Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Otorrinolaringologia, Programa de Pós-Graduação em Ciências Médicas: Otorrinolaringologia, Porto Alegre, RS, Brazil; Programa de Pós-Graduação em Ciências Pneumológicas, Porto Alegre, RS, Brazil.
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Otorrinolaringologia, Programa de Pós-Graduação em Ciências Médicas: Otorrinolaringologia, Porto Alegre, RS, Brazil.
Braz J Otorhinolaryngol. 2024 May-Jun;90(3):101398. doi: 10.1016/j.bjorl.2024.101398. Epub 2024 Feb 22.
This study aimed to evaluate quality-of-life and satisfaction outcomes in patients undergoing the MES using the Portuguese version of the Nasal Obstruction Symptom Evaluation (NOSE-p) and Rhinoplasty Outcome Evaluation (ROE), and also to evaluate the frequency of possible complications of this technique.
We conducted a single-center prospective study with patients who had the indication for MES, from May 2016 to September 2020 at the Facial Plastic Surgery Clinic of Otolaryngology Department of the Hospital de Clinicas de Porto Alegre. The primary outcome was the relative postoperative change in NOSE-p. Secondary outcome was the variation in ROE, a validated quality-of-life questionnaire for rhinoplasty patients.
Of the 31 patients submitted to extracorporeal septorhinoplasty who were evaluated, twenty-seven patients were included. Preoperative and postoperative NOSE-p scale scores were 65.2 ± 29.9 and 23.5 ± 26.7, respectively (mean differences of 42.04; [95% CI 27.35-56.73]; p < 0.0001). Pre and postoperative ROE scores were 38.3 ± 24.3 vs. 67.29 ± 29.7, respectively (mean differences of -29.02; [95% CI -40.5 to -17.5]; p = 0.0001). Residual septal deviation was verified in 2 patients (7.4%).
Most of the patients submitted to modified extracorporeal septoplasty had a significant improvement in quality of life scores of nasal obstruction, with good aesthetical outcomes and low indices of postoperative complications.
Level 3.
本研究旨在使用葡萄牙语版鼻腔阻塞症状评估（NOSE-p）和鼻整形术结果评估（ROE）评估接受 MES 治疗的患者的生活质量和满意度结果，并评估该技术可能出现的并发症的频率。
我们进行了一项单中心前瞻性研究，纳入了 2016 年 5 月至 2020 年 9 月在阿雷格里港耳鼻喉科医院面部整形手术诊所因 MES 指征就诊的患者。主要结局是 NOSE-p 的相对术后变化。次要结局是 ROE 的变化，ROE 是一种经过验证的鼻整形术患者生活质量问卷。
在接受体外鼻中隔成形术评估的 31 名患者中，有 27 名患者被纳入研究。术前和术后 NOSE-p 量表评分分别为 65.2±29.9 和 23.5±26.7（平均差异为 42.04；[95%CI 27.35-56.73]；p<0.0001）。术前和术后 ROE 评分分别为 38.3±24.3 与 67.29±29.7（平均差异为-29.02；[95%CI-40.5 至-17.5]；p=0.0001）。2 名患者（7.4%）证实存在残余鼻中隔偏曲。
大多数接受改良体外鼻中隔成形术的患者，其鼻腔阻塞的生活质量评分显著改善，具有良好的美学效果和较低的术后并发症发生率。
3 级。
