Spare roof technique in reduction rhinoplasty: Prospective study of the first one hundred patients
Spare roof technique in reduction rhinoplasty: Prospective study of the first one hundred patients
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DOI：
10.1002/lary.27804
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发表时间：
2019-12-01
期刊：
影响因子：
2.6
通讯作者：
Ferreira, Miguel Goncalves
中科院分区：
文献类型：
--
作者：
Santos, Mariline;Rego, Angela Reis;Ferreira, Miguel Goncalves
目的评价前100例采用备用鼻顶技术（SRT）进行鼻部复位成形术的患者的美学和功能效果。方法前瞻性、介入性和纵向研究对连续行SRT鼻部整形术的患者进行研究。所有的手术都是由最先描述这种技术的外科医生进行的。使用经过验证的葡萄牙语版乌得勒支问卷进行鼻整形效果评估。患者术前及术后3个月和12个月分别填写问卷。此外，采用视觉模拟量表（VAS）对双侧鼻腔通畅程度进行评分。结果研究人群包括100例高加索地中海患者（男性33例，女性67例）。平均手术年龄为32.8岁。术后3个月和12个月，术前和术后平均审美VAS评分分别从3.67分提高到8.1分（P < 0.001）和8.44分（P < 0.001）。五项美学李克特量表问题的分析均显示隆鼻术后的改善非常显著。术前美学总分平均为13.9分，术后3个月和12个月分别提高至8.26分和7.08分（P < 0.001），主观身体形象与鼻外观的关系有明显改善。术前和术后平均功能VAS评分分析显示，双方均有显著改善。结论本前瞻性统计研究证实，SRT在鼻功能和外观方面显著改善了患者的生活质量。这是一种可靠的技术，可以帮助提供一贯良好的效果，以减少鼻整形的背驼峰白人患者寻求鼻整形。证据水平2喉镜，129:2702-2706,2019
Objective Assess the aesthetic and functional outcomes of the first 100 patients who underwent reduction rhinoplasty with the spare roof technique (SRT). Methods Prospective, interventional, and longitudinal study performed on consecutive patients undergoing primary rhinoplasty by SRT. All the surgical procedures were performed by the surgeon who first described this technique. The validated Portuguese version of the Utrecht Questionnaire for Outcome Assessment in Aesthetic Rhinoplasty was used. Patients completed the questionnaire presurgery and again 3 and 12 months postsurgery. In addition, a visual analogue scale (VAS) was used to score nasal patency for both sides. Results The study population included 100 Caucasian Mediterranean patients (33 males; 67 females). Mean age at surgery was 32.8 years. Analysis of the preoperative and postoperative mean aesthetic VAS scores showed a significant improvement from 3.67 to 8.1 (P < 0.001) and 8.44 (P < 0.001), respectively, 3 and 12 months postsurgery. Analysis of the five aesthetic Likert scale questions all showed a highly significant improvement after rhinoplasty. The mean preoperative aesthetic sum score was 13.9, which improved to 8.26 and 7.08, respectively, 3 and 12 months postsurgery (P < 0.001), indicating a significant improvement of subjective body image in relation to nasal appearance. Analysis of the preoperative and postoperative mean functional VAS score showed a significant improvement on both sides. Conclusion This prospective statistical study confirms that SRT significantly improved patient quality of life regarding nose function and appearance. It is a reliable technique that can help deliver consistently good results in reduction rhinoplasty in Caucasian patients with dorsal hump seeking rhinoplasty. Level of Evidence 2 Laryngoscope, 129:2702-2706, 2019