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[About the functional aspect of septorhinoplasty]. / Der Funktionelle Aspekt der Septorhinoplastik.
Oeken, J; Kiefer, M C.
Afiliação
  • Oeken J; HNO-Klinik, Kopf- und Halschirurgie, Klinikum Chemnitz, Chemnitz. jens.oeken@skc.de
Mund Kiefer Gesichtschir ; 10(2): 82-8, 2006 Mar.
Article em De | MEDLINE | ID: mdl-16402237
INTRODUCTION: Rhinosurgeons emphasize the functional aspect of septorhinoplasty (SRP). So far only a few publications with exact data exist. PATIENTS AND METHODS: Fifty-two patients (33 male symbol; 19 female symbol, average age: 37 years) were examined before and approx. 1 year after SRP. Rhinomanometry, olfactometry, and photographic documentation were carried out. Using a questionnaire they were asked about the functional outcome and about their original personal aims concerning the SRP. RESULTS: All patients suffered from a deviated septum. Regarding the external aspect 38 patients had a crooked nose with or without a hump, 7 patients had a hump without external deviated nose, and 7 patients had a saddle nose or other deformities. If total nasal airflow is considered rhinomanometry showed no significant improvement postoperatively (p=0.115). If only the worse nasal side is considered rhinometry showed a highly significant improvement (p=0.002). In the questionnaire 34 patients (65%) indicated an improvement, 14 patients (27%) no change, and 4 patients a deterioration of the nasal airflow. The final aesthetic outcome was assessed by 39 patients (75%) as an improvement, by 12 patients (23%) as unchanged, and by 1 patient (2%) as worse. There were no significant changes in the olfactory function. Asked about their personal aims 29 patients (56%) wished first of all an improvement of nasal airflow, 5 patients (10%) a good aesthetic result, and 18 patients (34%) both aspects. CONCLUSIONS: The results show that use of the term "functional" SRP is justified. In the majority of cases a simultaneously existing functional-plastic problem is solved. Our results support the importance of rhinomanometry as an objective parameter in the perioperative diagnostic battery of nasal obstruction.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Rinoplastia / Obstrução Nasal / Ventilação Pulmonar / Estética / Septo Nasal Limite: Adult / Female / Humans / Male Idioma: De Revista: Mund Kiefer Gesichtschir Ano de publicação: 2006 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Rinoplastia / Obstrução Nasal / Ventilação Pulmonar / Estética / Septo Nasal Limite: Adult / Female / Humans / Male Idioma: De Revista: Mund Kiefer Gesichtschir Ano de publicação: 2006 Tipo de documento: Article