Comparative Effectiveness of Cartilage Grafts in Functional Rhinoplasty for Nasal Sidewall Collapse.
Comparative Effectiveness of Cartilage Grafts in Functional Rhinoplasty for Nasal Sidewall Collapse.
复制标题
软骨移植在鼻侧壁塌陷功能性鼻整形术中的比较效果。
DOI：
10.1089/fpsam.2021.0219
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发表时间：
2021
影响因子：
2
通讯作者：
R. Lindsay
中科院分区：
文献类型：
--
作者：
Anıl Hişmi;Ciersten A. Burks;J. Locascio;R. Lindsay
目的：比较接受两种鼻整形术的鼻塞患者与对照组患者报告的结果。方法：在以大学为基础的三级保健医疗中心进行前瞻性纵向研究。纳入2015年10月至2019年3月接受功能性鼻中隔成形术以矫正侧壁功能不全的所有患者；n = 704，平均年龄(标准差)39.0(15.4)岁，女性52.7%。患者于术前、术后完成鼻塞症状评定量表(NOSE)和面孔Q量表。患者被分成三组：扩张器和外侧脚支柱移植组(n = 141例)，扩张器和翼缘(AR)植入组(n = 104例)，对照组(n = 218例)。结果：所有队列患者术后最后一次随访时的鼻部评分中位数较基线均有改善(p <； 0.001)。手术后，所有队列、AR、LCS和SISPER患者的Face-Q鼻部满意度中值也有所改善(p = 0.001，p <； 0.001，p <； 0.0001)。结论：本研究中采用功能性鼻整形术治疗侧壁功能不全的患者，在改善主观鼻功能方面没有明显的差异，也没有不良的美学结果。
Objective: To compare the patient-reported outcomes among patients with nasal obstruction undergoing two rhinoplasty techniques to a control group. Methods: Prospective longitudinal study in a university-based tertiary care medical center. All patients undergoing functional septorhinoplasty for correction of lateral wall insufficiency between October 2015 and March 2019 were included; n = 704, mean age (standard deviation) 39.0 (15.4) years, 52.7% females. Patients completed the Nasal Obstruction Symptom Evaluation (NOSE) and FACE-Q subscales pre- and postoperatively. Patients were divided into three cohorts: spreader and lateral crural strut (LCS) grafts (n = 141), spreader and alar rim (AR) grafts (n = 104), and the control spreader grafts alone (n = 218). Results: The median NOSE scores at last postoperative visit were improved from baseline (p < 0.001) for all cohorts. The FACE-Q nasal satisfaction median scores also improved postoperatively in all cohorts, AR, LCS, and spreader, respectively (p = 0.001, p < 0.001, and p < 0.0001). Conclusions: There was no detectable difference in the improved subjective nasal function, nor adverse aesthetic outcomes in the patients with lateral wall insufficiency treated with functional rhinoplasty techniques in this study.