Gräber I, Jovanovic S, Berghaus A
Hals-Nasen-Ohrenklinik mit Polikliniken im Klinikum Benjamin Franklin, Freien Universität Berlin.
Laryngorhinootologie. 1995 Aug;74(8):495-9. doi: 10.1055/s-2007-997787.
Between 1983 and 1988, 206 patients underwent a septorhinoplasty in the ENT Department of the University Hospital Benjamin Franklin in Berlin. The results of the operation were analysed by an "objective" evaluation form including measurements of cephalometric angles and a "subjective" questionnaire reflecting the patient's view. Ninety-nine patients responded to our questionnaire. About one third of our patients were foreigners (mostly Turks). Seventy-five percent of the results were good in objective as well as subjective terms. Comparison of results between the two sexes did not show a significant difference. A relevant discrepancy between the objective and the subjective results was seen in the foreign patients. The low average age and therefore unrealistically high expectations are a possible explanation for this phenomenon. Patients with small preoperative deformities also turned out to be less satisfied with the outcome even though the objective result was better. While obtaining the objective results, we also realized that the nasofrontal angle seems to be of minor importance for the facial profile. The nasofacial and the nasolabial angle actually seem to be more important for the rhinoplasty and reflect the aesthetic correction of the nose better than the nasofrontal angle. It was much more often possible to correct the nasofacial and the nasolabial angle, while the nasofrontal angle remained uncorrected in many cases. Our retrospective study was able to answer the question whether the aesthetic outcome after rhinoplasty can be rated objectively.
1983年至1988年间，206例患者在柏林本杰明·富兰克林大学医院耳鼻喉科接受了鼻中隔鼻成形术。通过一份“客观”评估表（包括头影测量角度）和一份反映患者观点的“主观”问卷对手术结果进行分析。99例患者回复了我们的问卷。约三分之一的患者是外国人（大多数是土耳其人）。75%的结果在客观和主观方面都很好。两性之间的结果比较未显示出显著差异。外国患者的客观和主观结果之间存在明显差异。平均年龄较低以及因此不切实际的高期望可能是这一现象的一个解释。术前畸形较小的患者对结果也不太满意，尽管客观结果更好。在获得客观结果的同时，我们还意识到鼻额角对面部轮廓似乎不太重要。鼻面角和鼻唇角实际上对鼻成形术似乎更重要，并且比鼻额角更能反映鼻子的美学矫正。更常能够矫正鼻面角和鼻唇角，而在许多情况下鼻额角仍未矫正。我们的回顾性研究能够回答鼻成形术后美学效果是否可以客观评定的问题。
