摘要
目的介绍一种鼻翼退缩的分型方式,并探讨应用软骨移植物处理各型鼻翼退缩的治疗策略及术后患者满意度评价。方法回顾性分析2015年1月至2020年12月中南大学湘雅二医院整形美容(烧伤)外科收治的鼻翼退缩的患者88例,其中男性20例,女性68例,年龄20~48岁,平均28.98岁。所有患者均依据基于鼻孔暴露度鼻翼退缩分型方式所确定的一系列治疗方案进行外鼻整形术。术前及术后12个月随访,分别使用视觉模拟量表(VAS)及鼻整形手术效果评估问卷(Rhinoplasty Outcomes Evaluation,ROE)进行满意度调查。采用Wilcoxon符号秩和检验分析患者满意度情况。结果本研究88例患者中,依据正面观鼻孔暴露度的鼻翼退缩分型,其中轻度者45例,中度者23例,重度者20例;单侧16例,双侧72例。随访12~18个月,平均13.37个月。各型手术后VAS评分和ROE评分均显著高于术前,差异具有统计学意义(P值均<0.05)。其中重度鼻翼退缩患者VAS评分术前术后差值(6.75±1.29)分,ROE满意度差值(67.70±7.38)分,提示改善效果最明显。结论基于正面观鼻孔暴露度的鼻翼退缩分型方式可全面评估患者鼻翼退缩的严重程度,并将治疗方案系统化、全面化,患者满意度较高。
Objective To introduce a classification of alar retraction,and to discuss the therapeutic strategy of alar retraction with cartilage graft and the satisfaction evaluation of patients after operation.Methods A retrospective analysis was performed on 88 patients with alar retraction admitted to the Department of Plastic and Aesthetic(Burn)Surgery,the Second Xiangya Hospital of Central South University from January 2015 to December 2020,including 20 males and 68 females,aged 20 to 48 years,with an average age of 28.98 years.All patients underwent external rhinoplasty according to a series of treatment plans determined by the classification of alar retraction based on nostril exposure.Visual Analogue Scale(VAS)and Rhinoplasty Outcomes Evaluation(ROE)were used to conduct satisfaction survey before and 12 months after operation.Wilcoxon signed-rank test was used to analyze patient satisfaction.Results A total of 88 patients were included in this study.According to the classification of alar retraction based on nostril exposure,45 cases were mild,23 cases were moderate,and 20 cases were severe.There were 16 cases of unilateral and 72 cases of bilateral alar retraction.The patients were followed up for 12 to 18 months,with an average of 13.37 months.The VAS score and ROE score after each type of surgery were higher than those before surgery,with statistically significant(all P<0.05).Among them,the difference in VAS score(6.75±1.29)and in ROE satisfaction(67.70±7.38)of patients with severe alar retraction were the most significant improvement.Conclusion The classification of alar retraction based on nostril exposure in the frontal view can comprehensively evaluate the severity of alar retraction,and makes the treatment algorithms systematic and comprehensive.The satisfaction of patients is relatively high.
作者
王先成
邓毅文
孙杨
孟宪熙
熊祥
方柏荣
李晓芳
杨开
晏权锭
田毅
Wang Xiancheng;Deng Yiwen;Sun Yang;Meng Xianxi;Xiong Xiang;Fang Borong;Li Xiaofang;Yang Kai;Yan Quanding;Tian Yi(Department of Plastic and Aesthetic(Burn)Surgery,the Second Xiangya Hospital,Central South University,Changsha 410011,China;Rhinoplasty Research Center,the Second Xiangya Hospital,Central South University,Changsha 410011,China)
出处
《中华耳鼻咽喉头颈外科杂志》
CSCD
北大核心
2023年第2期126-132,共7页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
关键词
鼻成形术
鼻翼退缩
分类
肋软骨
耳软骨
移植物
Rhinoplasty
Alar retraction
Classification
Costal cartilage
Ear cartilage
Transplants
