ROE量表在外鼻畸形合并鼻中隔偏曲患者手术前后生存质量评估中的应用

doi:10.6040/j.issn.1673-3770.0.2021.098

摘要/Abstract

摘要： 目的探讨外鼻畸形合并鼻中隔偏曲患者接受鼻内镜辅助下功能性鼻整形术后生存质量的改善情况。方法采用鼻整形结局评估量表(ROE)评价,对其进行信度和效度分析,采用汉译的ROE问卷对接受鼻内镜辅助下功能性鼻整形术治疗的外鼻畸形合并鼻中隔偏曲患者手术前后的分值进行比较。结果汉译的ROE问卷具有较好的信度和效度,外鼻畸形合并鼻中隔偏曲患者,手术前后ROE分值分别为(38.622±18.136)和(76.603±6.761),差异有统计学意义(t=14.478, P<0.001)。结论以ROE作为评价指标,鼻内镜辅助功能性鼻整形术治疗外鼻畸形合并鼻中隔偏曲能使患者的生存质量得以提高。

关键词: 鼻整形结局评估量表, 鼻中隔偏曲, 外鼻畸形, 功能性鼻整形术, 鼻内镜

Abstract: Objective To investigate the improvement in the quality of life of patients with external nose deformity and nasal septum deviation after nasal endoscopy assisted functional rhinoplasty. Methods The reliability and validity of the rhinoplasty outcome assessment scale(ROE)were analyzed. The outcomes of the patients with external nasal deformity and nasal septum deviation, who received functional rhinoplasty assisted by nasal endoscopy before and after surgery, were compared using the Chinese translated ROE. Results The ROE scores before and after surgery were 38.622±18.136 and 76.603±6.761, respectively. The difference was statistically significant(t=14.478, P<0.001). Conclusion Using ROE for the evaluation, nasal endoscopy assisted functional rhinoplasty can improve the quality of life of patients with external nasal deformity and nasal septum deviation.

Key words: Rhinoplasty outcome assessment scale, Deviation of nasal septum, External nasal deformity, Functional rhinoplasty, Nasal endoscopy

中图分类号:

R765.3

孙笑晗,李娜,陈凯璇,陈敏,闫舒,车飞. ROE量表在外鼻畸形合并鼻中隔偏曲患者手术前后生存质量评估中的应用[J]. 山东大学耳鼻喉眼学报, 2021, 35(3): 87-91.

SUN Xiaohan, LI Na, CHEN Kaixuan, CHEN Min, YAN Shu, CHE Fei. Application of the ROE scale to the evaluation of the quality of life of patients with external nose deformity and nasal septum deviation before and after surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(3): 87-91.

