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隆鼻术对鼻呼吸和嗅觉功能的影响:一项纵向前瞻性队列研究。

Impact of Rhinoplasty on Nasal Breathing and Olfactory Function: A Longitudinal Prospective Cohort Study.

作者信息

Obeid Mohamad, Obeid Ibrahim, Adi Mohammad, Al-Kurdi Mohammed, Jawad Ali, Ismaeel Modar, Taha Ahmad, Mustafa Ahmad

机构信息

Department of Otorhinolaryngology, Faculty of Medicine, Al Mouwasat University Hospital, Damascus University, Damascus, Syria.

Department of Neurosurgery, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.

出版信息

Aesthetic Plast Surg. 2025 Feb 10. doi: 10.1007/s00266-025-04716-z.

DOI:10.1007/s00266-025-04716-z
PMID:39929985
Abstract

INTRODUCTION

Rhinoplasty surgery involves multiple specialties and often leads to respiratory and olfactory complaints. This study examines the impact of rhinoplasty on nasal function and patient satisfaction, aiming to enhance quality of life.

OBJECTIVE

To assess the effect of rhinoplasty on nasal breathing and olfactory function.

MATERIALS AND METHODS

This longitudinal, single-center study included 62 patients undergoing rhinoplasty from April 2023 to April 2024. We evaluated nasal obstruction, olfactory function, and patient satisfaction using NOSE, ROE, and SAOQ scales at baseline, 6 months, and 1 year post-surgery.

RESULTS

Rhinoplasty significantly improved nasal obstruction and satisfaction with nasal appearance. Notably, nasal obstruction decreased and patient satisfaction increased from baseline to 1 year post-surgery. Males reported greater satisfaction improvement compared to females, while smokers experienced more nasal obstruction at 1 year. Age and nasal trauma history had minimal effect on outcomes. Most patients reported relief from nasal congestion and improved olfactory function post-surgery.

CONCLUSION

Rhinoplasty enhances nasal function and appearance, with smoking impacting long-term results. Future research should explore diverse populations and the long-term effects of rhinoplasty.

LEVEL OF EVIDENCE III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

引言

隆鼻手术涉及多个专业领域,且常引发呼吸和嗅觉方面的不适。本研究旨在探讨隆鼻手术对鼻腔功能和患者满意度的影响,以提高生活质量。

目的

评估隆鼻手术对鼻腔呼吸和嗅觉功能的影响。

材料与方法

这项纵向单中心研究纳入了2023年4月至2024年4月期间接受隆鼻手术的62例患者。我们在基线、术后6个月和1年时,使用NOSE、ROE和SAOQ量表评估鼻塞、嗅觉功能和患者满意度。

结果

隆鼻手术显著改善了鼻塞情况以及对鼻外观的满意度。值得注意的是,从基线到术后1年,鼻塞减轻,患者满意度提高。男性报告的满意度改善程度高于女性,而吸烟者在术后1年鼻塞情况更严重。年龄和鼻外伤史对结果影响极小。大多数患者术后报告鼻塞缓解,嗅觉功能改善。

结论

隆鼻手术可改善鼻腔功能和外观,吸烟会影响长期效果。未来研究应探索不同人群以及隆鼻手术的长期影响。

证据级别III:本刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述,请参阅目录或在线作者指南www.springer.com/00266 。

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