Pedersen Lars, Holmberg Kenneth, Ahlström Emanuelsson Cecilia, Schiöler Linus, Steinsvåg Sverre, Hellgren Johan
Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.
Department of Otorhinolaryngology, Head & Neck Surgery, Skåne University Hospital, Lund, Sweden.
Front Surg. 2023 Jul 31;10:1223607. doi: 10.3389/fsurg.2023.1223607. eCollection 2023.
Men represent more than two-thirds of septoplasty patients in many studies, but differences between men and women in terms of patient selection or outcome are seldom reported. This study aims to investigate whether women undergoing septoplasty differ from men in critical variables before and after surgery, in a large national sample of septoplasties.
Cross-sectional register study.
The study includes 2,532 patients from the National Swedish Septoplasty Register undergoing septoplasty with or without additional turbinoplasty on the indication of nasal obstruction in 2014-2019. Patients in the register have not been preselected.
Preoperative variables and postoperative outcome were compared between men and women.
Men accounted for 1,829 (72%) of the patients. There was no significant difference between men and women in severity of self-reported nasal obstruction or type of surgery performed (septoplasty with or without turbinoplasty). Mean postoperative nasal obstruction 12 months after surgery and overall satisfaction with the result were similar. Women, however, reported more complications 12 months postoperatively, while men reported more problems with snoring and obstructive sleep apnea preoperatively.
In this large national patient cohort undergoing septoplasty, we found no differences in preoperative nasal obstruction or postoperative patient-rated outcome in men and women undergoing septoplasty, despite the fact that 72% of the patients were men. It thus remains unclear why women are under-represented in septoplasty surgery in this and many other cohorts.
在许多研究中，接受鼻中隔成形术的患者中男性占三分之二以上，但很少有报告提及男性和女性在患者选择或手术结果方面的差异。本研究旨在调查在一个大型全国性鼻中隔成形术样本中，接受鼻中隔成形术的女性在手术前后的关键变量方面是否与男性存在差异。
横断面登记研究。
该研究纳入了2014年至2019年期间来自瑞典国家鼻中隔成形术登记处的2532例患者，这些患者因鼻塞接受了鼻中隔成形术，无论是否进行了额外的鼻甲成形术。登记处的患者未经过预先筛选。
比较男性和女性的术前变量和术后结果。
男性占患者总数的1829例（72%）。在自我报告的鼻塞严重程度或所进行的手术类型（鼻中隔成形术伴或不伴鼻甲成形术）方面，男性和女性之间没有显著差异。术后12个月的平均鼻塞情况和对结果的总体满意度相似。然而，女性术后12个月报告的并发症更多，而男性术前报告的打鼾和阻塞性睡眠呼吸暂停问题更多。
在这个接受鼻中隔成形术的大型全国性患者队列中，我们发现接受鼻中隔成形术的男性和女性在术前鼻塞情况或术后患者自评结果方面没有差异，尽管72%的患者为男性。因此，在这个队列以及许多其他队列中，女性在鼻中隔成形术手术中所占比例较低的原因仍不清楚。
