Abdelhamid Ahmed S, Elzayat Saad, Elsherif Hossam S, Amer Mohamed A, Most Sam P
Department of Otolaryngology Head & Neck Surgery, Faculty of Medicine, Kafrelsheikh University, El-Geish Street, Kafrelsheikh, 33155 Egypt.
Department of Otorhinolaryngology, Faculty of Medicine, Tanta University, Tanta, Egypt.
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4012-4018. doi: 10.1007/s12070-024-04765-x. Epub 2024 Jun 12.
To highlight a detailed analysis of aesthetic and functional rhinoplasty outcomes utilizing the most recent highly validated Standardized Cosmesis Health Nasal Outcomes Survey (SCHNOS) for Middle Eastern crooked nose patients.
A longitudinal cohort study scrutinizing preoperative rhinoplasty patients' satisfaction retrospectively and their postoperative outcomes prospectively. The patients fulfilled the Arabic SCHNOS during postoperative follow-up. Preoperative and postoperative responses were recorded and then reviewed and analyzed.
This study included 41 patients with a mean age of 27.8 years. Females represented 41.5% of patients. About 73% of patients had a history of trauma. 90% of patients underwent primary procedures for crooked nose correction. Twelve patients (29.3%) underwent surgery for functional reasons, and twenty-six (63.4%) had it for both aesthetic and functional issues. There was a statistically significant difference regarding changes in SCHNOS regarding nasal obstruction scores (SCHNOS-O) and nasal cosmesis scores (SCHNOS-C) ( < 0.001). These findings coincided with a substantial reduction of all SCHNOS items postoperatively ( < 0.001). There was no statistically significant relationship between changes in (SCHNOS-O) or (SCHNOS-C) pre-and postoperatively and either age, sex, history of trauma, or type of surgery. However, a statistically significant difference was detected when assessing the relationship between changes in SCHNOS-O and the reason for surgery.
A thorough knowledge of three-dimensional pathology and time-associated changes is required to achieve optimal aesthetic and functional outcomes for crooked nose patients. The use of highly validated questionnaires like SCHNOS in clinical practice is highly encouraged to modify and trace surgical techniques to the most appropriate and successful ones for the patients.
利用最新的经过高度验证的《中东歪鼻患者标准化美容健康鼻腔结果调查》（SCHNOS），对美容性和功能性鼻整形手术的结果进行详细分析。
一项纵向队列研究，回顾性审视鼻整形手术患者术前的满意度，并前瞻性观察其术后结果。患者在术后随访期间完成阿拉伯语版的SCHNOS。记录术前和术后的回答，然后进行审查和分析。
本研究纳入了41例患者，平均年龄为27.8岁。女性占患者的41.5%。约73%的患者有外伤史。90%的患者接受了矫正歪鼻的初次手术。12例患者（29.3%）因功能原因接受手术，26例（63.4%）因美容和功能问题接受手术。在鼻腔阻塞评分（SCHNOS - O）和鼻腔美容评分（SCHNOS - C）方面，SCHNOS的变化存在统计学显著差异（<0.001）。这些结果与术后所有SCHNOS项目的大幅降低相一致（<0.001）。术前和术后（SCHNOS - O）或（SCHNOS - C）的变化与年龄、性别、外伤史或手术类型之间均无统计学显著关系。然而，在评估SCHNOS - O的变化与手术原因之间的关系时，发现了统计学显著差异。
对于歪鼻患者，要实现最佳的美容和功能效果，需要全面了解三维病理和与时间相关的变化。强烈鼓励在临床实践中使用像SCHNOS这样经过高度验证的问卷，以调整和追踪手术技术，使其最适合患者并取得成功。
