Li Yan, Jin Gang Y
Otorhinolaryngology, Shanghai Yida Hospital, Shanghai University, Shanghai, China.
Otorhinolaryngology, Xianghe County People's Hospital, Hebei Medical University, Langfang, CHN.
Cureus. 2025 Apr 22;17(4):e82769. doi: 10.7759/cureus.82769. eCollection 2025 Apr.
Objective This study aims to evaluate the efficacy of the multi-line tension-reduction technique in the surgical correction of a C-shaped nasal septum deviation. Methods This study included patients diagnosed with a C-shaped nasal septum deviation who underwent nasal septum correction surgery. Participants were divided into two groups: an observation group, in which the multi-line tension-reduction technique was applied, and a control group, in which traditional surgical methods were used. The following parameters were compared between the two groups: operation time, intraoperative blood loss, postoperative pain intensity (assessed using the visual analog scale (VAS)), improvement in nasal ventilation (measured using a nasal resistance meter), and complication rate. Results In the observation group, the mean operation time was 35.22 ± 5.48 minutes and the mean intraoperative blood loss was 10.53 ± 4.07 mL, both of which were significantly lower than those in the control group (t = 7.84, 16.215; P < 0.05). The postoperative pain intensity, as assessed by VAS scores at 24, 48, and 72 hours, was 5.23 ± 1.23, 2.48 ± 1.09, and 0.68 ± 0.76 points, respectively, all of which were significantly lower than those in the control group (t = 8.11, 11.80, 8.383; P < 0.05). The complication rate in the observation group was 2.5%, which was significantly lower than that in the control group (χ² = 3.97; P < 0.05). Nasal ventilation resistance values at 1, 3, 6, and 12 months post-operation were 0.87 ± 0.12, 0.66 ± 0.16, 0.64 ± 0.13, and 0.61 ± 0.14, respectively, all of which were significantly lower than those in the control group (t = 9.221, 9.477, 8.923, 7.212; P < 0.05). These findings indicate that the multi-line tension-reduction technique significantly outperformed traditional surgical methods in terms of operation time, intraoperative blood loss, postoperative pain intensity, nasal ventilation improvement, and complication rate. Conclusion The application of the multi-line tension-reduction technique in the surgical correction of a C-shaped nasal septum deviation exhibits substantial advantages such as reduced operation time, minimized intraoperative blood loss, attenuated postoperative pain, improved recovery of nasal ventilation function, and a significantly lower complication rate.
目的 本研究旨在评估多线减张技术在C形鼻中隔偏曲手术矫正中的疗效。方法 本研究纳入诊断为C形鼻中隔偏曲并接受鼻中隔矫正手术的患者。参与者分为两组:观察组采用多线减张技术,对照组采用传统手术方法。比较两组以下参数:手术时间、术中出血量、术后疼痛强度(采用视觉模拟评分法(VAS)评估)、鼻通气改善情况(采用鼻阻力仪测量)及并发症发生率。结果 观察组平均手术时间为35.22±5.48分钟,平均术中出血量为10.53±4.07毫升,均显著低于对照组(t=7.84,16.215;P<0.05)。术后24、48和72小时VAS评分评估的疼痛强度分别为5.23±1.23、2.48±1.09和0.68±-0.76分,均显著低于对照组(t=8.11,11.80,8.383;P<0.05)。观察组并发症发生率为2.5%,显著低于对照组(χ²=3.97;P<0.05)。术后1、3、6和12个月的鼻通气阻力值分别为0.87±0.12、0.66±0.16、0.64±0.13和0.61±0.14,均显著低于对照组(t=9.221,9.477,8.923,7.212;P<0.05)。这些结果表明,多线减张技术在手术时间、术中出血量、术后疼痛强度、鼻通气改善及并发症发生率方面显著优于传统手术方法。结论 多线减张技术应用于C形鼻中隔偏曲的手术矫正具有显著优势,如缩短手术时间、减少术中出血量、减轻术后疼痛、改善鼻通气功能恢复且并发症发生率显著降低。