鼻整形术后投诉自我评估的经验教训192例二次鼻整形候选者分析。

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI:10.52547/wjps.12.1.12
Shahriar Loghmani, Alireza Loghmani, Shirin Loghmani, Mohammadreza Zarei, Fatemeh Maraki
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引用次数: 0

摘要

背景:鼻整形术作为最常见的美容外科手术,其目的是矫正鼻的不同结构的畸形,每种情况都有自己的挑战。我们的目的是强调自我评估对犀牛外科医生的重要性。方法:对2017年4月至2021年6月在伊朗伊斯法罕Ordibehesht医院就诊的192例患者进行回顾性描述性研究。曾在同一或其他外科医生处做过鼻整形手术的鼻整形候选人,具有强制性的美观性和可选的功能性目的。第一作者首次隆鼻的患者被分配到1组(n=102),由其他外科医生手术的患者被分配到2组(n=90)。使用作者制作的检查表收集数据,检查表分为三部分:总体人口学问题、患者审美和功能投诉问题以及外科医生的客观评价。结果:引起鼻整形的投诉以鼻尖部位161例(83.9%)、上鼻部98例(51%)、中鼻81例(42.2%)居多。此外,58例(30.2%)患者出现呼吸问题。外科医生的技术水平与这两种疾病的发生显著相关;结论:通过对本组患者的调查,发现本组患者比其他术者患者更普遍的问题,并通过与同事的研究和咨询,确定导致技术改变的原因,从而提高了手术效果。
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Lessons from Self-Assessment of Post-Rhinoplasty Complaints; Analysis of 192 Candidates of Secondary Rhinoplasty.

Background: Rhinoplasty as the most common aesthetic surgical operations aims to correct deformities of the different structures of the nose with each case its own challenges. We aimed to highlight the importance of self-assessment for rhino surgeons.

Methods: This retrospective descriptive study was done on 192 patients in Ordibehesht Hospital, Isfahan, Iran from April 2017 to Jun 2021. candidate for secondary rhinoplasty, with mandatory aesthetic and optional functional purposes, having previously undergone rhinoplasty with the same or another surgeon. Patients with initial rhinoplasty by the first author were assigned to group 1 (n=102) and the patients who were operated by the other surgeons were in the group 2 (n=90). Data were collected using an author made checklist divided into three parts: overall demographic questions, questions about the patients' aesthetic and functional complaints and objective evaluation by the surgeon.

Results: The most frequent reported complaints led to their current rhinoplasty were about the nasal tip with 161 cases (83.9%), upper nasal part with 98 cases (51%) and mid-nose (middle nose) with 81 cases (42.2%). Besides, respiratory problem was observed in 58 patients (30.2%). Surgeon's skill was significantly associated with occurrence of these two complaints; so that these two complaints were more common in group2 than group1 (P value <0.05).

Conclusion: Such assessments resulted to improve the surgical outcomes due to finding the more prevalent problems in own patients than the other surgeons' patients and determining the reasons that leads to change the techniques with regard to the researches and consulting with the colleagues.

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