患者可能更难满足。一般来说,年轻时患者抱怨美学问题,随着年龄增长,大多数患者对鼻腔功能感到不满。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f0e/9877265/c7c0dd0dcd0e/40902_2022_369_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f0e/9877265/3fe6187c7df2/40902_2022_369_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f0e/9877265/4691e4f7cd92/40902_2022_369_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f0e/9877265/d32fc2c9afb6/40902_2022_369_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f0e/9877265/241720f11022/40902_2022_369_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f0e/9877265/c7c0dd0dcd0e/40902_2022_369_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f0e/9877265/3fe6187c7df2/40902_2022_369_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f0e/9877265/4691e4f7cd92/40902_2022_369_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f0e/9877265/d32fc2c9afb6/40902_2022_369_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f0e/9877265/241720f11022/40902_2022_369_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f0e/9877265/c7c0dd0dcd0e/40902_2022_369_Fig5_HTML.jpg

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本文引用的文献

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Characterization of Medical Malpractice Litigation After Rhinoplasty in the United States.美国隆鼻术后医疗纠纷诉讼的特征。
Aesthet Surg J. 2021 Sep 14;41(10):1132-1138. doi: 10.1093/asj/sjaa380.
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A Review and Modification of Dorsal Preservation Rhinoplasty Techniques.《经鼻后入路鼻中隔偏曲矫正术技术的回顾与改良》
J Clin Med. 2025 Feb 4;14(3):993. doi: 10.3390/jcm14030993.
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The Crooked Nose-Surgical Algorithm in Post-Traumatic Patient-Evaluation of Surgical Sequence.歪鼻——创伤后患者手术序列评估中的手术算法
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A Comparative Analysis of Patients' Quality of Life, Body Image and Self-confidence Before and After Aesthetic Rhinoplasty Surgery.患者在接受美容隆鼻手术后的生活质量、身体形象和自信心的对比分析。
Aesthetic Plast Surg. 2020 Apr;44(2):483-490. doi: 10.1007/s00266-019-01559-3. Epub 2019 Dec 12.
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Outcomes in Rhinoplasty.鼻整形术的效果
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