Autologous fat injection for empty-nose syndrome

IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY
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引用次数: 0

Abstract

Aims

Inferior meatus augmentation by injection or implants is one of the treatments for empty-nose syndrome (ENS), but levels of evidence of efficacy are low. We present the technique and evaluate our experience. The primary objective was to analyze changes in Empty Nose Syndrome 6-item Questionnaire (ENS6Q) scores after treating patients with ENS by autologous fat injection. Secondary objectives were the analysis of the evolution of each of the six ENS6Q items and identification of complications. Eleven patients underwent a minimally invasive approach to limit nasal airflow using fat injection between March 2021 and December 2022.

Results

Ten of the 11 patients showed a decrease in overall ENS6Q score (P = 0.0058); 6 had a final ENS6Q score < 11. Ten were satisfied with the procedure, but remained symptomatic. The procedure did not result in any complications.

Conclusion

These encouraging results confirm the data in the literature suggesting that fat injection improves symptomatology in empty nose syndrome. However, like other minimally invasive approaches to limit nasal airflow, it does not eliminate all symptoms. These results need to be confirmed by studies on larger cohorts with longer follow-up, preferably in a multicenter setting.

自体脂肪注射治疗空鼻综合征。
目的:注射或植入下鼻道是治疗空鼻综合征(ENS)的方法之一,但疗效证据水平较低。我们展示技术并评估我们的经验。主要目的是分析自体脂肪注射治疗ENS患者后,空鼻综合征6项问卷(ENS6Q)评分的变化。次要目标是分析六个ENS6Q项目中每一个项目的演变情况并确定并发症。在2021年3月至2022年12月期间,11名患者接受了脂肪注射限制鼻腔气流的微创方法。结果:11名患者中有10名患者的总体ENS6Q评分下降(P=0.0058);结论:这些令人鼓舞的结果证实了文献中的数据,表明脂肪注射可以改善空鼻综合征的症状。然而,与其他限制鼻腔气流的微创方法一样,它并不能消除所有症状。这些结果需要通过对更大队列进行更长随访的研究来证实,最好是在多中心环境中。
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来源期刊
CiteScore
3.70
自引率
28.00%
发文量
97
审稿时长
12 days
期刊介绍: European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site. Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.
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