개방성 접근법에 의한 비중격 교정술의 임상 양상에 관한 연구
Clinical Outcome Study after External Approach Septoplasty
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background and Objectives This study aims to investigate the indications of external approachseptoplasty and improvement in subjective symptoms and objective parameters in patientswho underwent external approach septoplasty to correct septal deviation with varioustypes of deformities. Subjects and Method Thirty-one patients who underwent external approach septoplastyfrom October 2014 to January 2019 were classified by direction, location, and degree of nasalseptal deviation, septal shape and surgical techniques. Through acoustic rhinometry, the minimumcross-sectional area and nasal volume were measured before and after surgery. To evaluatethe improvement in symptoms, the Nasal Obstruction Symptom Evaluation (NOSE) surveyand nasal congestion visual analogue scale (VAS) were also measured. Results We found significant correlations between: the direction and degree of nasal septaldeviation; the location and degree of nasal septal deviation; septal shape and location of the nasalseptal deviation; septal shape and surgical techniques; and the degree of nasal septal deviationand presence of spreader grafts. The NOSE scale following external approach septoplastyimproved from 14.7±4.4 to 3.1±3.2 (p<0.001), while the VAS score improved from 7.2±2.3to 1.2±1.4 (p<0.001). Also, acoustic rhinometry showed that the minimum cross-sectionalarea and nasal volume at the convex side of nasal cavity significantly increased after surgery. Conclusion The external approach septoplasty is a surgical technique that is effective notonly in improving subjective symptoms, but also in improving objective parameters. Externalapproach septoplasty could be used in case of caudal and/or dorsal nasal septal deviation.
Abstract
Background and Objectives This study aims to investigate the indications of external approachseptoplasty and improvement in subjective symptoms and objective parameters in patientswho underwent external approach septoplasty to correct septal deviation with varioustypes of deformities. Subjects and Method Thirty-one patients who underwent external approach septoplastyfrom October 2014 to January 2019 were classified by direction, location, and degree of nasalseptal deviation, septal shape and surgical techniques. Through acoustic rhinometry, the minimumcross-sectional area and nasal volume were measured before and after surgery. To evaluatethe improvement in symptoms, the Nasal Obstruction Symptom Evaluation (NOSE) surveyand nasal congestion visual analogue scale (VAS) were also measured. Results We found significant correlations between: the direction and degree of nasal septaldeviation; the location and degree of nasal septal deviation; septal shape and location of the nasalseptal deviation; septal shape and surgical techniques; and the degree of nasal septal deviationand presence of spreader grafts. The NOSE scale following external approach septoplastyimproved from 14.7±4.4 to 3.1±3.2 (p<0.001), while the VAS score improved from 7.2±2.3to 1.2±1.4 (p<0.001). Also, acoustic rhinometry showed that the minimum cross-sectionalarea and nasal volume at the convex side of nasal cavity significantly increased after surgery. Conclusion The external approach septoplasty is a surgical technique that is effective notonly in improving subjective symptoms, but also in improving objective parameters. Externalapproach septoplasty could be used in case of caudal and/or dorsal nasal septal deviation.
참고문헌 (17)
- Tompos T, "Sensation of nasal patency compared to rhinomanometric results after septoplasty", Eur Arch Otorhinolaryngol, 267(12), pp.1887~1891 (2010)
- Gupta A, "Surgical access to the internal nasal valve", Arch Facial Plast Surg, 5(2), pp.155~158 (2003)
- Chaaban M, "Open septoplasty : Indications and treatment", Otolaryngol Clin North Am, 42(3), pp.513~519 (2009)
- Phillips PS, "Functional and cosmetic outcomes of external approach septoplasty", Am J Rhinol Allergy, 25(5), pp.351~357 (2011)
- Stewart MG, "Development and validation of the Nasal Obstruction Symptom Evaluation(NOSE)scale", Otolaryngol Head Neck Surg, 130(2), pp.157~163 (2004)
- Guyuron B, "A practical classification of septonasal deviation and an effective guide to septal surgery", Plast Reconstr Surg, 104(7), pp.2202~2209 (1999)
- 김용익, "대한통증학회지에 게재된 논문들에서 사용된통증 측정 방법에 대한 분석", The Korean Journal of Pain, 16(1), pp.33~36 (2003), 대한통증학회
- Metzenbaum M, "Replacement of the lower end of the dislocated septal cartilage versus submucous resection of the dislocated end of the septal cartilage", Arch Otolaryngol, 9(3), pp.282~296 (1929)
- 최지윤, "비중격 재수술 및 재건술", 대한이비인후-두경부외과학회지, 59(8), pp.571~577 (2016), 대한이비인후과학회[DOI]
- Wee JH, "Septal batten graft to correct cartilaginous deformities in endonasal septoplasty", Arch Otolaryngol Head Neck Surg, 138(5), pp.457~461 (2012)
- Chung YS, "How to resolve the caudal septal deviation? Clinical outcomes after septoplasty with bony batten grafting", Laryngoscope, 124(8), pp.1771~1776 (2014)
- Surowitz J, "Anterior septal reconstruction for treatment of severe caudal septal deviation : Clinical severity and outcomes", Otolaryngol Head Neck Surg, 153(1), pp.27~33 (2015)
- Gubisch W, "Twenty-five years experience with extracorporeal septoplasty", Facial Plast Surg, 22(4), pp.230~239 (2006)
- Konstantinidis I, "Long term results following nasal septal surgery. Focus on patients’ satisfaction", Auris Nasus Larynx, 32(4), pp.369~374 (2005)
- Pirilä T, "Unilateral and bilateral effects of nasal septum surgery demonstrated with acoustic rhinometry, rhinomanometry, and subjective assessment", Am J Rhinol, 15(2), pp.127~133 (2001)
- Kahveci OK, "The efficiency of Nose Obstruction Symptom Evaluation(NOSE)scale on patients with nasal septal deviation", Auris Nasus Larynx, 39(3), pp.275~279 (2012)
- 한성준, "비폐색 개선을 위한 비중격 수술 시 High Septal Deviation은 반드시 교정되어야 하는가?", Journal of Rhinology, 23(2), pp.85~90 (2016), 대한비과학회