J. Maubras , S. Bonigen , M. Kerimian , A. Alharbi , L. de Gabory
{"title":"鼻中隔成形术翻修手术的功能评估","authors":"J. Maubras , S. Bonigen , M. Kerimian , A. Alharbi , L. de Gabory","doi":"10.1016/j.anorl.2024.01.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Functional septo(rhino)plasty incurs a 17–25% rate of revision for persistent symptoms.</p></div><div><h3>Objectives</h3><p>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.</p></div><div><h3>Material and methods</h3><p><span>A single-center retrospective study included functional salvage septo(rhino)plasties. Data comprised epidemiology, intraoperative </span>anatomic abnormalities<span> indicative of prior surgery, operative correction maneuvers, and pre- and post-intervention NOSE and RhinoQoL scores and satisfaction on VAS.</span></p></div><div><h3>Results</h3><p><span><span>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 </span>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 (</span><em>P</em> <!--><<!--> <!-->10<sup>−5</sup>), but on subgroup analysis improvement concerned only revision of septorhinoplasty (<em>P</em> <!--><<!--> <!-->10<sup>−4</sup>) and of submucosal resection (<em>P</em> <!--><<!--> <!-->10<sup>−3</sup>), while 17% of patients showed no change in scores.</p></div><div><h3>Conclusion</h3><p>Functional nasoseptal salvage surgery enables most patients to recover respiratory comfort, with the exception of a few cases despite a perfectly straight nasal septum.</p></div>","PeriodicalId":48834,"journal":{"name":"European Annals of Otorhinolaryngology-Head and Neck Diseases","volume":"141 3","pages":"Pages 127-132"},"PeriodicalIF":1.9000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Functional assessment of septo(rhino)plasty revision surgery\",\"authors\":\"J. Maubras , S. Bonigen , M. Kerimian , A. Alharbi , L. de Gabory\",\"doi\":\"10.1016/j.anorl.2024.01.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Functional septo(rhino)plasty incurs a 17–25% rate of revision for persistent symptoms.</p></div><div><h3>Objectives</h3><p>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.</p></div><div><h3>Material and methods</h3><p><span>A single-center retrospective study included functional salvage septo(rhino)plasties. Data comprised epidemiology, intraoperative </span>anatomic abnormalities<span> indicative of prior surgery, operative correction maneuvers, and pre- and post-intervention NOSE and RhinoQoL scores and satisfaction on VAS.</span></p></div><div><h3>Results</h3><p><span><span>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 </span>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 (</span><em>P</em> <!--><<!--> <!-->10<sup>−5</sup>), but on subgroup analysis improvement concerned only revision of septorhinoplasty (<em>P</em> <!--><<!--> <!-->10<sup>−4</sup>) and of submucosal resection (<em>P</em> <!--><<!--> <!-->10<sup>−3</sup>), while 17% of patients showed no change in scores.</p></div><div><h3>Conclusion</h3><p>Functional nasoseptal salvage surgery enables most patients to recover respiratory comfort, with the exception of a few cases despite a perfectly straight nasal septum.</p></div>\",\"PeriodicalId\":48834,\"journal\":{\"name\":\"European Annals of Otorhinolaryngology-Head and Neck Diseases\",\"volume\":\"141 3\",\"pages\":\"Pages 127-132\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Annals of Otorhinolaryngology-Head and Neck Diseases\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1879729624000036\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Annals of Otorhinolaryngology-Head and Neck Diseases","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1879729624000036","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
Functional assessment of septo(rhino)plasty revision surgery
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.
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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