患者报告的结果措施,包括功能性鼻膜整形术后鼻腔呼吸的改善,使用内鼻腔 Septal 延伸移植.
Jared M Goldfarb1, Cullen M Taylor1, José E Barrera1
1Texas Center for Facial Plastic and Laser Surgery, San Antonio, Texas, USA.
Facial plastic surgery & aesthetic medicine
|February 13, 2024
概括
患者报告说,经过隔膜延伸移植 (SEG) 的内鼻鼻整形术后,鼻呼吸和睡眠质量显著改善. 这项研究强调了SEG在改善患者报告的鼻阻塞结果方面的有效性.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 整形外科 整形外科 整形外科
- 鼻科 鼻科是指鼻科的专家.
背景情况:
- 鼻腔阻塞显著影响生活质量.
- Septal 延伸移植 (SEG) 在鼻整形中用于解决结构性鼻子问题.
- 患者报告的结果测量 (PROM) 对于评估手术成功至关重要.
研究的目的:
- 评估患者在使用隔膜延伸移植 (SEG) 进行内鼻鼻整形后感知到的鼻呼吸和睡眠质量的变化.
- 评估SEG与分管整形和轮整形一起用于改善鼻腔阻塞症状的疗效.
主要方法:
- 对34名接受SEG,分管整形和轮整形的患者进行了回顾性审查.
- 使用包括NOSE,SNOT-22,SCHNOS和ESS在内的PROM来衡量结果.
- 分析了手术前和手术后得分的变化,平均随访时间为126.6天.
主要成果:
- 在所有PROM中观察到显著的改善,包括鼻塞症状评估 (NOSE),鼻腔结局测试 (SNOT) -22 ,爱普沃思睡眠度量表 (ESS) 和标准化化美容和健康鼻腔结局调查 (SCHNOS) (p < 0.001).
- 在NOSE得分的平均降低为49.4,SNOT-22得分为24.2.
- 在研究期间没有报告任何并发症.
结论:
- 使用隔膜延伸移植 (SEG) 的内鼻整形术导致患者报告的鼻呼吸和整体鼻功能显著改善.
- 结合SEG与隔膜整形和轮整形,似乎可以有效地管理鼻腔阻塞.
- PROMs是量化SEG在鼻美术中的功能和美学益处的宝贵工具.
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