Wang Lei, Han Yu'e, Li Long, Li Xiao, Yuan Ying
Department of Otorhinolaryngology Head and Neck Surgery, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao, China.
Ear Nose Throat J. 2023 Aug 19:1455613231194133. doi: 10.1177/01455613231194133.
To analyze the clinical effect of endoscopy-assisted functional rhinoplasty.
Endoscopy-assisted functional rhinoplasty was performed in all patients. Deviated nasal septum was corrected, nasal septum cartilage graft was prepared through open access under the assistance of endoscopy, the nasal frame structure was adjusted with the endoscopy-assisted rhinoplasty combined with middle and inferior turbinoplasty, and the patient's nasal ventilation function and external nose cosmetology were restored. Visual Analogue Scale (VAS), Nasal Obstruction Symptom Evaluation (NOSE), nasal acoustic reflex, and nasal resistance were examined preoperatively and 6 months postoperatively. Rhinoplasty Outcome Evaluation (ROE), nasal appearance deviation value, and morphological measurement of the external nose were used to assess the external nasal appearance. Finally, postoperative satisfaction was used for overall evaluation.
In terms of nasal ventilation evaluation, the VAS and NOSE scores of nasal obstruction decreased significantly at 6 months after the operation compared with that before the operation (1.96 ± 0.84 vs 6.68 ± 1.28, 4.25 ± 1.80 vs 12.25 ± 2.50; < .05). Among the objective indexes, MCA1, MCA2 and NV5 were significantly increased whereas RT, MCA1a/MCA1b, MCA2a/MCA2b, MD1a/MD1b, and MD2a/MD2b were significantly decreased compared with those before the operation ( < .05). The MD1 and MD2 levels before and after operation had no significant differences ( > .05). In the evaluation of external nose morphology, postoperative ROE was significantly increased, and the deviation value of nasal appearance was significantly decreased [(16.93 ± 2.61 vs 10.64 ± 3.01), (1.46 ± 1.11 mm vs 5.72 ± 2.30 mm), < .05]. In terms of postoperative patient satisfaction: 26 cases (92.9%) were very satisfied with nasal ventilation function, 2 cases (7.1%) were satisfied with nasal ventilation function, 24 cases (85.7%) were very satisfied with nasal appearance, and 4 cases (14.3%) were satisfied with nasal appearance.
Nasal endoscopy-assisted functional rhinoplasty can improve the nasal ventilation function and external nasal morphology at the same time. Moreover, its clinical effect is good, and the patient satisfaction is high.
分析鼻内镜辅助功能性鼻整形术的临床效果。
对所有患者实施鼻内镜辅助功能性鼻整形术。矫正鼻中隔偏曲，在内镜辅助下经开放式入路制备鼻中隔软骨移植物，采用鼻内镜辅助鼻整形术联合中、下鼻甲成形术调整鼻支架结构，恢复患者鼻通气功能及外鼻容貌。于术前及术后6个月检查视觉模拟评分法（VAS）、鼻阻塞症状评估（NOSE）、鼻声反射及鼻阻力。采用鼻整形术效果评估（ROE）、鼻外观偏差值及外鼻形态测量评估外鼻外观。最后，以术后满意度进行综合评价。
在鼻通气评估方面，术后6个月时鼻阻塞的VAS和NOSE评分较术前显著降低（1.96±0.84 vs 6.68±1.28，4.25±1.80 vs 12.25±2.50；P<0.05）。在客观指标方面，与术前相比，MCA1、MCA2和NV5显著升高，而RT、MCA1a/MCA1b、MCA2a/MCA2b、MD1a/MD1b和MD2a/MD2b显著降低（P<0.05）。MD1和MD2术前及术后水平差异无统计学意义（P>0.05）。在外鼻形态评估中，术后ROE显著升高，鼻外观偏差值显著降低[（16.93±2.61 vs 10.64±3.01），（1.46±1.11mm vs 5.72±2.30mm），P<0.05]。在术后患者满意度方面：26例（92.9%）对鼻通气功能非常满意，2例（7.1%）对鼻通气功能满意，24例（85.7%）对外鼻外观非常满意，4例（14.3%）对外鼻外观满意。
鼻内镜辅助功能性鼻整形术可同时改善鼻通气功能及外鼻形态。而且，其临床效果良好，患者满意度高。
