Nocini Riccardo, Arietti Valerio, Barausse Eleonora, Torroni Lorena, Trotolo Alessandro, Sanna Giangiacomo
Unit of Otolaryngology, Head and Neck Department, AOUI University of Verona, 37100 Verona, Italy.
Unit of Maxillo-Facial Surgery, Head and Neck Department, AOUI University of Verona, 37100 Verona, Italy.
J Pers Med. 2023 Aug 29;13(9):1330. doi: 10.3390/jpm13091330.
Septorhinoplasty is a crucial intervention in functional and aesthetic facial surgery. Although rare and usually manageable, complications could lead to disfiguring consequences. There is no universal protocol for perioperative management in the literature. The aim of this article is to analyze the surgical complications in patients who underwent open rhinoseptoplasty and were treated in the perioperative period with the standardized protocol used in our department, in order to propose it as a standardized protocol for a more global application.
The patients included underwent rhinoplasty between 2017 and 2022 and were managed with the same treatment protocol. Perioperative and intraoperative data, as well as possible complications, were collected.
A total of 129 patients were included, 73% of which reported either mild or no complications. Abnormal scar healing was the most frequent complaint (9%), followed by edema (6.2%), nasal dyspnea (3.9%), infection (2.3%), and bleeding (2.3%). No severe complications were reported.
Our protocol appears to be effective in minimizing complications such as infection and bleeding, although it is very difficult to compare the results with the literature.
鼻整形术是面部功能和美容手术中的关键干预措施。尽管并发症罕见且通常可控制，但可能导致毁容后果。文献中没有通用的围手术期管理方案。本文的目的是分析接受开放式鼻整形术并在围手术期采用我们科室标准化方案治疗的患者的手术并发症，以便将其作为一种更广泛应用的标准化方案提出。
纳入的患者在2017年至2022年间接受了鼻整形术，并采用相同的治疗方案进行管理。收集围手术期和术中数据以及可能的并发症。
共纳入129例患者，其中73%报告有轻度并发症或无并发症。异常瘢痕愈合是最常见的主诉（9%），其次是水肿（6.2%）、鼻呼吸困难（3.9%）、感染（2.3%）和出血（2.3%）。未报告严重并发症。
我们的方案似乎在将感染和出血等并发症降至最低方面有效，尽管很难将结果与文献进行比较。
