Functional assessment of septo(rhino)plasty revision surgery

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-05-01 DOI:10.1016/j.anorl.2024.01.002

J. Maubras , S. Bonigen , M. Kerimian , A. Alharbi , L. de Gabory

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引用次数: 0

Abstract

Introduction

Functional septo(rhino)plasty incurs a 17–25% rate of revision for persistent symptoms.

Objectives

The main study objective was to assess functional results before and after surgical revision. The secondary objective was to describe the shortcomings or excesses of the prior surgeries, with a-posteriori comparison of efficacy for the surgical techniques requiring revision.

Material and methods

A single-center retrospective study included functional salvage septo(rhino)plasties. Data comprised epidemiology, intraoperative anatomic abnormalities indicative of prior surgery, operative correction maneuvers, and pre- and post-intervention NOSE and RhinoQoL scores and satisfaction on VAS.

Results

Eighty-two patients were included. Anatomic abnormalities comprised deviated posterior septum (81.7%) and chondroethmoidal junction (58.5%), valve stenosis (54.9%), and obstructive boney spur or crest (46.3%). Prior surgeries comprised 33 submucosal resections, 29 septorhinoplasties, 14 Cottle septoplasties and 5 Killian procedures. Complete septoplasty was performed in 80% of cases, with associated maneuvers in 15%. All scores showed improvement taking the whole population together (P < 10⁻⁵), but on subgroup analysis improvement concerned only revision of septorhinoplasty (P < 10⁻⁴) and of submucosal resection (P < 10⁻³), while 17% of patients showed no change in scores.

Conclusion

Functional nasoseptal salvage surgery enables most patients to recover respiratory comfort, with the exception of a few cases despite a perfectly straight nasal septum.

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鼻中隔成形术翻修手术的功能评估

导言功能性鼻中隔（鼻窦）成形术因症状持续存在而导致的翻修率为17%-25%。研究的主要目的是评估手术翻修前后的功能效果。次要目的是描述之前手术的不足或过度，并对需要翻修的手术技术的疗效进行事后比较。材料和方法一项单中心回顾性研究包括功能性挽救性鼻中隔（鼻窦）成形术。数据包括流行病学、术中显示先前手术的解剖异常、手术矫正操作、干预前后的 NOSE 和 RhinoQoL 评分以及 VAS 满意度。解剖学异常包括后鼻中隔偏曲（81.7%）和软骨-齿状突交界处（58.5%）、瓣膜狭窄（54.9%）和阻塞性骨刺或骨嵴（46.3%）。之前的手术包括 33 例黏膜下切除术、29 例鼻中隔成形术、14 例 Cottle 鼻中隔成形术和 5 例 Killian 手术。80%的病例进行了完整的鼻中隔成形术，15%的病例进行了相关操作。所有患者的评分都有所改善（P <10-5），但在分组分析中，只有鼻中隔成形术（P <10-4）和粘膜下切除术（P <10-3）的患者评分有所改善，而 17% 的患者评分没有变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.