下鼻甲黏膜下骨质切除术联合骨折外移术对慢性肥厚性鼻炎患者面部美观度的影响  

Effect of Inferior Turbinate Submucosal Osteotomy Combined with Fracture Externalization on Facial Aesthetics of Patients with Chronic Hypertrophic Rhinitis

作　　者：姚艳[1] 朱新[1] 吉晓燕 YAO Yan;ZHU Xin;JI Xiaoyan(Department of Otolaryngology Head and Neck Surgery,Zhongda Hospital Affi liated to Southeast University,Nanjing 210009,Jiangsu,China)

机构地区：[1]东南大学附属中大医院耳鼻咽喉头颈外科,江苏南京210009

出　　处：《中国美容医学》2022年第11期93-97,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨下鼻甲黏膜下骨质切除术联合骨折外移术治疗慢性肥厚性鼻炎(CHR)对患者面部美观的影响及安全性。方法:选取2019年2月-2020年1月笔者医院92例CHR患者,依据不同手术方式分为研究组与对照组,各46例。对照组采取鼻甲射频消融术,研究组采取下鼻甲黏膜下骨质切除术联合骨折外移术。统计两组临床疗效、鼻腔通气功能相关指标[鼻气道阻力(NAR)、鼻腔容积(NCV)、鼻腔最小横截面积到前鼻孔距离(DCAN)、双侧鼻腔最小横截面积(NMCA)]、应激反应指标[白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、高敏C反应蛋白(hs-CRP)水平]、鼻黏膜纤毛运动速率及疼痛程度评分、面部美观满意度、并发症。结果:研究组总有效率(97.83%)高于对照组(82.61%,P<0.05);术后1个月、5个月研究组NAR小于对照组,NCV、DCAN、NMCA大于对照组(P<0.05);术后不同时间段研究组血清IL-6、TNF-α、hs-CRP水平与对照组间无显著差异(P>0.05);术后1个月两组VAS评分、鼻黏膜纤毛运动速率间无显著差异(P>0.05);研究组面部美观满意度(97.83%)与对照组(95.65%)间无显著差异(P>0.05);研究组并发症发生率(10.87%)与对照组(6.52%)间无显著差异(P>0.05)。结论:下鼻甲黏膜下骨质切除术联合骨折外移术治疗CHR患者,可保持鼻腔黏膜纤毛系统功能,改善鼻腔通气功能,是效果显著的微创术式,且安全性及患者面部美观满意度高。Objective To investigate the effect and safety of inferior turbinate submucosal osteotomy combined with fracture externalization for the treatment of chronic hypertrophic rhinitis(CHR)on patients’facial aesthetics.Methods 92 patients with Chr in our hospital from February 2019 to January 2020 were divided into study group and control group according to different surgical methods,with 46 cases in each group.The control group underwent radiofrequency ablation of the turbinate,and the study group underwent submucosal osteotomy of the lower turbinate combined with fracture externalization.The clinical efficacy,related indicators of nasal ventilation function[nasal airway resistance(NAR),nasal volume(NCV),distance from the smallest cross-sectional area of nasal cavity to anterior nostril(DCAN),minimum cross-sectional area of nasal cavity(NMCA)],stress response index[interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),high sensitivity C-reactive protein(hs-CRP)level],nasal mucosal ciliary movement rate and pain score,facial aesthetic satisfaction,and complications were counted in two groups.Results The total effective rate of the study group(97.83%)was higher than that of the control group(82.61%,P<0.05).At 1 month and 5 months after surgery,the NAR of the study group was less than that of the control group,and the NCV,DCAN,and NMCA were greater than the control group(P<0.05).There was no significant difference in serum IL-6,TNF-α,hs-CRP levels between the study group and the control group at different time postoperatively(P>0.05).There was no significant difference in VAS score and nasal mucosal ciliary movement rate between the two groups at 1 month after operation(P>0.05).There was no significant difference in facial aesthetic satisfaction between the study group(97.83%)and the control group(95.65%,P>0.05).There was no significant difference between the incidence of complications in the study group(10.87%)and the control group(6.52%,P>0.05).Conclusion The treatment of CHR patients with inferior turbinate submuco

关 键 词：下鼻甲黏膜下骨质切除术 骨折外移术 鼻甲射频消融术 慢性肥厚性鼻炎 鼻腔通气功能 面部美观 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]