■鼻中隔成形术和鼻甲成形术的结合是一种常见的手术和公认的干预措施,以纠正鼻塞。消融术粘膜下减少鼻甲是一种新的手术装置,它最近开始使用。另一方面,内侧皮瓣下鼻甲成形术不是保守的技术,但它提供了一个可靠和强大的减少。
■本研究旨在比较55例患者的症状以及与健康相关的生活质量(HQOL),这些患者接受了鼻中隔成形术并伴有内侧皮瓣下鼻甲成形术(第1组),53例患者接受了鼻中隔成形术并伴有消融术鼻甲(第2组)。
■作者进行了前瞻性研究,对108例患者进行随机研究,这些患者咨询了大学医院的耳鼻咽喉科进行中隔手术。
■术前,两组患者的症状和健康相关的生活质量非常相似,下鼻甲的前部宽度在对侧和偏斜侧之间显示出显着差异,而在后部则没有显着差异。术后症状改善评分在视觉模拟评分(VAS)上有显著性差异(P<0.05)。在所有患者组中,鼻塞性鼻中隔成形术的有效性(NOSE)和更好的HQOL[Sino-Nasal结果测试-22(SNOT-22)]。此外,第2组的NOSE和SNOT-22评分改善程度明显高于第1组(P<0.05)。
■鼻中隔超声成形术治疗鼻中隔偏曲和下鼻甲肥大,两组患者的症状减少,生活质量提高。因此,这些技术是减少鼻甲的有效干预措施,从长远来看,它们同样有效。
UNASSIGNED: The combination of septoplasty and turbinoplasty is a common surgical and accepted intervention to correct the nasal obstruction. The coblation submucosal reduction turbinator is a new surgical device, and it started to be used recently. On the other hand, the medial flap inferior turbinoplasty is not a conservative technique, but it provides a reliable and robust reduction.
UNASSIGNED: This study aims to compare the symptoms as well as health-related quality of life (HQOL) in 55 patients who underwent septoplasty with concomitent medial flap inferior turbinoplasty (group 1), 53 patients who patients underwent septoplasty with concomitent coblation turbinator (group 2).
UNASSIGNED: The authors performed a prospective, randomized study of 108 patients who consulted the otorhinolaryngology department at the university hospital for surgery of septoturbinoplasty.
UNASSIGNED: Preoperatively, the two patient groups had quite similar symptoms and health-related quality of life, and the anterior width of the inferior turbinate showed significant differences between the contralateral and deviated sides but not the posterior part. The significant difference (P<0.05) was noted for postoperatively improved symptom scores on visual analogue scale (VAS), nasal obstruction septoplasty effectiveness (NOSE) and better HQOL [Sino-Nasal Outcome Test-22 (SNOT-22)] in all patient groups. In addition, the NOSE and SNOT-22 scores in group 2 had significantly greater improvement than group 1 (P<0.05).
UNASSIGNED: Septoturbinoplasty treatment of septum deviation and inferior turbinate hypertrophy led to less symptoms as well as better HQOL for all two patient groups. Therefore, these techniques were an effective intervention for turbinate reduction, and they are equally efficient in the long term.