参考文献

[1] 李娜. 美容与功能兼顾: 浅谈鼻畸形整复与鼻中隔成形术[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 1-2. doi:10.6040/j.issn.1673-3770.1.2017.051. LI Na. Beauty and function: nasal deformity repair and nasal septoplasty[J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(1): 1-2. doi:10.6040/j.issn.1673-3770.1.2017.051.
[2] 华骋, 陈振雨, 张维娜, 等. 鼻内镜辅助下外鼻整形同期鼻中隔偏曲矫正术[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 33-36. doi:10.6040/j.issn.1673-3770.1.2017.053. HUA Cheng, CHEN Zhenyu, ZHANG Weina, et al. Efficacy of nasal endoscope-assisted nasal plastic surgery and nasal septum deviation correction[J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(1): 33-36. doi:10.6040/j.issn.1673-3770.1.2017.053.
[3] 张雪琰,李娜,车飞,等. 患者报告结局量表在鼻整形术中的应用[J]. 中华耳鼻咽喉头颈外科杂志,2020,55(3):284-289. doi:10.3760/cma.j.issn.1673-0860.2020.03.020.
[4] Alsarraf R, Larrabee WF Jr, Anderson S, et al. Measuring cosmetic facial plastic surgery outcomes: a pilot study[J]. Arch Facial Plast Surg, 2001, 3(3): 198-201. doi:10.1001/archfaci.3.3.198.
[5] Izu SC, Kosugi EM, Lopes AS, et al. Validation of the rhinoplasty outcomes evaluation(ROE)questionnaire adapted to Brazilian Portuguese[J]. Qual Life Res, 2014, 23(3): 953-958. doi:10.1007/s11136-013-0539-x.
[6] Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines[J]. J Clin Epidemiol, 1993, 46(12): 1417-1432. doi:10.1016/0895-4356(93)90142-n.
[7] 徐文, 李红艳, 胡蓉, 等. 嗓音障碍指数量表中文版信度和效度评价[J]. 中华耳鼻咽喉头颈外科杂志, 2008, 43(9): 670-675. doi:10.3321/j.issn: 1673-0860.2008.09.008. XU Wen, LI Hongyan, HU Rong, et al. Analysis of reliability And validity of the Chinese version of voice handicap index(VHI)[J]. Chin J Otorhinolaryngol Head Neck Surg, 2008, 43(9): 670-675. doi:10.3321/j.issn: 1673-0860.2008.09.008.
[8] 孙笑晗, 李娜, 陈凯璇, 等. 鼻整形患者疾病特异性生存质量量表的研究[J]. 中国耳鼻咽喉颅底外科杂志, 2020,26(6): 721-724. SUN Xiaohan, LI Na, CHEN Kaixuan, et al. Research progress of disease-specific quality of life scale for patients with rhinoplasty[J]. Chin J Otorhinolaryngol-Skull Base Surg, 2020, 26(6): 721-724.
[9] Baumann I. Quality of life before and after septoplasty and rhinoplasty[J]. Laryngorhinootologie, 2010, 89(Suppl 1): S35-S45. doi:10.1055/s-0029-1246125.
[10] Faidiga GB, Carenzi LR, Yassuda CC, et al. Long-term evaluation in aesthetic rhinoplasty in an academic referral center[J]. Braz J Otorhinolaryngol, 2010, 76(4): 437-441.
[11] 许昱. 歪鼻畸形的手术治疗进展及鼻内镜的相关应用[J]. 中华耳鼻咽喉头颈外科杂志, 2020, 55(3): 195-199. doi:10.3760/cma.j.issn.1673-0860.2020.03.002. XU Yu. The surgical progress of deviated nose correction and the application of endoscopy[J]. Chin J Otorhinolaryngol Head Neck Surg, 2020, 55(3): 195-199. doi:10.3760/cma.j.issn.1673-0860.2020.03.002.
[12] Litner JA, Rotenberg BW, Dennis M, et al. Impact of cosmetic facial surgery on satisfaction with appearance and quality of life[J]. Arch Facial Plast Surg, 2008, 10(2): 79-83. doi:10.1001/archfaci.10.2.79.
[13] McKiernan DC, Banfield G, Kumar R, et al. Patient benefit from functional and cosmetic rhinoplasty[J]. Clin Otolaryngol Allied Sci, 2001, 26(1): 50-52. doi:10.1046/j.1365-2273.2001.00427.x.
[14] Klassen A, Jenkinson C, Fitzpatrick R, et al. Patients' health related quality of life before and after aesthetic surgery[J]. Br J Plast Surg, 1996, 49(7): 433-438. doi:10.1016/s0007-1226(96)90025-9.
[15] Ba??塂er E, Kocagöz GD, Çalim ÖF, et al. Assessment of patient satisfaction with evaluation methods in open technique septorhinoplasty[J]. J Craniofac Surg, 2016, 27(2): 420-424. doi:10.1097/SCS.0000000000002321.
[16] Nouraei SAR, Virk JS, Kanona H, et al. Non-invasive Assessment and Symptomatic Improvement of the Obstructed Nose(NASION): a physiology-based patient-centred approach to treatment selection and outcomes assessment in nasal obstruction[J]. Clin Otolaryngol, 2016, 41(4): 327-340. doi:10.1111/coa.12510.
[17] Stewart MG, Witsell DL, Smith TL, et al. Development and validation of the nasal obstruction symptom evaluation(NOSE)scale[J]. Otolaryngol Head Neck Surg, 2004, 130(2): 157-163. doi:10.1016/j.otohns.2003.09.016.
[18] Stewart MG, Smith TL, Weaver EM, et al. Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness(NOSE)study[J]. Otolaryngol Head Neck Surg, 2004, 130(3): 283-290. doi:10.1016/j.otohns.2003.12.004.
[19] Spiekermann C, Rudack C, Stenner M. Reliability and validity of the German version of the Utrecht questionnaire for outcome assessment in aesthetic rhinoplasty(D-OAR)[J]. Eur Arch Otorhinolaryngol, 2017, 274(11): 3893-3898. doi:10.1007/s00405-017-4706-5.
[20] Lohuis PJ, Datema FR. Patient satisfaction in Caucasian and Mediterranean open rhinoplasty using the tongue-in-groove technique: prospective statistical analysis of change in subjective body image in relation to nasal appearance following aesthetic rhinoplasty[J]. Laryngoscope, 2015, 125(4): 831-836. doi:10.1002/lary.25037.
[21] Wähmann MS, Bulut OC, Bran GM, et al. Systematic review of quality-of-life measurement after aesthetic rhinoplasty[J]. Aesthetic Plast Surg, 2018, 42(6): 1635-1647. doi:10.1007/s00266-018-1199-6.
[22] Metin M, Avcu M. The effect on patient satisfaction of the postoperative nasal topographic, demographic, and functional results of open and closed septorhinoplasty techniques[J]. J Craniofac Surg, 2020. doi:10.1097/SCS.0000000000007120.

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