Chen M, Li N, Che F, Yan S, Wen J F, Wang X J, Yuan Y, Li Y R
Department of Otorhinolaryngology Head and Neck Surgery, Qingdao 266100, China.
Operating Room, the Affiliated Hospital of Qingdao University, Qingdao 266100, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Mar 30;58:326-332. doi: 10.3760/cma.j.cn115330-20220831-00534.
To explore the method and effect of endoscopic assisted functional rhinoplasty for patients with deviated nose and deviated nasal septum, which achieve correction of nasal morphology and ventilation dysfunction. The clinical data of 226 patients with deviated nose and deviated nasal septum from June 2009 to February 2022 who were treated by endoscopic assisted functional rhinoplasty in the Affiliated Hospital of Qingdao University were analyzed retrospectively. There were 174 males and 52 females, with the age ranging from 7 to 67 years old. The effect was evaluated by subjective and objective evaluation methods. SPSS 27.0 software was used for statistical analysis. All patients were followed up for 6 to 24 months, 174 cases were cured (174/226, 76.99%), 52 cases were effective (52/226, 23.01%), and the total effective rate was 100% (226/226). The difference between preoperative and postoperative facial appearance deviation was statistically significant ((6.84±2.25)mm (1.82±1.05)mm, =38.94, <0.001), and the nasal ventilation function of all patients was improved. Endoscopic assisted functional rhinoplasty for the patients with deviated nose combined with deviated nasal septum has the advantages of clear surgical field, fewer complications, and good result. It can achieve the purpose of simultaneous correction of nasal and ventilation dysfunction, which is recommended for popularizing in clinical application.
探讨鼻内镜辅助功能性鼻整形术治疗鼻偏曲合并鼻中隔偏曲患者的方法及效果，以实现鼻形态及通气功能障碍的矫正。回顾性分析2009年6月至2022年2月在青岛大学附属医院接受鼻内镜辅助功能性鼻整形术治疗的226例鼻偏曲合并鼻中隔偏曲患者的临床资料。其中男性174例，女性52例，年龄7至67岁。采用主观和客观评价方法评估效果。使用SPSS 27.0软件进行统计分析。所有患者随访6至24个月，治愈174例（174/226，76.99%），有效52例（52/226，23.01%），总有效率为100%（226/226）。术前与术后面部外观偏差差异有统计学意义（（6.84±2.25）mm比（1.82±1.05）mm，t = 38.94，P < 0.001），所有患者的鼻通气功能均得到改善。鼻内镜辅助功能性鼻整形术治疗鼻偏曲合并鼻中隔偏曲患者具有手术视野清晰、并发症少、效果良好的优点。能达到同时矫正鼻形态及通气功能障碍的目的，建议在临床推广应用。
